iiinova — where your digital self keeps evolving

Reposted by Nihar Desai MD, DM

Arjun Law @haemophage.bsky.social · 25/03/2025

A bit of a #HumbleBrag The Hans Messner AlloBMT program @hansbmt.bsky.social just infused the 200th allograft of this fiscal year. A new record for us and for Canada! #bmtsm @tomam04.bsky.social @nihardesai7.bsky.social @uhnresearch.bsky.social

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Nihar Desai MD, DM @nihardesai7.bsky.social · 16/03/2025

Central venous catheter and thrombosis!

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Nihar Desai MD, DM @nihardesai7.bsky.social · 05/03/2025

Reviewer 2 walking away after destroying the manuscript 😭😭

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Nihar Desai MD, DM @nihardesai7.bsky.social · 19/02/2025

This 35 yr old man is always tired 😭 You find 👇🏽 on clinical examination. He also has bradycardia 🫀 Ddx? Management? 📸 @nejm.org

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Nihar Desai MD, DM @nihardesai7.bsky.social · 12/02/2025

Out now in Blood Advances 🙌🏽 Our work from Princess Margaret Cancer Centre evaluating the role of PTCy in matched sibling donor allogeneic transplantation! Also read this excellent commentary by my good friend @nicogagelmann.bsky.social 👇🏽 ashpublications.org/bloodadvance...

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Nihar Desai MD, DM @nihardesai7.bsky.social · 07/02/2025

I am pleased to present 3 posters and chair a session at the EBMT annual meeting in Florence 🙌🏽 @hansbmt.bsky.social

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Nihar Desai MD, DM @nihardesai7.bsky.social · 05/02/2025

What doesn’t evolve, goes extinct!! If you don’t adapt new data, you’ll never improve patient care. No study is perfect, and none ever will be. What matters is critical appraisal of available literature and adapting it to improve patient care 🙏🏽

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Nihar Desai MD, DM @nihardesai7.bsky.social · 05/02/2025

Can a D-dimer be used to diagnose DVT/PE? NOOOOOOOOOOOOOOOOOOOO! What else ⤴️D-dimer? •Any infection •Any inflammation •Old age •Cancer Remember, D-dimer is a very sensitive test but NOT a very specific test 🙌🏽

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Nihar Desai MD, DM @nihardesai7.bsky.social · 02/02/2025

Anemia in CKD 👇🏽 We all know that CKD = ⤵️EPO What's the mechanism? The interstitial cells transdifferentiate into MYOFIBROBLASTS instead of EPO producing cells ⤵️ EPO producing cells = ⤵️EPO = Anemia 👇🏽

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Nihar Desai MD, DM @nihardesai7.bsky.social · 31/01/2025

Fever + cytopenias + organomegaly ➡️ think HLH! If you don't suspect HLH, you'll miss HLH 🙌🏽 Nice figure by Nguyen et al 👇🏽 doi.org/10.1038/s122...

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Nihar Desai MD, DM @nihardesai7.bsky.social · 14/01/2025

The magic of stem cell transplantation for aplastic anemia 💪🏽 Before ➡️ After

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Nihar Desai MD, DM @nihardesai7.bsky.social · 13/01/2025

📢 Happy to speak about the impact of ABO status on engraftment and survival after allogeneic transplant in the PTCy era at the Cochin Hematology Group annual meeting 🙌🏽

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Nihar Desai MD, DM @nihardesai7.bsky.social · 13/01/2025

Ivermectin is a great drug for parasitic infections but it does NOT cure cancer. Sincerely, An oncologist

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Reposted by Nihar Desai MD, DM

NEJM.org @nejm.org · 10/01/2025

In a single-group, single-center study, clearance of driver mutations 30 days after bone marrow transplantation predicted long-term disease-free survival in patients with myelofibrosis. Read the full study results: nej.md/4fQNdKn #MedSky

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Clearance of Driver Mutations after Transplantation for Myelofibrosis | NEJM

Allogeneic hematopoietic stem-cell transplantation is the only curative treatment for myelofibrosis. Driver mutations are the pathophysiological hallmark of the disease, but the role of mutation cl...

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Reposted by Nihar Desai MD, DM

Hank Green @hankgreen.bsky.social · 11/01/2025

I do feel like we forget that a mere 100 years ago 20% of children in America just fucking died.

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Nihar Desai MD, DM @nihardesai7.bsky.social · 10/01/2025

Now that the USA sucks, have you considered moving to USB?

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Nihar Desai MD, DM @nihardesai7.bsky.social · 10/01/2025

Remember, the mentor - mentee relationship is a two way street. Mentees must learn to deliver what they've promised 🙌🏽

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Nihar Desai MD, DM @nihardesai7.bsky.social · 10/01/2025

A mentor need not be your Prof. It could be anyone! A person you meet online, a friend, a senior colleague. It's also possible to have multiple mentors 🙏🏽

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Nihar Desai MD, DM @nihardesai7.bsky.social · 17/12/2024

I think vaccines had something to do with this 🤷🏼

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Nihar Desai MD, DM @nihardesai7.bsky.social · 17/12/2024

One cannot manage a patient with febrile neutropenia without having a sound knowledge of medicine! You need to know medicine before you step into a hematology unit! Period. #MedSky / #SkyMed

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Reposted by Nihar Desai MD, DM

God @thegodshow.com · 14/12/2024

Thou shalt not allow polio to come back you stupid fucks.

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Reposted by Nihar Desai MD, DM

Shematologist, MD @shematologist.medsky.social · 14/12/2024

I’ve cared for infants who stopped breathing w/ pertussis. School aged kids who died of flu or COVID. And many of my patients can’t be vaccinated because they’re on chemotherapy or are immune compromised. Vaccinations save lives of those who get them & those who cannot. It’s that simple.

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Nihar Desai MD, DM @nihardesai7.bsky.social · 12/12/2024

Skepticism is healthy. Over-skepticism stifles progress. It's important to know where to draw the line! It's also important to not comment on trials outside of one's area of specialization. It's impossible to understand the nuance of a disease you don't treat!

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Nihar Desai MD, DM @nihardesai7.bsky.social · 11/12/2024

It was an honour to receive the #ASH24 abstract achievement award for 3 of my abstracts 🙌🏼 The alloBMT team at Princess Margaret Hospital had 2 oral presentations + 9 posters to present 💪🏼 I'm proud to work at one of the largest transplant centers in the 🌎 with the kindest colleagues ❤️

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Nihar Desai MD, DM @nihardesai7.bsky.social · 09/12/2024

It was an honour to present our study at #ASH24 ❤️ ABO status continues to impact transplant outcomes even in the PTCy era! If you have more than 1 available donor, please consider the ABO status especially when using RIC conditioning! Thanks to @haemophage.bsky.social for the mentorship 🙌🏼

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Reposted by Nihar Desai MD, DM

Arjun Law @haemophage.bsky.social · 06/12/2024

This year at #ASH24 the team at @hansbmt.bsky.social are presenting 2 Oral Abstracts and 9 Posters! While many of us are not attending in person this year please connect with @nihardesai7.bsky.social who is on site and will talk your ear off about the cool stuff we do here!

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Reposted by Nihar Desai MD, DM

Akil Merchant, MD @amerchant.bsky.social · 22/11/2024

Nice work. PTCY for the win once again.

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Nihar Desai MD, DM @nihardesai7.bsky.social · 03/12/2024

The slide set is almost ready!! I am excited to present our data at #ASH24 💪🏼 Thank you @ash-hematology.bsky.social for the opportunity and @haemophage.bsky.social for the phenomenal mentorship 🙌🏼 See you all soon 😍 #MedSky

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Nihar Desai MD, DM @nihardesai7.bsky.social · 01/12/2024

There is no greater privilege than caring for patients battling leukemia. I am so grateful to live the dream I had as an 18 yr old 🙏🏼

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Nihar Desai MD, DM @nihardesai7.bsky.social · 01/12/2024

After a tough day on call, I’m reminded to be grateful for good health. It’s a gift many only dream of 🙏🏼

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Nihar Desai MD, DM @nihardesai7.bsky.social · 01/12/2024

Wassup BlueSky? The Mallard duck says hello 👋🏼 @ameetrkini.bsky.social share your images 🙌🏼 Let's make BlueSky beautiful ❤️

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Nihar Desai MD, DM @nihardesai7.bsky.social · 30/11/2024

All I want is beer and pizza this lovely evening 🍕🍺

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Steven Bollipo @stevenbollipo.bsky.social · 29/11/2024

Seven shades of melaena! It is often frustrating when we get dubious GI referrals for suspected melaena/melena. So I made this chart for reference, feel free to share! #medsky #gastrosky #gisky

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Reposted by Nihar Desai MD, DM

David Pakman @davidpakman.bsky.social · 28/11/2024

I'm reading that Mark Zuckerberg is genuinely spooked by the rapid growth of Bluesky. Sounds pretty good.

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Reposted by Nihar Desai MD, DM

Oded Rechavi @odedrechavi.bsky.social · 28/11/2024

Looking for reviewers when you submit your paper during the holiday season

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Reposted by Nihar Desai MD, DM

Luke LeBrun @lukelebrun.ca · 26/11/2024

Canada could retaliate against American tariff-rattling by banning imports of cybertrucks

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Reposted by Nihar Desai MD, DM

Ian Duhig @ianduhig.bsky.social · 21/11/2024

'I much prefer the British spelling of “diarrhea” which is “diarrhoea” because it looks like you’ve lost control of your vowels.' -- Sal Robins

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Nihar Desai MD, DM @nihardesai7.bsky.social · 27/11/2024

📢 Out in the European Journal of Hematology 🙌🏼 Red cell aplasia is uncommon but causes significant morbidity 😭 Daratumumab is effective, well tolerated, and leads to rapid and sustained responses 💪🏼 doi.org/10.1111/ejh....

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