The Fellow on Call: The Heme/Onc Podcast

The language of breast cancer can be confusing and very technical. In this episode, we help you learn and understand so many important words and phrases that have important implications on diagnosis and management. Understanding these will not only help you learn more about breast cancer, but it will also ensure you are better able to communicate the lingo to your patients!Content:- Definitions of important terms and phrases pathologists include on their reports- Important terminology to understand - Fundamentals of TNM staging for breast cancer- Important buzzwords to know when reading clinical trials in breast cancer ** Help us as we continue to grow our show by filling out this BRIEF survey! Link: https://forms.gle/KBhDRTGBqRJ1CgnK7Want 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

A critical part of breast cancer management is often the incorporation of radiation therapy. This week, we sat down with our special guest, Dr. Ryan Miller, who is a radiation oncology resident at Thomas Jefferson University Hospital in Philadelphia who shared some super high yield points about how he approaches radiation planning in his patients with breast cancer. Content:- General guidance for counseling patients about radiation oncology in breast cancer management - What is a "radiation boost"? - What is "regional nodal irradiation" and when is this indicated?- Can you give radiation treatment concurrently with systemic therapies? - Role of radiation in partial mastectomy/lumpectomy vs. mastectomy - Can radiation be omitted? - What is role of radiation in DCIS? ** About our Guest: A huge thank you to Dr. Ryan Miller from Thomas Jefferson University Hospital for joining us! ** Help us as we continue to grow our show by filling out this BRIEF survey! Link: https://forms.gle/KBhDRTGBqRJ1CgnK7Want 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

The workup and management of breast cancer is complex! In this next series, we will dissect this topic inside and out. We will are so excited to be kicking off this series with special guest, Dr. Yasha Gupta to shed light on the role of our friendly breast radiologists and the very important role they/their team plays in the initial diagnosis and workup for a patient with a breast mass.Content:- Fundamentals of breast cancer screening- Difference between screening and diagnostic mammogram- What is "BI-RADS"?- Workup of a concerning breast mass - What are marker clips? How do we use these clinically? - Role of tomosynthesis - How are the axillary lymph nodes assessed? ** About our Guest: A huge thank you to Dr. Yasha Gupta from Memorial Sloan Kettering for joining us! ** Help us as we continue to grow our show by filling out this BRIEF survey! Link: https://forms.gle/KBhDRTGBqRJ1CgnK7Want 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

We are kicking off our intermittent “Heme Consults Series” with a great overview of the approach to leukocytosis, a common question we get on the wards. In this episode, we talk about the initial steps we should take to triage these cases and what we should be thinking about in regards to next steps. Also - a huge shoutout to one of our listeners who had emailed us and said this is a common question that puzzles them in their work as a hospitalist! If there is something that you’d like to hear us cover in this series, definitely reach out! Content:- A refresher on the cell differentiation pathway- What are the key elements of the history and physical exam?- What labs should we order?- A breakdown of the approach to next steps based on the predominant type of WBC ** Help us as we continue to grow our show by filling out this BRIEF survey! Link: https://forms.gle/KBhDRTGBqRJ1CgnK7Want 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

Dr. Matthew Abramson, Dr. Timothy Yau, and Dr. Scott Stockholm discuss immune checkpoint inhibitor-related AKIs and hypomagnesia in patients. They cover topics such as the mechanism and etiology of immune checkpoint inhibitor-associated AKIs, how to work them up and treat them, and the use of ICI in patients with kidney transplants. They also discuss the symptoms and management of hypomagnesemia, as well as drugs associated with it.

It’s been a long road, but incredibly educational journey, through our Myeloma Series. We finish off our series with a bang by sitting down with Multiple Myeloma Superstar, Dr. Manni Mohyuddin. In this episode, Dr. Mohyuddin takes us through his approach to complex decisions in the care of patients with myeloma, highlighting that myeloma treatment is an art in which we take imperfect data and try to make the best decisions for our patients. Trust us, folks, you do NOT want to miss this episode! Content:- How does Dr. Mohyuddin approach treatment of myeloma? - How does he approach maintenance? - What is the role of transplant in patients with myeloma? - Is there a role of MRD testing? - What is his approach to relapsed/refractory setting? - What about the use of agents like venetoclax or VDT-PACE?- A discussion about role of CAR-T therapy- Approach to bridging strategies ** A huge THANK YOU to our guest, Dr. Manni Mohyuddin! ** This episode has been sponsored by Primum. To sign up for a free account, check out: tfoc.primum.co ** Help us as we continue to grow our show by filling out this BRIEF survey! Link: https://forms.gle/KBhDRTGBqRJ1CgnK7Want 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

In episode 046, we discussed the fundamentals of transplant in the treatment of patients with multiple myeloma. This week, we sit down with two incredible hematologists who specialize in transplant to discuss the real-life decision-making that goes into evaluating each patient. We are so excited to welcome two special guests this week, Dr. Shonali Midha and Dr. Amar Kelkar, joining us from the Dana-Farber Cancer Institute in Boston!Content:- What goes into determining if a patient is transplant eligible?- What counseling is provided to patients? - Approach to melphalan dosing- How does apheresis work? - What agents are used to help mobilize stem cells? - How many stem cells do we need to collect?- Does how much therapy one has received affect their collection? - Is there still a role for transplant in today's world?- Is there a role for an "MRD-adapted" approach to treatment?- Is there a role for a second transplant in patients who have relapsed?- Is there a role for allogeneic stem cell transplants in myeloma?A huge THANK YOU to our guests, Dr. Shonali Midha and Dr. Amar Kelkar, both of the Dana-Farber Cancer Institute!Help us as we continue to grow our show by filling out this BRIEF survey! Link: https://forms.gle/KBhDRTGBqRJ1CgnK7Want 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

We continue our myeloma series, transitioning our discussion from autologous stem cell transplant to maintenance therapy for myeloma.Content:- Why do we use revlimid (lenalidomide) maintenance?- What about in high risk patients?- What is the role of MRD testing?- What about daratumumab in the maintenance setting? This episode has been sponsored by Primum. To sign up for a free account, check out: tfoc.primum.co.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

In this continuation of our myeloma series, we discuss all the key principles and data surrounding autologous stem cell transplant in myeloma. We provide a succinct summary of key trials in this space that will give you a deep understanding of the field. Content:- What are all these cooperative groups in the studies?- What are some of the important trials that show us the benefit of autologous stem cell transplant? - Should transplant be done early or should it be delayed? What does it matter? - We translate the data/guidelines into what this means for patients in real-life- How do we approach transplant in high risk patients in myeloma and what are the guidelines about tandem transplant? This episode has been sponsored by Primum. To sign up for a free account, check out: tfoc.primum.co.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

In this episode, we start with a little bit of story time about the history of myeloma treatments and how we got to the present day. We then finish off the episode with how this information helped us treat transplant ineligible patients. Content:- What is the history of myeloma treatment? How did we get to where we are today? - How do we approach treatment in transplant ineligible patients? - What are the key trials that every fellow needs to know? - Links to key trialsWant 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