Bloody Minded

What do arsenic, acne tablets and Jodi Picoult have in common? Why, it must be a deep dive with Nick, Bashar and Cale on acute promyelocytic leukaemia. From buzzwords to brain bleeds, the sweetest of translocations to the cruellest of coagulopathies... The yield is almost as high as the survival rates.
TIMESTAMPS
00:57 - Bloody Minded Poetry Jam & Jodi Picoult
06:25 - APML Starts Here
08:02 - APML - Where does it fit in AML?
10:02 - Morphology & Flow
12:12 - PML::RARA - t(15;17) and rare variants
16:58 - Lab Summary
17:50 - Clinical Presentation
21:02 - APML Coagulopathy
26:46 - Treatment and Risk Stratification
33:53 - High Risk Aside
36:58 - Differentiation Syndrome
41:04 - Treatment SEs
44:18 - Microgranular Variant
47:00 - Summary and Takehomes
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Check out show notes, additional references and (sometimes) extra content at www.bloodyminded.com.au

After our initial intro to AML back in ep 79, we are back to dig deeper into AML this week, from pathophysiology through to treatment overview. The boys are joined by final year registrar Dr Georgina Calov who is here to cut through our nonsense and deliver some actual high yield content. And thank goodness for that, otherwise it'd be an hour of us making bad April Fool's day jokes.
Timestamps
2:09 - Introducing Dr Georgina Calov
3:34 - AML Refresher
7:12 - AML defined by recurrent genetic abnormalities
15:39 - AML defined by differentiation (aka whats with the M numbers)
18:14 - MN-pCT
19:03 - Prognostication - ELN Classification
21:58 - Diagnosing AML - Clinical
24:16 - Diagnosing AML - Lab
31:39 - New AML Workup
35:50 - Intro to Treatment - Induction in "Fit" patients
41:40 - Treatment - Consolidation & MRD
45:15 - Treatment - "Unfit"
48:02 - Treatment - Supportive
50:16 - Treatment - Relapse/Refractory
55:19 - Summary
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Check out show notes, additional references and (sometimes) extra content at www.bloodyminded.com.au

Cat got your tongue? Or in this case - mucositis? Does converting the acute allogeneic transplant patient who can no longer eat's medications to IV fill you with dread? In this practical for once episode join consultant haematologist Dr Alison Chandler as well as haematology pharmacists Andriana Colic & Ariana McCauley as they take us through the how to of this challenging, but very common, clinical scenario. 
Timestamps
0:58 - Nick's literal nightmare
2:18 - Today's outline
3:38 - Let's meet the A-team!
11:14 - What do you wish the haem doctors knew?
13:38 - Introducing the NBM transplant patient
15:18 - Tacrolimus
17:37 - Mycophenolate
19:51 - Ciclosporine (or cyclosporine or CsA or CyA, whatevs)
22:20 - Hot tip on TDM
23:47 - Antifungals
24:23 - Posaconazole
26:06 - Voriconazole
27:29 - Isavuconazole
28:45 - Echinocandins - mica/anidula
30:52 - Antivirals
33:27 - CMV treatment
37:41 - Antibacterials - PJP prophylaxis
39:22 - The NBM APML patient 
43:35 - Antiepileptics
46:24 - TLS prophylaxis
47:53 - Wrap up time!
50:18 - Episode summary
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Check out show notes, additional references and (sometimes) extra content at www.bloodyminded.com.au

Was episode 79 too light on MDS for you? “Amateurs” you said, adjusting your sellotaped glasses. If so, you’re in the right place today as we prepare to look at classification, risk stratification and treatment of myelodysplastic syndrome. You also should seek out psychiatric attention, or perhaps just go outside. But in the meantime, enjoy this episode where we’ll dig deeper into the nitty gritty of MDS! We’ve got a lot to cover so we float about between intermediate and advanced for this episode.
TIMESTAMPS
1:11 - A Very Unhinged Intro  
3:34 - Actual Content Starts Here  
5:52 - Differentials for dysplasia  
7:54 - Presentations of MDS  
12:36 - MDS Subtypes  
14:23 - MDS with del(5q)  
18:29 - Lenalidomide in del(5q)  
25:03 - MDS with SF3B1  
29:05 - MDS with biallelic TP53 inactivation  
30:26 - Bonus cytogenetic abnormalities that pop up  
31:43 - Germline mutations that predispose to MDS and AML  
37:14 - MDS with low blasts  
38:08 - Ogata Score  
39:26 - Hypoplastic MDS  
44:03 - MDS with increased blasts  
44:58 - MDS with increased blasts and fibrosis  
46:22 - Breaking News - Blasts Should Now Be Counted By Flow  
48:30 - Prognostic models for MDS  
53:36 - Treatments for MDS  
1:04:39 - Take Home Messages
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Check out show notes, additional references and (sometimes) extra content at www.bloodyminded.com.au

What if the prequel had a prequel? Join Bashar, Nick and Cale as they attempt to unpack the newfangled world of clonal haematopoeisis. Find out how CHIPs can kill and no, it’s not due to eating too many of them too fast. Though that might do it too. We’ve had one spectrum, but what about a second. We need to go deeper. 
TIMESTAMPS
0:56 - A classic chippy mixup  
2:56 - Episode overview  
3:54 - Where CHIP sits in haem  
5:15 - Clonal haematopoiesis  
11:21 - What genes acquire CH?  
13:42 - CHIP  
20:09 - Clinical implications of CHIP  
24:24 - Increased mortality in CHIP  
28:54 - ICUS  
32:40 - CCUS  
35:42 - Take home messages  
Support the show
Check out show notes, additional references and (sometimes) extra content at www.bloodyminded.com.au