Mike Tchou, MD, MSc's Avatar

Mike Tchou, MD, MSc

@tchoumd.bsky.social

Pediatrician | hospitalist #PHMSky #HMSky | improving value and reducing healthcare costs | data & improvement science / #QI | #QILIFE | equity | environment & climate | #dadjokes | #Medsky | he/him

2,784 Followers  |  649 Following  |  87 Posts  |  Joined: 13.07.2023  |  1.9037

Latest posts by tchoumd.bsky.social on Bluesky

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Come check out #nPHM sessions led by our steering committee members at #PHM25 in Anaheim!

Topics include
πŸ”ΈοΈnirsevimab πŸ’‰
πŸ”ΈοΈclinical lit & care πŸ‘ΆπŸ“–
πŸ”ΈοΈbreastfeeding
πŸ”ΈοΈpreterm care
πŸ”ΈοΈtrendy baby gear & formula
πŸ”ΈοΈcongenital syphilis/HIV

#Neonatal
@ameracadpeds.bsky.social @societyhospmed.bsky.social

14.07.2025 22:43 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0
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The countdown is here!! #PHM25 is 2 days away! We are excited to see our #Preconference participants and @newbornphm.bsky.social Thursday morning and then everyone else ALL WEEK/WEEKEND!
Share your travel posts with us!!!
#CPHM #NewbornPHM #PHM

22.07.2025 14:32 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 0    πŸ“Œ 0

As reported out of the House E&C Committee, the reconciliation bill would cut the 90% #Medicaid expansion matching rate to 80% for any expansion state that uses its own funding to provide coverage to undocumented immigrants. 14 states + DC do so for kids and smaller number cover others (3/X)

19.05.2025 21:41 β€” πŸ‘ 7    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0

Under the "ICHIA" option enacted in 2009, states can provide #Medicaid and CHIP coverage to certain legal immigrant children and pregnant women. Most states have taken up this option - 38 states for kids and 32 states for pregnant women (2/X): www.kff.org/report-secti...

19.05.2025 21:39 β€” πŸ‘ 10    πŸ” 4    πŸ’¬ 1    πŸ“Œ 1

Thread. 33 of 40 #Medicaid expansion states (+DC) will now face a 10 point cut in their expansion match rate under House GOP reconciliation bill. Latest language penalizes not only states using own funds to cover undocumented kids but also states covering legal immigrant kids/pregnant women (1/x)

19.05.2025 21:33 β€” πŸ‘ 48    πŸ” 36    πŸ’¬ 3    πŸ“Œ 9

A #MedSky thread in honor of Met Gala 2025 featuring this years fashion plus old favorites and the only thing as fascinating as gala looks

Blood cells.

Obviously
1/

06.05.2025 01:20 β€” πŸ‘ 128    πŸ” 30    πŸ’¬ 8    πŸ“Œ 18
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Join me and colleagues for a webinar on tips and tricks on how to write a stellar submission for the 2025 National Research Conference for the Prevention of Firearm-Related Harms

Wed May 21
12-1 MT / 2-3 ET
"PICK ME! How to write a winning abstract"

Register: ucdenver.zoom.us/webinar/regi...

06.05.2025 01:50 β€” πŸ‘ 25    πŸ” 19    πŸ’¬ 1    πŸ“Œ 1

The so-called β€œmoderate” GOP position on Medicaid cuts is no cuts above $500 billion.

Hello? That would mean 18 million children and 2 million adults with disabilities lose health care coverage, according to the latest estimates.

What’s β€œmoderate” about that?

30.04.2025 18:21 β€” πŸ‘ 13971    πŸ” 4738    πŸ’¬ 436    πŸ“Œ 192

It's been so long, I barely remember how to run #PelotonMed!

Anyway, drop your username and a little intro below!

@jenschuette25.bsky.social @gretchemaben.bsky.social @glibrizzi27.bsky.social @pccmdoc.bsky.social @doctorbecki.bsky.social @kylemacquarrie.bsky.social @jennamillermd.bsky.social

30.04.2025 11:51 β€” πŸ‘ 11    πŸ” 2    πŸ’¬ 10    πŸ“Œ 1
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All star panel on gun violence prevention with the great @drannieandrews.com leading off. #PAS2025

26.04.2025 02:06 β€” πŸ‘ 33    πŸ” 7    πŸ’¬ 1    πŸ“Œ 0
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Poster photo

PAS2025 posters!!!! Some random ones I enjoyed.

Decent agreement with manual and QR code attendance at resident conference.

27.04.2025 02:14 β€” πŸ‘ 4    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0
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Important not to overtest. There is no test for confirming pain.

Families don’t hear what they say, they are looking at our reaction. When we order more tests, we are sending the message that families should worry.

Diagnosis needs a good history & physical exam. Not everyone needs testing.

26.04.2025 17:39 β€” πŸ‘ 6    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0
Top articles in MedEd session.

Top articles in MedEd session.

A favorite session every year

27.04.2025 17:04 β€” πŸ‘ 3    πŸ” 1    πŸ’¬ 1    πŸ“Œ 2
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Irony:
Scrolling through X, seeing post after post of anti-vaccine rhetoric.
On the same day that my pediatric practice forms its first-ever Measles Task Force.
Our children and grandchildren will never understand how we allowed this to happen.
2025. Making Measles Great Again

24.04.2025 10:54 β€” πŸ‘ 13    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0

β€œWe support the editorial independence of medical journals and their First Amendment rights to free expression. The Journal actively fosters scholarly scientific dialogue and remains steadfast in its commitment to supporting authors, readers, and patients”

@nejm.org quoted by @aniloza.bsky.social

23.04.2025 21:55 β€” πŸ‘ 62    πŸ” 21    πŸ’¬ 2    πŸ“Œ 2
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The Trump regime is now using US Attorneys to intimidate academic journals by sending them letters demanding they explain how they ensure β€˜viewpoint diversity.’ Journal editors should be public about this and coordinate to refuse to comply with these fascist tactics.

17.04.2025 19:56 β€” πŸ‘ 2935    πŸ” 1679    πŸ’¬ 19    πŸ“Œ 361
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Patterns of U.S. Firearm Injury Emergency Department Visits by Month, Day, and Time During 2018 to 2023 | Annals of Internal Medicine Background: Monitoring temporal trends in firearm injury–related emergency department (ED) visits is challenging because traditional surveillance systems lack detailed temporal information. Objective:...

Tell us again that this isn't our lane. 93,022 firearm injury ED visits from 2018–2023 in just 9 states + DC. That’s 1 every 30 minutes. Nighttime, weekends, and holidays saw the most.

www.acpjournals.org/doi/10.7326/...

19.04.2025 01:19 β€” πŸ‘ 20    πŸ” 10    πŸ’¬ 1    πŸ“Œ 1
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Recently, the U.S. Department of Justice sent letters to scholarly journals inquiring about their process and principles. As an organization, we respect and support the CHEST journal's editorial leadership and long-standing reputation. Read more here: www.chestnet.org/newsroom/che...

18.04.2025 19:00 β€” πŸ‘ 97    πŸ” 49    πŸ’¬ 1    πŸ“Œ 7
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These weekly emails about #NIH funding opportunities are now downright depressing.

18.04.2025 19:07 β€” πŸ‘ 104    πŸ” 20    πŸ’¬ 6    πŸ“Œ 0

I'm #MikeChooTrain

18.04.2025 19:08 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Since it has been a while, drop your #PelotonMed username below!

Mine is #DeannaVotes

@cmount.bsky.social @pccmdoc.bsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @tchoumd.bsky.social

15.04.2025 02:07 β€” πŸ‘ 8    πŸ” 2    πŸ’¬ 9    πŸ“Œ 0

For herd immunity against measles, 92-95% of the population must be vaccinated.

As a live vaccine MMR can’t be given to pts who are immune suppressed (including pts receiving chemo/radiation or immunosuppression)

And it’s not effective in newborns.

So if you CAN get it, we REALLY need you to.

18.04.2025 19:05 β€” πŸ‘ 526    πŸ” 164    πŸ’¬ 18    πŸ“Œ 16

Still biking, walking, and yoging, but miss you all!

14.04.2025 20:26 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

That is amazing form for you both!

14.04.2025 20:24 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

What are all of the #PelotonMed people up to? It's been a minute! I don't think we have enough traction yet for an official account

@pccmdoc.bsky.social @gretchemaben.bsky.social @saltylungs.medsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @cmount.bsky.social @tchoumd.bsky.social

11.04.2025 16:03 β€” πŸ‘ 8    πŸ” 1    πŸ’¬ 13    πŸ“Œ 2

Thank you @annieandrewsmd.bsky.social for your tireless advocacy, especially in these times!

10.04.2025 02:37 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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If Republicans ever remember how to govern and actually pass this budget that guts Medicaid- it’s bad news for all of us. TV

10.04.2025 02:18 β€” πŸ‘ 50    πŸ” 16    πŸ’¬ 1    πŸ“Œ 2
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Change in Default Prescription Length and Statin Prescribing Behavior This quality improvement study examines the association of changing the default supply for statin prescriptions to 90 days with clinician prescribing behavior.

If you have to take a daily pill to reduce your risk of heart disease, wouldn't it be easier get your meds at the pharmacy 4 days/yr instead of 12?

We made a simple tweak in the default order that made things easier for patients and reduced disparities... πŸ§΅πŸ‘‡#nudge
jamanetwork.com/journals/jam...

07.04.2025 16:21 β€” πŸ‘ 10    πŸ” 6    πŸ’¬ 1    πŸ“Œ 2
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Donald Trump has committed the most profound, harmful and unnecessary economic error in the modern era. Almost everything he saidβ€”on history, economics and the technicalities of tradeβ€”was utterly deluded econ.st/3YbbFjq

03.04.2025 09:19 β€” πŸ‘ 12274    πŸ” 5406    πŸ’¬ 488    πŸ“Œ 757

@tchoumd is following 19 prominent accounts