"God created all diseases except GvHD, that we created" Hillard Lazarus
Transplanters carry guilt of poor patient outcomes and NRM.
The type of cGVHD 👇 reminds me why I vowed NEVER to use tac/mtx again. With ptCY & other data IMO it is no longer acceptable.
#GvHD #alloHCT

❓Quiz ⏲️⏲️: 68yr old MDS patient day +167 post ptCY-based matched Allo HCT. No #GvHD
- On 0.5mg of tacrolimus
- CBC showed WBC of 2.0; platelets 204. ANC 600/uL
- On exam no adenopathy
- T-cell chimerism fully donor
- PB flow shown below
Diagnosis & Rx?? #bmtsm Allo 🦪

People wonder why physicians #burnout
Evidence below:
Plus do you are expected to do more:
- research
- administration
- teaching
- nonsense satisfaction score (FYI patients want doctors to talk to them. How do you do that when you are double triple booked???)

Our @BMTCTN 1506 deep drive on FLT3 MRD and #alloHCT #AML @BloodJournal
-15% have micro-clones = worse RFS
-MRD+ relapse with WT or with clones persisting (can monitoring in tailor duration?)
-if u eradicate MRD, u r fine
-Some micro-clones survive and strike if gilt stops

Pink ODI for #breastcancer awareness 🇵🇰 vs. 🇿🇦 #GoPakGo @LubnaChaudhary1 🏏

CD19.20 dual CAR in third or later line DLBCL being presented by @niravshahmd #ASH24

I can see the convention center #ASH24

University of Bologna, oldest in the world and its iconic Anatomical Theatre

WNDR Chicago