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I would like to share the story of how a patient with cancer came up with the idea for a randomized trial, & how listening to him saved a lot of lives. 1/ In 2002, I had just completed a randomized trial with the notorious drug thalidomide for the cancer, multiple myeloma.

To be an educator is to constantly consider what your learners need, not what you want to give them.

Best way to end Midyear? Finding out you get to stay at your favorite place and continue residency training as a PGY2 in oncology. 😍 MD Anderson Cancer Center #ASHP22

If you could overdose on fentanyl just by touching it or being near it then people wouldn’t be injecting it. And every medical center would be a mass casualty. Signed, Someone who administered fentanyl safely and therapeutically today with no adverse effects to anyone involved.

A nephron is just a tiny little water slide how fun for all the little ions going to their little water park

Cigna uses an automated system that allows “medical directors” (doctors employed by Cigna Healthcare) to deny a claim in 1.2 seconds without opening the patient’s file. Please read this, share it, and help us (metaphorically) burn these companies to the ground.

1st order verified in PGY1 staffing: KPhos 1st order verified in PGY2 staffing: ✨nivolumab✨

People who are unwilling to admit their mistakes are unable to learn from them. Acknowledging yesterday's error is a prerequisite to correcting it today and preventing more tomorrow. When we get it wrong, arrogance insists "I was right." Humility says "I want to make it right."

When ever I see a new patient in oncology clinic I try to remind myself right before opening the clinic room door that right now is likely one of the worst/scariest/anxiety provoking days of their life. Then I go in the room.

Excited to start PGY2 clinical rotations today with this crew 🤩 MD Anderson Cancer Center

Added a little ✨spice✨ to my first drug class oncology forum presentation with some anthracycline themed sugar cookies 🧬 #topo2inhibitors #cardiotoxicity

Best advice I got going into residency: We’re all smart. Distinguish yourself by being kind.

Join us virtually on Tuesday November 14th from 6-7:30 PM CST to learn more about MD Anderson’s pharmacy residency programs! We’ll have residents and leadership from all our programs available to chat. Registration link: forms.gle/Vamx7tPtZX1HWn…

The approval of the antifungal, isavuconazonium sulfate (Cresemba), is indicated for children as young as 1 year of age and the approval was based from 2 clinical trials. Astellas Pharma US contagionlive.com/view/fda-appro…

One of my patients (who labels himself a #PriorAuthSurvivor) diagrammed the unnecessary complexity of trying to get his medication approved on time 👇 Rinse & repeat and this is a cyclic nightmare that has nothing to do with chemo but rather the bureaucracy of US healthcare

Why is p53 called p53? 🤔 A 🧵 about the history and discovery of the most studied gene in human history, also known as the guardian of the genome. 🧬 #pathtwitter #pathX #molecular #history

🚨Wow. Big news. First oral carbapenem, sulopenem (plus probenecid), just approved by the FDA for uUTI. 💊 Bring out the popcorn 🍿 This is gonna be interesting…. #IDtwitter SIDP ACCP INFD PRN IDSA globenewswire.com/news-release/2…

An exciting milestone in the landscape of pediatric leukemia today 🌟

1/ Sobering but important work in NEJM by Michael Scordo Saad Z. Usmani MD MBA FACP 🇺🇸🇵🇰 et al: fatal case of enteric T-cell lymphoma following cilta-cel (#MMsm CAR-T) CAR integration into the TP53 locus. One of few papers that informs clinical discussions the moment it comes out. My two takeaways:

BREAKING from NEJM In cancer patients w/ Cancer-Associated Venous Thromboembolism, reduced-dose apixaban (2.5 mg BID) is : 🔘Noninferior to full-dose (5 mg BID) for VTE recurrence 🔘Lower bleeding risk (12.1% vs. 15.6%) 🔘Safer extended anticoagulation, same protection.