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Fumiko Ladd Chino, MD FASCO

@fumikochino.bsky.social
3.7K followers 215 following 882 posts

#RadOnc. Reformed Artist. Cancer Widow. I study #FinancialToxicity #Access #Equity MD Anderson Cancer Center 📲me COI bit.ly/3OBu0Cn 🐦🪶🕊️ #medSky #oncSky migration

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 06/10/2026
Our Costs of Care @jama.com @jamanetworkopen.com ✍️: Financial barriers from #medicaldebt may prevent pts from seeking preventive or timely care... this is 🔑 in cancer, where earlier diagnosis means deescalated tx, better survival, and (ironically) less costly care. jamanetwork.com/journals/jam...
jamanetwork.com
Medical Debt in the United States—A Growing and Deadly Cancer
Health care in the United States has become progressively characterized by escalating prices, increased cost sharing, and uninsurance or underinsurance for millions of US residents. Resultant high out...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 06/10/2026
💸🏥🩺 Medical debt is a scourge. In addition to the deep personal and economic harms it perpetuates on Americans, new data @jamanetworkopen.com @jama.com shows that it may ALSO drive incidence of late-stage cancer diagnoses with the worst outcomes in #lungcancer #lcsm jamanetwork.com/journals/jam...
jamanetwork.com
Medical Debt and Advanced Cancer Stage at Diagnosis
This cross-sectional study examines the association between county-level medical debt in collections and all-stage and late-stage cancer incidence rates of 9 common cancers with screening tests or ear...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 05/10/2026
Sock skeleton Halloween craft today! #weekendsinHouston Ellie (orange cat) and Rattles (4 ft skeleton) enjoyed meeting our two new family members. 💀🎃❤️🧵✂️🧦🩻
An orange cat smells two sock skeletons craft projects made out of white tube socksA large skeleton half emerged out of the ground with two sock skeletons sitting out front
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 30/09/2026
We clean up nice. Dining, dancing, and fundraising for cutting edge #radonc research all while honoring the amazing #ASTRO26 Gold Medal Honorees. 🏅💃🕺☢️⚡️ Speed of Light: The @astro-org.bsky.social Foundation #GoldMedalGala
Three chino RadOnc dressed up Three women radoncs (one president and one gold medal winner)Three women radoncs. All MD Anderson attendings
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 27/09/2026
One of the amazing things about working with so many trainees (in research, clinic, & w/in the #radonc community) is that it broadens your network. That way when Boston breaks your umbrella, a graduated resident (now attending!!) will let you borrow hers 🙏☂️💦! #ASTRO26
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 26/09/2026
Excited to give a keynote talk on #FinancialToxicity to #radonc Trainees as part of ARRO Day at #ASTRO26 Join me at 4:05pm today in Room 156! ⏰☢️‼️ @astro-org.bsky.social
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 26/09/2026
Welcome to Boston for #ASTRO26! Reviving this photo of my mom in the early 1980s with her cobolt machine. ☢️ #radonc #WeWhoCurie #WomenWhoCurie @astro-org.bsky.social
A women physician speaking to a patient sitting on a radiation table
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 26/09/2026
This Sunday! WHEN DISASTER STRIKES ⛈️ 🌬️ 🌀 🔥 Safeguarding Radiotherapy's Value and Continuity Across Catastrophic Events #ASTRO26 Annual Meeting Educational Session 8244 📆 Sunday 9/27/2026 ⏰ 2:30 PM - 4:00 PM 📍 Room 257 Excited to see you at this @astro-org.bsky.social session.
A flyer for the disaster strikes session at Astro
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 26/09/2026
☢️ #radonc Roll Call! Here's hoping the weather holds long enough for us to make it to Boston tonight for the start of #ASTRO26!! ✈️🌧️💨🌀
A woman in an airplane seat wearing headphones and a mask.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 21/09/2026
🚨 @oncoalert.bsky.social: new @ascocancer.bsky.social podcast with @astro-org.bsky.social president Dr Neha Vapiwala -a lifelong champion of interdisciplinary collaboration, leading initiatives that explore the evolving role of #radonc as integral members of the oncology care team. Don't miss it! 🎙️
ascopubs.org
The Business of Radiation Oncology Practice: A Conversation with ASTRO President Neha Vapiwala | Podcast | ASCO Publications
Dr. Chino speaks with ASTRO President Neha Vapiwala about her recent OP article, "Highly Variable, Complex, and Contextual: The Business of Radiation Oncology Practice," and the changing landscape of ...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 16/09/2026
🔥 Alice & Olivia is in heavy rotation for my clinic & conference closets. 🍸 Sip & shop 🛍️ at this #ASTRO26 event hosted by @astro-org.bsky.social pres Dr Vapiwala. Purchases benefit Speed of Light & ALSO get a 10% discount! 📆 Saturday, 9/23/2026 3-5pm 📍 Alice & Olivia Boston (166 Newbury Street)
YOURE INVITED
SATURDAY, SEPTEMBER 26TH | 3PM-5PM
ALICE + OLIVIA BOSTON
166 NEWBURY ST
Join Drs. Vershalee Shukla and Neha Vapiwala (ASTRO president) for an afternoon of shopping with a purpose at ALICE + OLIVIA Boston
Receive 10% off your purchase, plus 10% of net proceeds benefiting Speed of Light - The ASTRO Foundation*
Plus, enjoy cocktails and tea while you shop the collection
RSVPTO BOSTONSTOREQALICEANDOLIVIA.COM
*EXCLUSIONS APPLY
P.S. IF YOU CANNOT ATTEND THE EVENT, PLEASE CALL THE BOSTON STORE TO SHOP VIRTUALLY ALICE + OLIVIA
BY STACEY BENDETThe author in a colorful dress taking a mirror selfie
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 15/09/2026
#ASTRO26: Are you ready to run (or walk 😏)? 📆Monday, September 28 🌅7:00 AM ET 🏃🏽💨 There's still time to register to support the Speed of Light The @astro-org.bsky.social Foundation, a public charity that is accelerating research & education in #radonc ☢️⚡️ ➡️ www.zippy-reg.com/online_reg/i...
The author and her brother. He is holding the 8 min mile sign, she holding the "walk" sign.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 14/09/2026
I appreciated this @slate.com piece by Dr Amar Rewari that goes into some of the nuance about non evidence based tests. "When it comes to your loved ones, paying for more information can feel less like an indulgence than a responsibility."
slate.com
A Famous Actress Just Put Her Face on an Expensive, Controversial Medical Test. You Know What? I Don’t Blame Her.
There are a few things you need to know about whole-body MRIs.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 13/09/2026
My toxic trait is compulsively shopping for and buying multiple advent calendars every year, starting in September. 🎅🎄🗓️🎁
static.klipy.com
Festive Advent Calendar Reveal
ALT: Festive Advent Calendar Reveal
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 08/09/2026
Visiting mom, going through old photos and papers: My grandparents wedding banquet, #womenWhoCurie practice announcement ☢️👩🏻‍⚕️, and 4 year old Miko.
The author as a child sitting on a van bench seat Black and white photo of a married Japanese couple with many dishes in front of them A printed card:
IRENE M. GORDON, M.D.
Announces the Opening of her Practice as
Director of Radiation Oncology
at
St. Elizabeth Hospital Medical Center
1501 Hartford St.
Lafayette, Indiana 47904
317-423-6466
April 1, 1982
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 06/09/2026
It was 101 degrees in McAllen today, so we went to the stained glass museum.
A woman sitting on a rolling walker with beautiful stained glass windows lined up behind her An enormous stained glass window with yellows and blues Two women smiling with stained glass in the background
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 04/09/2026
Uncertain federal funding can delay all innovation. It means fewer promising treatments move forward; it means more lives lost to cancer.   We can underplay these things... as an abstract concept; it’s just a number on a page. But for people with cancer, this is their life. @ascocancer.bsky.social
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 01/09/2026
Rest in Power @ascocancer.bsky.social Giant Dr Harold Paul Freeman 1933-2026 Your work outlining barriers to care and developing #patientNavigation has saved countless lives & was foundational to a generation of researchers like me.
connection.asco.org
ASCO Remembers Dr. Harold P. Freeman, Preeminent Health Equity Expert and Pioneer of Patient Navigation
ASCO joins the oncology community in mourning the death of Harold P. Freeman, MD, a world-renowned expert on and advocate for health equity and the pioneer of patient navigation services in oncology.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 25/08/2026
Nothing gold can stay. 👑🌈🖤
Dolly Parton 1946-2026
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 21/08/2026
In this JCO OP special series, we strive to unravel the complexities of our current system—examining its origins, the realities of consolidation & shifting revenue flows, workforce challenges, while offering concrete strategies for a more rational, value-based future. 💸📈🏥 @ascocancer.bsky.social
ascopubs.org
Guide Through the Fog: The Business of Oncology | JCO Oncology Practice
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 19/08/2026
State & federal policymakers make decisions every day that directly influence patient care & the research that drives cancer treatment. 🎙️we discuss advocacy w/ a focus on what community oncologists can do to safeguard high quality, pt centered care. @ascocancer.bsky.social @astro-org.bsky.social
ascopubs.org
Advocacy in Action: The Voice of Community Oncologists | Podcast | ASCO Publications
Dr. Chino speaks with Leslie Busby, MD about advocacy in oncology with a focus on what community oncologists can do to safeguard high-quality, patient-centered care. Dr. Busby is the first author of “...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 11/08/2026
It’s not enough to just require women get notification of dense breast tissue at time of #mammography.. if you actually want people to get supplemental screening you need to mandate that insurance PAY FOR IT. #bcsm #breastcancer @jamanetworkopen.com @jama.com @auntminnie.bsky.social
jamanetwork.com
Dense Breast Legislation and Supplemental Breast Imaging
This cohort study comprising 12.6 million women evaluates the differential association of dense breast notification and insurance coverage laws with supplemental imaging use and assesses how specific ...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 04/08/2026
🚨‼️For residents, fellows, & new attendings who recently moved... Remember to UPDATE your address & REGISTER to vote if you are eligible in your new state. Healthcare is on the ballot & we fail our patients by not participating. Please share. 🗳️🇺🇸✅ www.vote.org/voter-registration-deadlines
A graphic showing that physicians vote less often than other professionals and a cartoon stating that 2/3 of eligible voters don't vote
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 03/08/2026
“You certainly don't want to alienate patients, [they should] feel like their ❓s are being answered, & not ignored”   We need: 1️⃣ rigorous clinical history-taking 2️⃣ non-judgmental, patient-centered communication style @ascocancer.bsky.social @astro-org.bsky.social @darcyburbage.bsky.social
oncnursingnews.com
Addressing Ivermectin: How Oncology Nurses Can Navigate Patient Mistrust | Oncology Nursing News
Fumiko Chino, MD, discusses strategies for oncology nurses to address unproven treatments like ivermectin while maintaining patient trust.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 02/08/2026
The Big Show at Lawndale Art Center starts from an open submission call to the Houston community. This curated art show celebrates the diversity of art being created in Texas. One piece below 👇 #weekendsinHouston
A shot from above of an orderly stack of bricks with words printed on them "Move Fast and Break Things"A closeup of bricks with words printed on them "Move Fast and Break Things"
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 02/08/2026
So vibrant. 🌱 (if I didn't take this myself I would think it was AI) #weekendsInHouston
A deep green leaf with spots of decay
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 30/07/2026
"Ever & I had many tough days due to her illness. But we also enjoyed 13 more years of traveling & raising our son, Jackson, together bc of @mdanderson.bsky.social & the people who donated blood there." Your 🩸donation gives people w/ cancer longer & better lives. www.mdanderson.org/cancerwise/m...
mdanderson.org
Multiple myeloma caregiver: Why I’ll keep donating blood products at UT MD Anderson ‘for Ever’
Jerry Preston was only an occasional blood donor before his wife passed away due to complications of multiple myeloma. Now, he donates blood products at UT MD Anderson regularly — and he will continue...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 27/07/2026
> 1 in 6 caregivers (parents, partners, children) navigate complex insurance processes to get medical care for their loved ones. Caregiver effort via administrative burden is an uncaptured 👎 effect of #priorAuthorization -another reason to #fixpriorAuth. jamanetwork.com/journals/jam...
Bar graph showing various rates of patient and patient caregiver actions indicating administrative burden from prior authorization
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 20/07/2026
Dr Robin Zon's @ascocancer.bsky.social presidential address focused on translating EBM into better outcomes for pts through meaningful investments in tech, advocacy, & community. 🎙️new #JCOOP podcast feat. former ASCO President on leadership & future vision in oncology ascopubs.org/do/roadmap-a...
JCO ONCOLOGY PRACTICE PODCAST
JUL 20, 2026|
Podcast: A RoadMap to Achieve High Quality Care for All: Walking in Beauty and Strength with Past President Dr. Robin Zon
Dr. Fumiko Chino (Host), Dr. Robin Zon (Guest)
Dr. Chino speaks with ASCO President Dr. Robin Zon about leadership in oncology and what it takes to steer a global oncology society in turbulent times.
ASCO
小川
JCO
Oncology Practice
JCO Oncology Practice Podcast
FOLLOW
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 14/07/2026
Blessed to reach 49 years old and to be doing meaningful work that I love. I know that not everyone gets the opportunity to do either of these things.
A woman with glasses with a small smile
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 12/07/2026
At the thrift store, I realized that LIVE is EVIL spelled backwards. Anyway, how is everyone's weekend? #weekendsinHouston
A metro shelf with a piece of decor that says "LIVE" but it is backwards so it spells "EVIL"
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 09/07/2026
This Conor Janda joke hits re: access to care, #AYACsm problems, insurance = healthcare, and the unique concerns of #SGM patients. Also it's hilarious. @thankscancer.bsky.social
My boyfriend and l argue about labels.
He wants to call me his "partner,"
but I want to be called his
"Blue Cross Blue Shield dependent."We've agreed on the term
"partner in crime."
The crime is insurance fraud.I won't have good health insurance until 1 marry,
so one day, you'll see my big announcement:
that I'm going through chemo,
and you'll think, "Oh my god!
Did he get married?"
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 05/07/2026
4th of July on the Texas coast. Beautiful birds in Matagorda Bay 🪶🐦‍⬛🦅 including a brown eagle, a family of martins, and so many wading birds.
A woman in a colorful dress on a rock overlook with the bay in the background An ibis in the grassA tricolor heron
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 03/07/2026
🩸Only 3% of Americans donate blood yearly despite the constant need —and summer months routinely have shortages. Schedule a donation today! You can help a @mdanderson.bsky.social patient via a directed donation or name them to receive an honorium to their account. www.mdandersonbloodbank.org
A woman in a black and white patterned dress hooked up to an apheresis machine donating platelets
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 02/07/2026
I have such a visceral memory of the concentration it took to place these little stickers perfectly. #ThrowbackThursday
McDonald happy meal from 1982. It is a plastic blue space ship and quite frankly really cool. The stickers used to decorate the blue space ship.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 28/06/2026
The Buffalo Bayou Cistern: Rafael Lozano-Hemmer’s Undercurrents #weekendsinHouston
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 25/06/2026
Revisiting my patient facing talk on #sharedDecisionMaking. 1️⃣ We need to be open about the vast swathes of grey in medicine. 2️⃣ Our knowledge changes over time. 3️⃣ There are rarely durable absolutes. 4️⃣ Patients should be wary of anyone who speaks of cure without compromise.
What we want medical decisions to be: two boxes, one white one black. 
What they actually are: a graduation from white to black.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 18/06/2026
Trainees & early career faculty need practical & concrete guidance throughout their training to ensure they can sustain their passion & leadership in high value care as they transition to faculty/independent practice.   We outline 4️⃣ career pathways.
link.springer.com
Paving the Way for a Career in High Value Care: A Roadmap for Future Clinician Leaders - Journal of General Internal Medicine
The healthcare cost crisis in the USA has become unsustainable, with patients facing rising premiums and deductibles and providers unable to meet their bottom lines, forcing practice mergers and buyou...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 16/06/2026
🚨 @ascocancer.bsky.social #ASCOQLTY26 provides an unparalleled opportunity to present data-driven science to help educate the oncology community & elevate care for all. It's the LAST DAY to share your work & contribute to the conversation on patient-centered outcomes. 👉 www.asco.org/quality
asco.org
ASCO Quality Care Symposium - ASCO
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 13/06/2026
Repotting my seed grown basil. 🌿🌱🪴 #weekendsinHouston #plantFiend
Three small/medium pots (6-8") with green leafy basil on some outside steps with a yellow watering can
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 08/06/2026
On site at @jama.com HQ for the @jamanetworkopen.com editors meeting. Honored to serve with my fellow oncology editors Drs Larry Shulman and Roisin O'cearbhaill
Three oncologist standing together
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 07/06/2026
This #Superman Fortress of Solitude lucite table is at the Heights Goodwill in Houston if anyone is having a hard time outfitting their man cave and is going for a distinct 70s-80s vibe. #WeekendsinHouston #IYKYK
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 06/06/2026
The most ridiculous thing about this "BUDGET" game from 1983 is that health and dental insurance only costs $370 (one time purchase) and having it saves you from paying a medical bill of $530. 🏥🚑💸🧾 #financialToxicity
A board game for kids from 1983 with bright colors. It resembles monopoly.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 04/06/2026
🎙️#ASCO26: I speak to Dr Evan Garrad for the @ascocancer.bsky.social JCO OP Podcast:  What is the current state of AI education w/in oncology training & what is important to consider when developing an AI curriculum? How should we should evaluate & teach basic AI literacy?
ascopubs.org
Artificial Intelligence Among US Hematology-Oncology Fellows | Podcast | ASCO Publications
Dr. Fumiko Chino talks with Dr. Evan Garrad, the first author of the JCO OP manuscript,
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 02/06/2026
Heading home from #ASCO26 today! Put two dates for @ascocancer.bsky.social Quality Care Symposium on your calendar: 🚨Abstracts are due in 2 weeks 6/16/2026 📆 #ASCOQLTY26 is Friday-Saturday 10/16-17/2026 See you in Boston! www.asco.org/quality
A woman with glasses and a mask in front of a large sign advertising ASCO ACS with the dates 10/16-10/17
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 01/06/2026
Dr Wing-Lok Chan #ASCO26 @ascocancer.bsky.social showed a Proactive app-facilitated #pallonc (with digital symptom reported and nursing support) improved QOL and self efficacy. It also reduced hospitalizations. 🤲Caregivers were major users. This is live in @jamanetworkopen.com today
jamanetwork.com
Digital Self-Management of Symptoms and HRQOL for Patients With Advanced Cancer
This randomized clinical trial evaluates whether adding an application-facilitated symptom-monitoring intervention to usual palliative care can better maintain health-related quality of life (HRQOL), ...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 30/05/2026
🎙️ @ascocancer.bsky.social podcasts provide high quality cancer info & discussion in an accessible & enjoyable audio format! Give us a listen if you're not already a subscriber! Proud to be featured #ASCO26 with my fellow hosts ascopubs.org/journal/op/p...
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 29/05/2026
New in @medscape.com (and highly relevant heading into #ASCO26):   Mental health care should not be an afterthought in cancer. It should be woven through the entire care cascade, from diagnosis ➡️ treatment ➡️ survivorship. #breastCancer #bcsm
medscape.com
Navigating the Mental and Emotional Effects of Breast Cancer
Dr Fumiko Chino discusses how a breast cancer diagnosis can trigger a wide range of emotional and mental health concerns, which can significantly impact daily life and relationships.
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 29/05/2026
En route to #ASCO26. This plane is just teeming with @mdanderson.bsky.social faculty 🤩 ready to see, present, and discuss some amazing new oncology science @ascocancer.bsky.social
A woman in a mask and red accessories on a plane
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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 27/05/2026
Great 🧵 here on the new work led by Dr @johnlin08.bsky.social from @mdanderson.bsky.social on when patients should consider direct-to-consumer pharmacies to save money on high out-of-pocket cost #prescriptions. 📄 here: bit.ly/4uZ93Da
Annals of Internal Medicine® Letters
Identifying Meaningful Patient Savings on Generics: Direct-to-Consumer Prices Versus
Commercial Insurance Cost Sharing
A. Frequency of claims with potential savings from MCCPDC vs cost-sharing
potential OOP savings (%)
Claim out-of-pocket cost category
B. OOP costs from MCCPDC vs cost-sharing among claims with potential savings
Claim out-of-pocket cost category
. Relative savings from MCPDC vs cost-sharin mong claims with potential saving
Claim out-of-pocket cost category
Figure. Frequency and extent of OOP savings if prescriptions were obtained via direct cash purchase from the MCPDC versus through insurance cost sharing
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