Preet Paul Singh, MD

Hem/Onc @spfldclinic. Formerly GI Onc @WUSTLmed. Alumnus @aiims_newdelhi @uabimres & @MayoHemeOnc. Foodie,Shutterbug (@Nikon D750), Sports fan. Tweets my own

[Preet Paul Singh, MD @PreetpaulS]

Our review of immune checkpoints #immunotherapy in colorectal #cancer #CRCSM https://t.co/elGnz1idbi @piyush020691

[Shematologist, MD @acweyand]

My face seeing some of these trash ferritin reference intervals.

As a reminder, ferritin in adults should at minimum be 25 and ideally 50+

[Preet Paul Singh, MD @PreetpaulS]

@PTarantinoMD @NEJM Sorry. That doesn’t look practice changing at all. Those curves are literally overlapping. Giving a toxic and expensive drug for 3 years for that “benefit” seems egregious. First do no harm.

[Vincent Rajkumar @VincentRK]

Summary of drug approvals in relapsed myeloma. 19 new drugs approved over 20 years.

Bookmark it! #MedTwitter

[Manni Mohyuddin @ManniMD1]

There is a lot of progress that happens every year in myeloma.

Learnt a lot in 2023, from both negative and positive trials, and am thankful for the progress.

In this🧵, I will highlight 🔟 important myeloma publications from 2023 that shaped my thinking and practice.

#mmsm

[Preet Paul Singh, MD @PreetpaulS]

@EshaKaul1 IV iron for all women between 18-40

[Preet Paul Singh, MD @PreetpaulS]

A powerful and heart breaking read. Lot of things that we, as physicians and human beings, can learn from this.

My deepest condolences to @EthanLSanford and @NiuSanford as well as Terry’s parents. 💔

[Dr. Nina Niu Sanford @NiuSanford]

In this week's @JAMA_current, my husband @EthanLSanford writes about the deaths of our daughter Ceci and his patient Terry.

About how grief has informed his practicing of medicine and living a fuller life.

Please read about our girl and share.

https://t.co/0Ku2IDEl3g

[Eric Widera, MD @EWidera]

While attempting to finalize a death certificate, I was told they don’t take abbreviations so I’d have to spell out what the “C” is in Hepatitis C.

[Vincent Rajkumar @VincentRK]

Monoclonal Gammopathy of Undetermined Significance (MGUS).

Present in ~5% of all people age 50+

Therefore something all clinicians should know about. Brief summary.

#medtwitter @ESHaematology

1/

[Preet Paul Singh, MD @PreetpaulS]

Proud to work at this wonderful organization @SpfldClinic

[SpfldClinic @SpfldClinic]

Springfield Clinic has been named to @Newsweek's list of the Top 100 Most Loved Workplaces!

The results showed that Springfield Clinic leaders foster collaboration and prioritize learning and development while improving the patient care experience. https://t.co/kCpTLHjmh5

[Joshua Richter, MD, FACP @JoshuaRichterMD]

@VincentRK @ABIMcert @Rfonsi1 Btw. Rule of thumb. If @VincentRK is getting the myeloma questions wrong then the question is the problem

[Vincent Rajkumar @VincentRK]

Yesterday someone who is on Medicare Part D asked in disbelief: Will my annual prescription drug costs really be capped because of the new Senate bill?

Yes
All drugs
Every drug
All drugs combined
Total $2000 for whole year

Shout it from the rooftops.
#MedTwitter

[Mark Lewis, MD, FASCO @marklewismd]

Would anyone disagree that a fatal cancer in a young person is a tragedy? That we should want to lower the green bars below as much as possible?

OK well then I must be colorblind because I see green and red the same way here

[Lauren Wilson MD @DrLaurenWilson]

Hey @AnthemBCBS. Have readmitted a teenager with Crohn's to the hospital, extremely ill. Her BMI is 12. Her gastroenterologist prescribed Humira -- denied.

Would you like to talk to this family for me, since you're making the the medical decisions here?

@DGlaucomflecken

[Preet Paul Singh, MD @PreetpaulS]

@ShikhaJainMD The crazy part - they make this decision after reviewing YOUR documentation and plan of care! And still come up with a decision to deny medically necessary care. This amounts to practicing medicine without a license, without ever seeing the patient.

[Vincent Rajkumar @VincentRK]

I have no words. This is insanity and cruelty. Reckless. If doctors don't speak up now, we are failing our patients.

[Ethan Perlstein 1-to-N @eperlste]

Too many doctors who see rare disease patients seem to believe that drug repurposing rarely works.

I think that is a perception based in risk aversion not a conclusion supported by the science.

Here are 5 not-talked-about-enough examples of rare-purposing working:

[SpfldClinic @SpfldClinic]

Springfield Clinic broke ground at the site of the new pediatrics facility last night. Providers, staff, community leaders and media gathered to celebrate the state-of-the-art facility, expected to be completed in fall 2023.

Construction officially begins next week.

[Preet Paul Singh, MD @PreetpaulS]

Patients have to forego effective treatments because of this. Instead have to choose toxic and sometimes less effective IV infusions. CLL and prostate cancer are big ones. Happens everyday in clinic.

[RanaAwdishMD @RanaAwdish]

This morning in our house we read this poem and talked about it.
What is the opposite of a gun?

[Preet Paul Singh, MD @PreetpaulS]

Question for #oncology doctors, esp community oncologists about the value of @ASCO QOPI program. Do you think it’s valuable, or burdensome, or both? Do some of the documentation requirements seem superfluous? @guptaarjun90 @BFallerMD @JaneLiu2010