The Fellow on Call: The Heme/Onc Podcast

Dive into the world of venous thromboembolism (VTE) as experts unravel the essentials of diagnosis and initial management. Discover the importance of accurate imaging and the collaborative efforts among medical specialties. Learn strategies for managing pulmonary embolism and deep vein thrombosis, including advanced imaging techniques and the role of IVC filters. Unpack the complexities of anticoagulation management and the risks associated with thrombolytics. Engage with patient risk factors that shape treatment decisions!

Dr. Amar Kishan, a radiation oncologist at UCLA, sheds light on the pivotal role of radiation therapy in testicular cancer treatment. He discusses essential studies needed before radiation appointments and the planning process for seminoma patients. Key concerns such as fertility, hormonal function, and the implications of radiation are addressed. The conversation also explores emerging therapies and the benefits of proton therapy, clarifying its advantages and aiming to minimize long-term health risks for younger patients.

The discussion dives deep into disseminated testicular cancer and its treatment options. Personal anecdotes add warmth as speakers share insights on teamwork and recent experiences. A captivating case study highlights the significance of a multidisciplinary approach. The evolution of treatment regimens showcases remarkable advancements in cure rates. Innovative strategies for relapsed or refractory disease, including high-dose carboplatin, point to the future of patient care. Tune in for engaging insights and expert analysis!

Dive deep into the world of testicular cancer as the discussion highlights the nuances of treating Stage 1 and 2 diseases. Learn about effective management strategies, including chemotherapy, radiation, and surgery. The fascinating exploration of pivotal trials illuminates how they shape current treatments. Personal anecdotes and humor make the complex subject relatable while showcasing impressive survival rates, especially for Stage 1 seminoma. It's an insightful blend of medical expertise and engaging dialogue!

Dive into the basics of testicular cancer with an exploration of germ cell tumors. Learn about key tumor markers like AFP and beta-HCG that guide diagnosis and treatment. The hosts also discuss the importance of inguinal orchiectomy for effective management. As they blend clinical insights with personal anecdotes, gain a deeper understanding of seminoma versus non-seminoma and the complexities of cancer staging. Tune in for an exciting journey into oncology with a focus on high cure rates!

The hosts dive into the complex world of relapsed and refractory acute myeloid leukemia, discussing how to define primary induction failure and exploring various treatment options. They highlight innovative strategies like FLAG and CLAG regimens to enhance cytarabine's effectiveness. The conversation also addresses the role of targeted therapies and the significance of clinical trials in improving outcomes. Personal stories add a relatable touch, making this evolving treatment landscape even more engaging.

Explore innovative treatment strategies for elderly patients with acute myeloid leukemia who can't handle intensive therapy. Learn about assessing fitness for treatment and the significance of genetic mutations. Discover how modern therapies like azacitidine and venetoclax are reshaping care for frail patients. Key clinical trials, including Viali-A and LACEWING, reveal improved outcomes. The episode delivers valuable insights into navigating the complexities of AML management in older, less fit patients.

Dr. Amar Kelkar, a hematology and oncology expert from Dana-Farber Cancer Institute, delves into allogeneic transplant options for acute myeloid leukemia (AML). He discusses the various conditioning regimens and how to choose the best one for patients. The conversation also highlights the critical role of measurable residual disease testing and maintenance therapies. Kelkar sheds light on graft-versus-host disease and recent advancements in haploidentical transplants, addressing racial disparities in transplant outcomes for better equity.

Dr. Amar Kelkar, an instructor at Harvard Medical School and specialist at Dana-Farber, joins for an enlightening dive into allogeneic transplants for AML. He unpacks key eligibility criteria for patients, stressing the importance of minimal residual disease status. The conversation also illuminates the critical role of HLA matching and donor selection factors. Additionally, Dr. Kelkar compares various stem cell sources, revealing unique insights about outcomes in haploidentical and cord blood transplants. His expert perspective makes this complex topic accessible.

This discussion highlights cutting-edge maintenance therapies for acute myeloid leukemia (AML). It reviews the role of cytarabine consolidation and the significance of hypomethylating agents in restoring gene function. Personal anecdotes enrich insights on the treatment journey of patients. Challenges surrounding targeted therapies, especially FLT3 inhibitors, are explored alongside the promising drug giltaritinib. The importance of evaluating clinical trial data to enhance patient outcomes is emphasized, making for a comprehensive overview of AML therapies.