Dive into the complexities of anticoagulation failures and discover alternative strategies when conventional treatments falter. Explore the challenges faced by patients on warfarin, including diagnosing new clots and the importance of imaging. Learn about managing anticoagulation in conditions like antiphospholipid antibody syndrome, with a focus on diagnostic testing and INR interpretation. The podcast also emphasizes tailored Lovenox dosing and monitoring drug levels to tackle breakthrough thrombotic events. It's a blend of medical insights and a delightful sandwich shop interlude!

Discover the intriguing world of anticoagulation as the hosts dive into the challenges of medication failures. They explore case studies illustrating why some patients still encounter blood clots, even while on treatment. Learn about the significance of monitoring drug levels and the impact of patient adherence on therapy success. The conversation also touches on when to pivot to traditional anticoagulants like warfarin, bringing a blend of clinical insights and personal anecdotes to keep the discussions engaging and informative!

An exciting new academic year is about to begin. We know this can be daunting, especially for our newest hematology/oncology fellows. Over the next two weeks, we re-boot some of our high yield episodes you need to know to prepare for your first days as a new fellow and your nights on call. Next up: Heparin-induced thrombocytopenia! [Originally episode 071]Contents: - What is HIT? How is this different than HITT?- How do we make this diagnosis? - How do we treat HIT/HITT? ** Be sure to check out our rotation guide for more show notes and episodes organized by disease type: https://www.thefellowoncall.com/rotation-guides** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast

An exciting new academic year is about to begin. We know this can be daunting, especially for our newest hematology/oncology fellows. Over the next two weeks, we re-boot some of our high yield episodes you need to know to prepare for your first days as a new fellow and your nights on call. Next up: Cord compression! [Originally episode 014]Contents: - Differential diagnosis- What is the acute management? - What other consultants need to be involved in decision-making? ** Be sure to check out our rotation guide for more show notes and episodes organized by disease type: https://www.thefellowoncall.com/rotation-guides** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast

An exciting new academic year is about to begin. We know this can be daunting, especially for our newest hematology/oncology fellows. Over the next two weeks, we re-boot some of our high yield episodes you need to know to prepare for your first days as a new fellow and your nights on call. Next up: Superior vena cava (SVC) syndrome ! [Originally episode 012]- What is the workup?- What is the differential diagnosis? - What do we do once we get the phone call about this emergency? - Who should we be consulting?** Be sure to check out our rotation guide for more show notes and episodes organized by disease type: https://www.thefellowoncall.com/rotation-guides** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast

Dive into the intricacies of metastatic cancer with unknown origins, featuring personal insights and the importance of precise biopsy options. Enjoy a case study journey that showcases collaborative oncology consults. Learn about the necessity of advanced imaging techniques, including PET and CT scans, to improve diagnosis. Understand the emotional challenges faced by patients in the interim of diagnosis to treatment planning, highlighting the need for comprehensive care and accurate information in oncology.

As the new academic year begins, the focus is on preparing hematology/oncology fellows for their first on-call nights. The discussion covers critical topics like the workup for thrombocytopenia, distinguishing ITP from TTP, and the various diagnostic strategies. Key treatment options for ITP are explored, including the use of IVIG and corticosteroids. A unique take on the immature platelet fraction highlights its role in assessing bleeding risk, ensuring fellows are equipped with essential knowledge for managing hematologic emergencies.

Dive into the complexities of Thrombotic Thrombocytopenic Purpura (TTP) as the hosts unravel its symptoms and critical management strategies with a humorous twist. They share personal anecdotes, including kitchen mishaps, while discussing key diagnostic tests for TTP. The conversation highlights the significance of ADAMTS13 enzyme deficiency and timely interventions like plasma exchange. With a blend of medical insights and light-hearted banter, this discussion is both informative and entertaining for new hematology/oncology fellows.

In a recent American Cancer Society publication, there are increasing data that rates of colorectal cancer are rising rapidly among people in their 20s, 30s and 40s. This has certainly caught the attention of the lay press, most recently in a widely circulated New York Times article published in March 2024. Today, we welcome Dr. Chris Cann, who is an Assistant Professor of Hematology/Oncology at the Fox Chase Cancer Center in Philadelphia where he focuses on GI oncology and has a particular area of interest in early onset colorectal cancer. In his short career thus far, Dr. Cann is already making a name for himself in this space on a national level and so we are so glad he was able to join us for this special discussion. Dr. Cann sheds light on what we know and what we don’t know about this phenomenon. Definitely an episode to check out!** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast

This week, we incorporate medical oncology back into our discussion with our Radiation Oncologist, Dr. Sanford, and our Surgical Oncologist, Dr. Bailey. We discuss how we approach the management of localized rectal cancer. Note that we will be heavily building off our discussions with our specialist. We recommend listening to these episodes if you have not done so already.Content: - What information do we need upfront for patients with newly diagnosed rectal cancer?- How did we get to the current treatment paradigm?- What is the data for long course vs. short course radiation?- What is total neoadjuvant therapy?- What are high risk features in rectal cancer?- Is surgery always needed?- Is radiation therapy always needed? ** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast