GI Oncology standard regimen doses remain too high for many real world patients. Retrospective and prospective trials demonstrating benefit of reduced doses or dose escalation are accumulating. #meded#gionc#crcsm#pancsm
@acweyand Try the black pepper bun in the front of Rao he night market. I still think about it from time to time. Also, the Gua bao at Lan Jia Gua Bao is pretty life changing if you like bao with pork belly.
Inspired by a recent discussion on twitter/X about a trial- here’s a thread about the importance of intent to treat analysis, and the caveats/shortcomings of per-protocol or analysis per “compliance/adherence”.
Buckle yourself up for an educational 🧵
I got what you’ve been looking for!HLH by Mary Poppins:
Hemophagocyticlymphohistiocytosis
You don’t want to be the one to miss this diagnosis
High ferritin that’s not from blood transfusion or cirrhosis
It’s hemophagocyticlymphohistiocytosis
1/8
@MCMarquesMD@RaisaLomanto I also came up with an HLH diagnostic criteria song a while ago :) hope u enjoy!
Listen to The Hemophagocytic Lymphohistiocytosis(HLH) Song by Cytotoxic on #SoundCloud
https://t.co/V5wm3FxEDk
@Bloodman I also made a HLH diagnostic criteria song a while back when I was a resident. Hope you enjoy :)
Listen to The Hemophagocytic Lymphohistiocytosis(HLH) Song by Cytotoxic on #SoundCloud
https://t.co/V5wm3FxEDk
A very common consult that hematologists get is for MGUS in the setting of neuropathy.
Are they associated? What diagnosis can explain the association? What workup needs to be ordered?
In this thread, we do a deep-dive on this important topic/outline management.
#mmsm
🧵
1/
@DrFassi @AaronGoodman33 @HistiocyteSoc Wish I could go this year again.. hope you're doing well. Also, I love it when music meets medicine!! I'll see if inspiration strikes for me again
My approach to transplant for myeloma (some nuance lost):
Young stnrd-risk who prioritizes PFS: Upfront auto
Young stnrd-risk who doesn't prioritize PFS: Defer
Young high-risk: Upfront auto
Older high-risk: Transplant only if mel200 can be given
Older standard risk: No auto
#mmsm
Hey Neptune. Did you ring? 👋
Webb’s latest image is the clearest look at Neptune's rings in 30+ years, and our first time seeing them in infrared light. Take in Webb's ghostly, ethereal views of the planet and its dust bands, rings and moons: https://t.co/Jd09henF1F #IAC2022
Just Released
Deepest-ever view of the cosmos from @NASAWebb. The spiked objects are local stars in our own Galaxy. ignore them. Everything else is an entire galaxy. Many distort into arcs, revealing spacetime curvature from the gravity of a galaxy cluster in the image's center.
It truly is amazing that people who say "we can't do a randomized trial because it'll be half a million people" don't realize what they're saying about how effective their product is.
@oncology_bg I always use generic names, but saying/spelling out prochlorperazine instesd of compazine is quite difficult when advising a patient re nausea
#HematologyTweetstory 21: the “CD” nomenclature. Musical CDs may be obsolete (though I still have a lot of them from college days; Paul Simon’s “Graceland” wins for most listens). Communicating clearly about blood cell surface markers? Here to stay.🙂 @ASH_Hematology#hemepath/1