Robert Kirchoff, MD, FACP, FASAM
@kirchoff.org
Academic Hospitalist | Researcher | Addictionologist | Informaticist | AzSAM President | Triathlete | Detroit Native
The content and views posted here are my own and do not reflect my institutional affiliations, etc
The content and views posted here are my own and do not reflect my institutional affiliations, etc
Encouraging news: COVID-era telehealth rules for addiction meds are likely extended again. Not yet official, but reassuring that these vital services will remain in place for those who need them most. Barriers to treatment are steep—telehealth bridges the gap.
Covid-era rules for addiction medication, Ritalin are extended again
For a fourth time, the government avoids making permanent policy on telehealth prescriptions of controlled medications for addiction and ADHD.
www.statnews.com
November 12, 2025 at 10:41 PM
Encouraging news: COVID-era telehealth rules for addiction meds are likely extended again. Not yet official, but reassuring that these vital services will remain in place for those who need them most. Barriers to treatment are steep—telehealth bridges the gap.
Important work
At least we put real sugar back in Coke, changed some food dyes, & demonized vaccines. Y'know, the real work to Make America Healthy Again!
During his campaign, Trump (& RFK) promised to rein in the use of dangerous pesticides, but the EPA has loosened oversight and is accelerating pesticide approvals.
Notably, the top 4 positions in the new Trump EPA’s chemical safety office are held by former pesticide and chemical industry lobbyists
Notably, the top 4 positions in the new Trump EPA’s chemical safety office are held by former pesticide and chemical industry lobbyists
November 11, 2025 at 4:31 PM
Important work
This one took a while to get accepted, but we are excited to take this off the project dashboard. Congrats all! #pocus #research #academicmedicine
www.mdpi.com
October 27, 2025 at 4:18 PM
This one took a while to get accepted, but we are excited to take this off the project dashboard. Congrats all! #pocus #research #academicmedicine
It’s almost as though non-scientists /cognitively deficient conspiracy theorists shouldn’t be making decisions that impact public health. 🤷🏽 #medsky
June 13, 2025 at 2:22 PM
It’s almost as though non-scientists /cognitively deficient conspiracy theorists shouldn’t be making decisions that impact public health. 🤷🏽 #medsky
Perks of being a nocturnist …
June 6, 2025 at 6:42 PM
Perks of being a nocturnist …
💯
Don’t be afraid to make the people you know uncomfortable. It’s much more uncomfortable not having basic rights and not having your basic needs met.
March 6, 2025 at 2:10 PM
💯
Outcomes:
Patient stays home —>???
Patient brings positive at-home test to ED —> ED orders D-Dimer
Patient brings negative at-home test to ED —> ED orders D-dimer
Patient presents to ED with no at-home test —> ED orders D-dimer
#medsky
Patient stays home —>???
Patient brings positive at-home test to ED —> ED orders D-Dimer
Patient brings negative at-home test to ED —> ED orders D-dimer
Patient presents to ED with no at-home test —> ED orders D-dimer
D-dimer has never in its life given a ‘reliable answer’.
March 6, 2025 at 4:58 AM
Outcomes:
Patient stays home —>???
Patient brings positive at-home test to ED —> ED orders D-Dimer
Patient brings negative at-home test to ED —> ED orders D-dimer
Patient presents to ED with no at-home test —> ED orders D-dimer
#medsky
Patient stays home —>???
Patient brings positive at-home test to ED —> ED orders D-Dimer
Patient brings negative at-home test to ED —> ED orders D-dimer
Patient presents to ED with no at-home test —> ED orders D-dimer
Webdesigners and DBA’s: if you are going to authenticate using an email address as username, don’t make the field case sensitive.
March 5, 2025 at 12:31 AM
Webdesigners and DBA’s: if you are going to authenticate using an email address as username, don’t make the field case sensitive.
Reposted by Robert Kirchoff, MD, FACP, FASAM
Note: obviously I'm kidding about the collapse. That has already happened.
Normal work at NIH to review grants is nearly completely blocked. And $1 billion has been blocked from going out the door. My work, and thousands of projects like it around the nation, are about to grind to a halt.
Normal work at NIH to review grants is nearly completely blocked. And $1 billion has been blocked from going out the door. My work, and thousands of projects like it around the nation, are about to grind to a halt.
March 3, 2025 at 3:25 PM
Note: obviously I'm kidding about the collapse. That has already happened.
Normal work at NIH to review grants is nearly completely blocked. And $1 billion has been blocked from going out the door. My work, and thousands of projects like it around the nation, are about to grind to a halt.
Normal work at NIH to review grants is nearly completely blocked. And $1 billion has been blocked from going out the door. My work, and thousands of projects like it around the nation, are about to grind to a halt.
Reposted by Robert Kirchoff, MD, FACP, FASAM
Dear universities, scientists, lawyers, farmers, workers, artists, doctors...
Being silent won't protect you.
Being silent won't protect you.
March 4, 2025 at 1:05 AM
Dear universities, scientists, lawyers, farmers, workers, artists, doctors...
Being silent won't protect you.
Being silent won't protect you.
Reposted by Robert Kirchoff, MD, FACP, FASAM
Friendly reminder: if you are waiting on something from a US-based scientist/reviewer/editor, please realize that we're barely making it through each day putting out non-stop fires and trying not to collapse into tears. We're trying our best, but things will take longer right now. Give grace.
March 3, 2025 at 7:22 PM
Friendly reminder: if you are waiting on something from a US-based scientist/reviewer/editor, please realize that we're barely making it through each day putting out non-stop fires and trying not to collapse into tears. We're trying our best, but things will take longer right now. Give grace.
My disrupted sleek-wake cycle allowed me to stumble upon this…#90sky (if that tag isn’t a thing it should be)
You Have Died of Dysentery: The Oregon Trail Game
www.died-of-dysentery.com
March 4, 2025 at 9:02 AM
My disrupted sleek-wake cycle allowed me to stumble upon this…#90sky (if that tag isn’t a thing it should be)
Reposted by Robert Kirchoff, MD, FACP, FASAM
Reposted by Robert Kirchoff, MD, FACP, FASAM
Hypertension is rises, and HyperAldo is back on #NephJC!
#NephJCld MRAs be stopped for "safety," or are we overthinking it? 🤔
Are we following guidelines or just adding complexity?
🔥 #NephMadness is around the corner—let’s revisit 2019 data! #NephJC
#NephJCld MRAs be stopped for "safety," or are we overthinking it? 🤔
Are we following guidelines or just adding complexity?
🔥 #NephMadness is around the corner—let’s revisit 2019 data! #NephJC
February 26, 2025 at 1:00 AM
Hypertension is rises, and HyperAldo is back on #NephJC!
#NephJCld MRAs be stopped for "safety," or are we overthinking it? 🤔
Are we following guidelines or just adding complexity?
🔥 #NephMadness is around the corner—let’s revisit 2019 data! #NephJC
#NephJCld MRAs be stopped for "safety," or are we overthinking it? 🤔
Are we following guidelines or just adding complexity?
🔥 #NephMadness is around the corner—let’s revisit 2019 data! #NephJC
The sharply dressed men of the Republican Party. Definitely well positioned to be giving advice on professional attire. 👍
February 28, 2025 at 11:41 PM
The sharply dressed men of the Republican Party. Definitely well positioned to be giving advice on professional attire. 👍
A friendly reminder: This could have been avoided
February 28, 2025 at 4:40 AM
A friendly reminder: This could have been avoided
For the seventh consecutive year, Newsweek has ranked Mayo Clinic as the No. 1 hospital in its annual “World’s Best Hospitals” list.
newsnetwork.mayoclinic.org
February 28, 2025 at 4:27 AM
For the seventh consecutive year, Newsweek has ranked Mayo Clinic as the No. 1 hospital in its annual “World’s Best Hospitals” list.
Post-call delirium makes this ever funnier. #medsky
@loweshomeimrovent.bsky.social please stop announcing “Code 1 in aisle 5” on the overhead speakers. You are stressing out all the doctors on our day off. Thanks!
February 26, 2025 at 4:31 PM
Post-call delirium makes this ever funnier. #medsky
Even with all the chaos and new policy driven threats to public health, antibiotic stewardship remains critically important and actionable by all prescribers of antimicrobial medications. #medsky #IDsky
with studies showing that Gram-negative bacteria can acquire resistance through the horizontal transmission of resistance genes on plasmids .The presence of ESBL-producing bacteria in animals highlights the importance of public health to address the issue of antibiotic resistance.
🔗 brnw.ch/21wQUIq
🔗 brnw.ch/21wQUIq
Extended-Spectrum β-Lactamases (ESBL) Producing Bacteria in Animals
Animals have been identified as potential reservoirs and vectors of resistance genes, with studies showing that Gram-negative bacteria can acquire resistance through the horizontal transmission of res...
brnw.ch
February 25, 2025 at 7:30 AM
Reposted by Robert Kirchoff, MD, FACP, FASAM
💯
This is what you should all do now! Band together and start your own channel. We will support you. We should get @mcuban.bsky.social & @govpritzker.illinois.gov to help you start up.
February 25, 2025 at 7:03 AM
💯
Reposted by Robert Kirchoff, MD, FACP, FASAM
She convinced me to email as well.
February 24, 2025 at 1:37 AM
She convinced me to email as well.
Interesting study. More granularity is needed to explore these trends. I would be curious to see a breakdown of duration since last opioid exposure in the remote opioid use group, with exclusion of pts on chronic opioids, mOUd, etc as we would not expect them to come off of opioids post-op. #medsky
New Persistent Opioid Use After Surgery
This cohort study examines the incidence of and factors associated with the risk of new persistent opioid use after surgery among adults in Austria.
jamanetwork.com
February 23, 2025 at 6:02 AM
Interesting study. More granularity is needed to explore these trends. I would be curious to see a breakdown of duration since last opioid exposure in the remote opioid use group, with exclusion of pts on chronic opioids, mOUd, etc as we would not expect them to come off of opioids post-op. #medsky
Reposted by Robert Kirchoff, MD, FACP, FASAM
Don’t even think twice about #HPV #vaccination. Have all your children, boys & girls vaccinated. If you didn’t get it and you’re under 45yo. It’s not too late.
Talk to your MD @your next office visit. If your MD isn’t sure about this vaccination you need a new Medical Doctor, period.
Talk to your MD @your next office visit. If your MD isn’t sure about this vaccination you need a new Medical Doctor, period.
Just a reminder that the HPV vaccine literally PREVENTS CANCER and the series can be started as early as 9 years of age.
February 22, 2025 at 11:18 PM
Don’t even think twice about #HPV #vaccination. Have all your children, boys & girls vaccinated. If you didn’t get it and you’re under 45yo. It’s not too late.
Talk to your MD @your next office visit. If your MD isn’t sure about this vaccination you need a new Medical Doctor, period.
Talk to your MD @your next office visit. If your MD isn’t sure about this vaccination you need a new Medical Doctor, period.
February 23, 2025 at 12:59 AM