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
Pinned
For the #Medsky peeps joining we have a labeler system where you’re able to attach medical specialties to your account through badges.
These make it easier for you to find colleagues in your area of focus. Subscribe to @medsky.social and get your badge!
These make it easier for you to find colleagues in your area of focus. Subscribe to @medsky.social and get your badge!
For those #MedTwitter (which is #MedSky here) folks making the migration over or setting up a new account, here are a few tips I've gathered from other great people building connections and features that help us create a safe, fun, interactive community:
bsky.app/profile/rich...
bsky.app/profile/rich...
Reposted by Mike Tchou, MD, MSc
Come check out #nPHM sessions led by our steering committee members at #PHM25 in Anaheim!
Topics include
🔸️nirsevimab 💉
🔸️clinical lit & care 👶📖
🔸️breastfeeding
🔸️preterm care
🔸️trendy baby gear & formula
🔸️congenital syphilis/HIV
#Neonatal
@ameracadpeds.bsky.social @societyhospmed.bsky.social
Topics include
🔸️nirsevimab 💉
🔸️clinical lit & care 👶📖
🔸️breastfeeding
🔸️preterm care
🔸️trendy baby gear & formula
🔸️congenital syphilis/HIV
#Neonatal
@ameracadpeds.bsky.social @societyhospmed.bsky.social
July 14, 2025 at 10:43 PM
Come check out #nPHM sessions led by our steering committee members at #PHM25 in Anaheim!
Topics include
🔸️nirsevimab 💉
🔸️clinical lit & care 👶📖
🔸️breastfeeding
🔸️preterm care
🔸️trendy baby gear & formula
🔸️congenital syphilis/HIV
#Neonatal
@ameracadpeds.bsky.social @societyhospmed.bsky.social
Topics include
🔸️nirsevimab 💉
🔸️clinical lit & care 👶📖
🔸️breastfeeding
🔸️preterm care
🔸️trendy baby gear & formula
🔸️congenital syphilis/HIV
#Neonatal
@ameracadpeds.bsky.social @societyhospmed.bsky.social
Reposted by Mike Tchou, MD, MSc
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
Share your travel posts with us!!!
#CPHM #NewbornPHM #PHM
July 22, 2025 at 2:32 PM
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
Share your travel posts with us!!!
#CPHM #NewbornPHM #PHM
Reposted by Mike Tchou, MD, MSc
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)
May 19, 2025 at 9:41 PM
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)
Reposted by Mike Tchou, MD, MSc
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...
May 19, 2025 at 9:39 PM
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...
Reposted by Mike Tchou, MD, MSc
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)
May 19, 2025 at 9:33 PM
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)
Reposted by Mike Tchou, MD, MSc
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/
Blood cells.
Obviously
1/
May 6, 2025 at 1:20 AM
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/
Blood cells.
Obviously
1/
Reposted by Mike Tchou, MD, MSc
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...
Wed May 21
12-1 MT / 2-3 ET
"PICK ME! How to write a winning abstract"
Register: ucdenver.zoom.us/webinar/regi...
May 6, 2025 at 1:50 AM
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...
Wed May 21
12-1 MT / 2-3 ET
"PICK ME! How to write a winning abstract"
Register: ucdenver.zoom.us/webinar/regi...
Reposted by Mike Tchou, MD, MSc
The so-called “moderate” 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 “moderate” about that?
Hello? That would mean 18 million children and 2 million adults with disabilities lose health care coverage, according to the latest estimates.
What’s “moderate” about that?
April 30, 2025 at 6:21 PM
The so-called “moderate” 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 “moderate” about that?
Hello? That would mean 18 million children and 2 million adults with disabilities lose health care coverage, according to the latest estimates.
What’s “moderate” about that?
Reposted by Mike Tchou, MD, MSc
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
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
April 30, 2025 at 11:51 AM
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
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
Reposted by Mike Tchou, MD, MSc
All star panel on gun violence prevention with the great @drannieandrews.com leading off. #PAS2025
April 26, 2025 at 2:07 AM
All star panel on gun violence prevention with the great @drannieandrews.com leading off. #PAS2025
Reposted by Mike Tchou, MD, MSc
PAS2025 posters!!!! Some random ones I enjoyed.
Decent agreement with manual and QR code attendance at resident conference.
Decent agreement with manual and QR code attendance at resident conference.
April 27, 2025 at 2:15 AM
PAS2025 posters!!!! Some random ones I enjoyed.
Decent agreement with manual and QR code attendance at resident conference.
Decent agreement with manual and QR code attendance at resident conference.
Reposted by Mike Tchou, MD, MSc
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.
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.
April 26, 2025 at 5:39 PM
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.
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.
Reposted by Mike Tchou, MD, MSc
A favorite session every year
April 27, 2025 at 5:04 PM
A favorite session every year
Reposted by Mike Tchou, MD, MSc
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
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
April 24, 2025 at 10:54 AM
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
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
Reposted by Mike Tchou, MD, MSc
“We 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
@nejm.org quoted by @aniloza.bsky.social
April 23, 2025 at 9:55 PM
“We 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
@nejm.org quoted by @aniloza.bsky.social
Reposted by Mike Tchou, MD, MSc
The Trump regime is now using US Attorneys to intimidate academic journals by sending them letters demanding they explain how they ensure ‘viewpoint diversity.’ Journal editors should be public about this and coordinate to refuse to comply with these fascist tactics.
April 17, 2025 at 7:56 PM
The Trump regime is now using US Attorneys to intimidate academic journals by sending them letters demanding they explain how they ensure ‘viewpoint diversity.’ Journal editors should be public about this and coordinate to refuse to comply with these fascist tactics.
Reposted by Mike Tchou, MD, MSc
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/...
www.acpjournals.org/doi/10.7326/...
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:...
www.acpjournals.org
April 19, 2025 at 1:19 AM
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/...
www.acpjournals.org/doi/10.7326/...
Reposted by Mike Tchou, MD, MSc
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...
April 18, 2025 at 7:00 PM
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...
Reposted by Mike Tchou, MD, MSc
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
Mine is #DeannaVotes
@cmount.bsky.social @pccmdoc.bsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @tchoumd.bsky.social
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
@pccmdoc.bsky.social @gretchemaben.bsky.social @saltylungs.medsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @cmount.bsky.social @tchoumd.bsky.social
April 15, 2025 at 2:07 AM
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
Mine is #DeannaVotes
@cmount.bsky.social @pccmdoc.bsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @tchoumd.bsky.social
Reposted by Mike Tchou, MD, MSc
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.
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.
April 18, 2025 at 7:05 PM
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.
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.
Reposted by Mike Tchou, MD, MSc
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
@pccmdoc.bsky.social @gretchemaben.bsky.social @saltylungs.medsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @cmount.bsky.social @tchoumd.bsky.social
April 11, 2025 at 4:03 PM
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
@pccmdoc.bsky.social @gretchemaben.bsky.social @saltylungs.medsky.social @glibrizzi27.bsky.social @docwithbowtie.bsky.social @cmount.bsky.social @tchoumd.bsky.social
Thank you @annieandrewsmd.bsky.social for your tireless advocacy, especially in these times!
If Republicans ever remember how to govern and actually pass this budget that guts Medicaid- it’s bad news for all of us. TV
April 10, 2025 at 2:37 AM
Thank you @annieandrewsmd.bsky.social for your tireless advocacy, especially in these times!
Reposted by Mike Tchou, MD, MSc
If Republicans ever remember how to govern and actually pass this budget that guts Medicaid- it’s bad news for all of us. TV
April 10, 2025 at 2:18 AM
If Republicans ever remember how to govern and actually pass this budget that guts Medicaid- it’s bad news for all of us. TV