David Iberri

Myeloma and lymphoma doctor at Stanford. Feminist; programmer; baker. Tells dad jokes.

[Jia Ng, MD MSCE @jiahweing]

When I was a first year medical resident, I became a mother.

Right before I delivered, I was the star intern.

But when I came back 4 weeks after giving birth, the Attendings were asking:

"What happened to Jia?"

[David Iberri @diberri]

@RahulBanerjeeMD @JanakiramMurali @LouisWilliamsMD @BrunoPaiva_UNAV @Rfonsi1 @bdermanmd @BenDiamondMD @DrOlaLandgren @End_myeloma @ShoMidha @amarkelkar @rubinstein_md @HadidiSamer @kaufman_MMdoc @SurbhiSidanaMD Right! Here’s the pubmed link: https://t.co/xC3cPCZEYy

[David Iberri @diberri]

@DavidSteensma First time I’ve known something you didn’t, @DavidSteensma!

[David Iberri @diberri]

@davideyoungmd @AaronGoodman33 Boxes of corn starch

[David Iberri @diberri]

@JanakiramMurali @LouisWilliamsMD @RahulBanerjeeMD @BrunoPaiva_UNAV @Rfonsi1 @bdermanmd @BenDiamondMD @DrOlaLandgren @End_myeloma @ShoMidha @amarkelkar @rubinstein_md @HadidiSamer @kaufman_MMdoc A technique which I like (but maybe still has flaws?) was used in @SurbhiSidanaMD’s study of relapse after CR — measuring OS from date of myeloma diagnosis helps mitigate the lead time bias issue.

[Adi @IDdocAdi]

Trying to palpate lymph nodes https://t.co/x9eNvFD16x

[David Iberri @diberri]

Instant follow.

[Threatening Music Notation @ThreatNotation]

The third pedal on a piano puts it in airplane mode

[David Iberri @diberri]

@AaronGoodman33 Reminds me of much I loved my division’s all-day “retreat” on a Saturday.

[David Iberri @diberri]

Cogent.

[Vinay Prasad MD MPH @VPrasadMDMPH]

Why are so many oncologist going to industry?

This question has come up frequently in recent weeks. And many offer reasons.

First, we have unpublished data that tests whether or not it's true. Stay tuned

Second, the most likely explanation is under discussed...

[David Iberri @diberri]

@bitafakhri @UCSFCancer We are so happy to have you — welcome!

[David Iberri @diberri]

@BijoyTelivala @MyelomaAmateur This is far too rationale a position for Twitter. 😉

[David Iberri @diberri]

@nihardesai7 Not sure this is EMD as others have suggested. Typically chest wall disease is bone based. Regardless, I think the best option would be alkylator-based therapy. I would probably give VCd for 2-4 cycles (if refractory, then pivot to DCEP) followed by ASCT.

[David Iberri @diberri]

@bdermanmd @rajshekharucms 10 days late to the discussion but I was going to make the same comment, @bdermanmd. With a growing number of ways to define high risk, most will have at least one high risk marker eventually. And when everyone is high risk, no one is.

[David Iberri @diberri]

🛎🛎🛎

[Manni Mohyuddin @ManniMD1]

The diagnosis of osteoporosis often leads to a preventable visit to a cancer center, and a long period of existential distress about having cancer.

Please dont check MGUS/MM labs as part of secondary osteoporosis workup.

MGUS does NOT lead to a decrease bone density!

#mmsm

[David Iberri @diberri]

@Rfonsi1 @BrunoPaiva_UNAV Really great figure.

[David Iberri @diberri]

@Abdallah81MD @smbenlazar Like adding pizza to a salad — ha! I may steal this line.

[David Iberri @diberri]

@DrKLindley @AaronGoodman33 Coincidentally I’ve seen two recent intravascular lymphoma patients whose diagnosis was based in part on FDG uptake in the uterus, one with large cells on Pap smear!

[Manni Mohyuddin @ManniMD1]

I recognize that many people who have done more than I ever ever have worked hard on this. I also recognize that compromises have to be made and perhaps industry dictates design.

But if CLL can have perfect co-op trial to answer this, it breaks my💓to see that we cant.

[Vinay Prasad MD MPH @VPrasadMDMPH]

As you read the #ASCO22 abstracts, here are some tips I offer to separate true & useful from all the rest

PS: The Amgen ad on the banner of the abstract page is emblematic of what you have to contend with
🧵

[Amanda Taub @amandataub]

So if I'm clear on their timeline here, when it was not legal for him to buy guns, he didn't get them. And then when it was, he bought some and attacked an elementary school.
Too bad this doesn't offer any kind of hint as to what kind of policy solutions might make a difference.