The story of my CART pt as painted by her continues. Her latest (bottom right) shows ongoing need for neutrophils 2 years post #CART#lymsm
Her prior work in thread below @MCWCancerCenter
She was septic, intubated, on 4 pressors, with post alloHCT graft failure and ANC of 0
A quick CD34 boost is what was needed to give her an outside chance
Today she walked into my clinic and brought her ‘Stem Cell’ painting as a gift (my 💙 melted) #bmtsm#lymsm
I am often asked how @CIBMTR studies are not simple retrospective analyses? Following is a tweetorial re: differences in Trial vs. Registry vs. retrospective (aka real world data) data. @BldCancerDoc @Phari#bmtsm (some generalizations acknowledged)
73 year ago today, my maternal grandfather late Mustafa Ali Hamadani, announced independence of Pakistan 🇵🇰 from British rule on @RadioPakistan 🎊🎊🎊 Happy Independence Day 🇵🇰🇵🇰🇵🇰
If my alloBMT patients die, I feel personally responsible. I know it is irrational. Curiously never feel that way with non BMT cases, or even auto/CAR-T.
Do other BMT tweeps feel that way? Weird form of decision guilt?
Been doing BMT for a while and do realize it sounds crazy :(
This was a message sent to me by the very first patient I allografted in West Virginia in 2009 after the last elections. Brought tears to my eyes and reaffirmed my belief in the goodness of #American @DrMiguelPerales @BldCancerDoc #ShareAStoryInOneTweetx.com/DrMiguelPerale…
How a second line DLBCL trial that convincingly changes SOC could have been designed 👇
SOC should been current ‘actual’ standard ie auto for chemosensitive and CAR for <PR to 2nd line
vs.
CAR for everyone
& OS as primary endpoint ⬅️⬅️
#ash21#lymsm#bmtsm
I have not attended as many #ASH20 sessions, since I was a fellow. I think, the online feature needs to stay. Will reduce physical conference foot print, better for environment, save 💵💰💸. Raise you hand if you agree? @BldCancerDoc @szusmani@StephanieLeeMD@graham74GC@Phari
My go to #GvHD hacks
Ref GI = Rux
Ref skin esp ch = ECP
Transaminitis = MMF
Early BO = ECP
Adv BO = belumosodil
Tac tox = siro
Ref bili = looking for one
Share yours 👇👇👇 #bmtsm
If you see an eligible DLBCL patient in CR, does #CART outperform AutoHCT? Only available data by @CIBMTR@mshadman Reminds you to keep an open mind,
one size does not fit all 🙏🙏 @ASH_hematology for recognizing our work in Press Release #ASH23
Why do some institutions insist on differentiating between let’s say An Assistant Prof vs a ‘clinical’ assistant Prof?
Often a tacit hint that ‘clinical’ is less glorious, when the latter is what keeps health system profitable
Things that bother me…..
#MedEd#MedTwitter