Papa Heme (@Papa

Papa Heme

776 posts

Papa Heme

@Papa_Heme

BMT/cell therapy doc (hematologist!) Clinical Director BMT/cell therapy @ Sarah Cannon/MountainView, Las Vegas, NV I like eating tacos 🌮 and playing guitar#

Joined October 2025

Following

5,483

Followers

Papa Heme
@Papa_Heme
Oct 31, 2025
So far my thoughts on transitioning from academics to private practice! 1. My job is very similar. I see high acuity patients who need CART/BMT/acute leukemia+, clinical trials 2. When I ask for help from colleagues they are thrilled to see patient! 3. I enjoy the doctor lounge!
41K
Papa Heme
@Papa_Heme
Oct 20, 2025
Free parking at work! It’s a miracle! ⁦@UCSDHealth⁩
45K
Papa Heme
@Papa_Heme
Oct 19, 2025
Although I enjoyed my time off it does feel great to be practicing hematology again!
31K
Papa Heme
@Papa_Heme
Oct 26, 2025
Antibiotic Equations! Ceftriaxone = gram negative - pesudomonas - ESBLs Cefepime = Ceftriaxone + psuedomonas Metronidazole = anaerobes Pip/tazo (Zosyn) = Cefepime + metronidazole Meropenem/imipenem = Pip/tazo + ESBLs Ertapenem = meropenem - pseudomonas Q.E.D.
15K
Papa Heme
@Papa_Heme
Oct 22, 2025
Nice dermatology/heme pearl I saw today on rounds! Patient with AML getting 7+3 (cytarabine+daunorubicin). What’s causing this?
39K
Papa Heme
@Papa_Heme
Nov 2, 2025
How I still try to keep up to date with the literature! 1. Every week browse new articles in major journals for my field (Blood, JCO etc) 2. I still read/skim the UpToDate article for all new patients I see regarding their diagnosis 3. Follow key people on X 4. Call my friends
19K
Papa Heme
@Papa_Heme
Nov 15, 2025
DLBCL treatment has gotten more complicated Back in my day it was RCHOP if relapse salvage and ASCT
11K
Papa Heme
@Papa_Heme
Oct 23, 2025
It’s great to be practicing medicine again! And seeing patients in their 80s with AML still getting screening mammography.
24K
Papa Heme
@Papa_Heme
Nov 11, 2025
Deep thoughts on leaving academics… The amount of silly and redundant emails I receive has dramatically decreased since leaving academics. This is nice.
18K
Papa Heme
@Papa_Heme
Oct 20, 2025
Anaplastic large cell lymphoma represents many distinct clinical entities. This slide summarizes up nicely ALK+ = BV-CHP x 6 ALK- = BV-CHP x 6 +/- ASCT Breast implant ALCL = Remove implant Primary cutaneous ALCL = radiate or resect, more advanced then MTX or BV
9.5K
Papa Heme
@Papa_Heme
Nov 5, 2025
I have always enjoyed going to medical conferences but at this point in my career if I’m going to take time of work I can think of about a million other things I would rather do.
14K
Papa Heme
@Papa_Heme
Nov 1, 2025
Come join Nevada's first BMT/cell therapy! We are already super successful. We need another doc. I can only last so long doing Q2week call! We are helping patients in great need. I have never asked for a retweet, but colleagues please retweet. tinyurl.com/4zew3wab
18K
Papa Heme
@Papa_Heme
Oct 22, 2025
Plerixafor = magic! We use it to help collect stem cells for BMT! Plerixafor binds CXCR4 receptor on HSCs and 🚫 interaction between CXCR4 and its ligand, CXCL12. CXCL12 tethers HSCs to bone marrow niche 🚫 its interaction with CXCR4 releases HSCs into the circulation!
7.4K
Papa Heme
@Papa_Heme
Nov 11, 2025
Given my Twitter account rebirth has failed I’m just gonna show pics of all the good food I get in the doctor lounge everyday. Today we had Jamaican jerk chicken and fried plantains. It was tasty, nice amount of spice.
12K