Fumiko Chino | Lightnews

Fumiko Ladd Chino, MD FASCO

@fumikochino.bsky.social

3.7K followers 210 following 740 posts

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

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Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · Dec 8

"For both patients and providers, prior authorization can feel like an unfair game they are designed to lose."

Honored to work w/ Dr @nathangray.bsky.social on a graphic op-ed out now @usatoday.com on how #PriorAuth can leave some patients literally dying in pain.

www.usatoday.com/story/opinio...

For patients and doctors, insurance prior authorization can be a dangerous game | Opinion

Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.

www.usatoday.com

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 2h

🧑🏻‍⚕️🩺⚕️From active obstruction to transparency, how the Leapfrog Group helped create the sea change 🌊 forcing hospitals to move away from "Deny and defend" to embrace patient-centered quality and safety measures.

Measurement is the engine that will drive improvement.

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 2h

At the Leapfrog Group Annual Meeting: 25 Years of Action, Reflection on "To Err is Human" and the Leapfrog Legacy.

"Break some glass and make some enemies... we didn't want incremental change." Engaging those who are dedicated and devoted to improving quality in healthcare. 🏥

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 1d

#ThreeGoodThings:
1️⃣ @mdanderson.bsky.social #Radonc holiday celebration 🎄🎁🎉
2️⃣ Wake Up Dead Man; A Knives Out Mystery and Daniel Craig's floppy hair👱
3️⃣ completing Christmas shopping ✅

Two colleagues in fancy holiday outfits.

7 colleagues in holiday outfits in a large atrium

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 2d

#ThreeGoodThings:
1️⃣ sleeping in on Saturdays is highly underrated 😴
2️⃣ Holiday craft fairs
3️⃣ we Christmas-ified Rattles our kitchen skeleton 🎄🎅

A "breaking ground" skeleton that stands 4ft tall in a kitchen. He is wearing a Santa hat.

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 3d

Don't mistake my concern. Giredestrant is an EXCITING new tx. I just want it to be ACTUALLY available/affordable for real people.

Cost is likely >$250k/yr for <3% absolute benefit. Some people will think it's worth it ...but others would rather have that 💸 to pay rent. #SABCS25

A figure showing HR 0.70 and zoomed in look of a separation of the curves 6.7% vs 9.4%

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 3d

#Giredestrant oral SERD ➡️ incredible 30% benefit for those with early stage ER+ #breastcancer.

It's not on the market yet but other similar #bcsm 💊 cost >$20k/mo vs generic AI $7.50 (on CPD w/o insurance). Let's see some affordable pricing please.🙏
#SABCS25 #financialToxicity

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 4d

#ThreeGoodThings:
1️⃣ the Annual #AdoptAFamily @mdanderson.bsky.social wreath auction raises funds to directly support brighter holidays for our patients and their families is about to close ⏰
2️⃣ this LEGO wreath from the auction is just STUNNING 🤩
3️⃣ I currently have the high bid 🤞

A gorgeous Lego wreath of greenery and oranges and holly

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 5d

#ThreeGoodThings:
1️⃣ taking a #SoMe holiday before the actual holidays
2️⃣ the first lentil soup of the season
3️⃣ the art and precision of wrapping presents 🎁

A red enameled pot of lentil soup with steam coming up

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 5d

I'm not getting older. The text just keeps getting smaller. 🧐🤨🤓

a cartoon character is reading a newspaper with a lamp in the background

ALT: a cartoon character is reading a newspaper with a lamp in the background

media.tenor.com

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 6d

I'm "taking pictures of something on my phone so that I can zoom in on it to read the ingredients" years old. 👀🔎🔦🕵🏻‍♀️

A small package of candy with tiny ingredients held in a hand

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 7d

Getting the best "deal" shouldn't be top of mind when facing serious illness. High deductible plans ⬆️debt, ⬇️access & ⬇️survival.

"You're not going be able to actually [price shop] effectively, & certainly not within the time frame that you would need"
@npr.org @barnesjm.bsky.social

Republicans push high deductible plans and health savings accounts

A Republican call to give Americans cash instead of health insurance subsidies revives an old idea that has left millions with medical debt.

www.npr.org

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 9d

Today's thrift store find (maneki neko) #weekendsInHouston

A gold lucky cat on a counter with lots of plants and a bitter melon in the background

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 11d

🚑🏥 "When patients & families have no option but to dial 911 in a moment of crisis because we, as a society, do not invest in robust home-based care, it is hardly surprising that care defaults to hospitalization"

Thoughtful @jamanetworkopen.com @jama.com #pallonc #hpm commentary:

The Tyranny of Autonomy in Medical Decision-Making for Serious Illness

Advance Care Planning (ACP) evolved as an alternative paradigm to the legal transactional framework for advance directives (ADs) that emerged from the 1970s patients’ rights and bioethics movement.1 T...

jamanetwork.com

Fumiko Ladd Chino, MD FASCO @fumikochino.bsky.social · 12d

🍎 Overjoyed to have worked with beloved friends, colleagues, & multidisciplinary team members on #HCWvsHunger 2025. Collectively we raised >$1M and fed JUST SO MANY PEOPLE. The competition was fierce; I am incredibly grateful to be part of this community doing good in the world.