Ramy Sedhom, MD @ramsedhom Twitter profile | Pikagi

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Ramy Sedhom, MD

@ramsedhom

2,216

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636

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Director Medical Oncology & Palliative Care Penn Med Princeton Health Assistant Professor @PennMedicine @PC3Innovation GeriOnc Co-Lead Penn Medicine CSL

Princeton, NJ

https://t.co/sXFNejwWq1

Joined November 2013

Don't wanna be here? Send us removal request.

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@ramsedhom

Ramy Sedhom, MD

4 years

1/6 Our JCO piece @guptaarjun90 on the need to improve communication training in #medonc fellowship. Every day oncologists deliver bad news. The words we choose impact pts & caregivers. Our training does not reflect the gravity of this @tmprowell @AAHPM

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The Case for Focused Palliative Care Education in Oncology Training | Journal of Clinical Oncology

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@ramsedhom

Ramy Sedhom, MD

4 years

@colleenmfarrell @nytimes @washingtonpost @AppleNews - anyone care to pick up this untold story of trainees !!

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@ramsedhom

Ramy Sedhom, MD

2 years

Summary thoughts from my Grand Rounds today on the role of Palliative Care in Cancer: -We need to prioritize the patient experience. There is more to life than scans & death -We cannot eliminate suffering, but we can anticipate it, name it, and try to alleviate it

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@ramsedhom

Ramy Sedhom, MD

5 years

@pipcosper @sarahaboualaiwi ...It’s always reviewer #2 😂 @oncology_bg @guptaarjun90 @VPrasadMDMPH

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@ramsedhom

Ramy Sedhom, MD

5 years

Title says it all: "Is everything we eat associated with cancer?" Take home point: nutritional epi evidence is weak. Cancer patients go through enough; let them enjoy food without feeling guilty or anxious HT @VPrasadMDMPH @adamcifu Medical Reversals

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@ramsedhom

Ramy Sedhom, MD

2 years

Those in #MedEd please help amplify ASCO/ACGME are piloting THIS UPCOMING MATCH integrated training in PALLIATIVE CARE/Oncology/HEMATOLOGY Exciting opportunity for residents to consider cc: @s_brond @tmprowell @cardismith @AMalone2012 @ASCO @DianeEMeier @ElizabethPrsic

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@ramsedhom

Ramy Sedhom, MD

1 year

In the @JCO_ASCO ‼️‼️, @ravi_b_parikh & I make the case for 🎯"Precision Palliative Care" 🎯as a pragmatic solution for a care delivery problem A 🧵 Article

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@ramsedhom

Ramy Sedhom, MD

2 months

A sad reflection as I walked through the exhibition hall of @ASCO Pictured here are humble booths (compared to Pharma exhibits) Yet, these advocacy booths do so much for patients. Often, they literally save a person or families life. I applaud @ASCO for sponsoring this

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@ramsedhom

Ramy Sedhom, MD

3 months

New ASCO Guideline on Palliative Care for Patients with Cancer 1. Early referral to SPECIALIZED PC leads to improved QOL, mood, higher likelihood of documenting EOL preferences 2. PC teams are fundamentally interdisciplinary 3. PC benefits caregivers

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Palliative Care for Patients With Cancer: ASCO Guideline Update | Journal of Clinical Oncology

ASCO Guidelines provide recommendations with comprehensive review and analyses of the relevant literature for each recommendation, following the guideline development process as outlined in the ASCO...

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@ramsedhom

Ramy Sedhom, MD

1 year

While amazed at scientific advances @ASCO , returning to clinic was a humbling reminder that pts still suffer from: --inability to afford care --transportation needs --polypharmacy --unaddressed pain --navigation --poor communication We need to raise the ceiling AND the floor

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@ramsedhom

Ramy Sedhom, MD

11 months

We forget median OS for EGFR mutated lung cancer is ~3 years, >40% with grade III adverse events I worry about the culture in oncology where these patients are seen every 3 months & we ignore their existential/emotional/symptom needs cc: @JackWestMD

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Overall Survival with Osimertinib in Untreated, EGFR-Mutated Advanced NSCLC | NEJM

Osimertinib is a third-generation, irreversible tyrosine kinase inhibitor of the epidermal growth factor receptor (EGFR-TKI) that selectively inhibits both EGFR-TKI–sensitizing and EGFR T790M resis...

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@ramsedhom

Ramy Sedhom, MD

3 years

Little attention to grief & bereavement in #ASCO21 ; so thank you to JCO for giving us a voice @ASCO_pubs Our thoughts @guptaarjun90 The Case for Focused Bereavement Education in Oncology Training #pallonc #supponc

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Case for Focused Bereavement Education in Oncology Training | Journal of Clinical Oncology

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@ramsedhom

Ramy Sedhom, MD

2 years

Lessons from Encanto for Onc/PC teams: -no home (institution) is perfect -be emotionally authentic -talk about Bruno (fears/hurt) -can't ignore painful experiences -we fail when we try to b superhuman -Find strength in community *Death* can be transformative cc: @tmprowell

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@ramsedhom

Ramy Sedhom, MD

4 years

Should Med Onc / Pall Care be offered as dual-training track? Our thoughts in JCO-OP @arifkamalmd @guptaarjun90 And tweetorial below....

Case for Dual Training in Medical Oncology and Palliative Care | JCO Oncology Practice

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@ramsedhom

Ramy Sedhom, MD

2 months

So glad to see this piece making waves again on Twitter I was beaming with pride & thankful for great mentorship to see our paper highlighted in the @ASCO #ASCO24 @ASCOPres address

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@Dr_RShatsky

Rebecca Shatsky, MD

2 months

The Case for Focused Palliative Care Education in Oncology Training | Journal of Clinical Oncology

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@ramsedhom

Ramy Sedhom, MD

2 years

‼️‼️All residents applying to #hemeonc fellowship Consider applying to novel integrated pall-heme-onc track at Mt. Sinai, Fox Chase, Ohio State or Pitt Hear what experts in the field have to say, including future @ASCO President Dr. Lynn Schuchter

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A First-of-Its-Kind Opportunity to Integrate Training in Medical

At the launch of an innovative partnership to combine medical oncology, hematology, and hospice and palliative medicine into a single fellowship program, Dr. Ramy Sedhom shares perspectives on the

connection.asco.org

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@ramsedhom

Ramy Sedhom, MD

1 year

1st generation kids know the struggle: stigma, cultural barriers, confusion, guilt, seeing isolation & constant hustle in parents American dream is seeing your name decades later below @FLOTUS (thanks for your inspiring message!) @PennCancer

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@ramsedhom

Ramy Sedhom, MD

2 years

Amazing advances at #ASCO22 . Small reflection: Easy for trainees & faculty to feel inadequate or that you don’t belong. Yet far from true. Research takes a village, teams, opportunity, & sponsorship. Hard work yes, but often dependent on being in the right place at right time

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@ramsedhom

Ramy Sedhom, MD

2 years

In oncology education, we do not emphasize enough the importance of encouraging patients to live their best life Too often, people are under the impression that they must isolate from their children & grandchildren during treatment, when it is clear that is who they live for

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@ramsedhom

Ramy Sedhom, MD

1 year

Recently, I lost a pt I really liked. Surprisingly, during a brief 15 min bereavement call, I discovered more about their life than I had in 2 yrs. Bereavement is likely not in the curricula for oncology fellows this July, maybe not at all over 3 years. It should be.

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@ramsedhom

Ramy Sedhom, MD

2 years

@NEJM clinical practice review on hypercalcemia 3 times noted that cancer-associated hypercalcemia portends a poor prognosis 0 times recommended to include "serious illness communication" as part of the intervention culture change starts here...

Cancer-Associated Hypercalcemia | NEJM

Cancer-associated hypercalcemia often occurs late in the course of solid-tumor development and is associated with a poor prognosis. Treatment includes intravenous hydration followed by antiresorpti...

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@ramsedhom

Ramy Sedhom, MD

2 months

Happy to share our @ASCO E-Book Chapter "Tumor Is Not the Only Target: Ensuring Equitable Person-Centered Supportive Care in the Era of Precision Medicine" Ft: @jillfeldman4 @fischmd @guptaarjun90 @RonitElk @EnriqueSoto8 Highlights below:

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Tumor Is Not the Only Target: Ensuring Equitable Person-Centered Supportive Care in the Era of...

Communication in oncology has always been challenging. The new era of precision oncology creates prognostic uncertainty. Still, person-centered care requires attention to people and their care needs....

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@ramsedhom

Ramy Sedhom, MD

4 years

#supportiveoncologypearls Day 2 of pall care fellowship. Lots of focus on language We de-escalate interventions, not care Care for the patient is always there

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@ramsedhom

Ramy Sedhom, MD

11 months

Our patient page in @JAMAInternalMed "How Can Palliative Care Help Me" Palliative Care is SPECIALIZED Care! It improves people's lives & helps caregivers PC is based on need, not prognosis PC is appropriate at any age & is based on need, not prognosis

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@ramsedhom

Ramy Sedhom, MD

2 years

Great visual of why late referrals to PC dilute its efficacy. Takes TIME to develop rapport, plan for the future, cope. We are always quick to treat the cancer. We need similar urgency to address ALL domains that impact persons/caregivers, too.

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@ramsedhom

Ramy Sedhom, MD

2 years

After attending @CareMcgill conference, a few reflections as a medical oncologist: 1. there is lots of $$$/support behind new technology in cancer. Liquid biopsies, NGS, etc. Reality: few pts benefit. Those who do, rarely a cure. 2. there is limited enthusiasm/support for....

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@ramsedhom

Ramy Sedhom, MD

2 years

Thank you to all of the trailblazers in #pallonc who made a situation like this even possible 35+ people together on @ASCO communities of practice call on how to integrate a career in onc & pall care Excited to see the future move oncology care forward!

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@ramsedhom

Ramy Sedhom, MD

2 months

Starting #ASCO24 reading a moving piece by @guptaarjun90 in @ASCO connection Mrs. Thompkins, wanted a pear while admitted, but was unable to due neutopenic diet He gets her a pear. Proceeds to investigate the evidence behind neutropenic diets (there is none), leading to

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@ramsedhom

Ramy Sedhom, MD

3 years

I’m often struck by how vivid the memories of a loved ones final days can be for surviving family. Even decades later. The importance of end of life & bereavement care reaches beyond any quality metric. It’s our moral obligation to one another @edubru @guptaarjun90 @JasAWebb

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@ramsedhom

Ramy Sedhom, MD

4 years

Congrats to the investigators for amazing work BUT... Anyone frustrated that STILL - we are asking for data to show that integration of palliative care, serious illness conversations and geriatric assessments are good for patients? THIS SHOULD BE SOC #ASCO20 #GeriOnc #pallonc

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@ramsedhom

Ramy Sedhom, MD

3 years

The 5 A's of Access. Important concept in health equity -in cancer medicine, there are major gaps -care & caregiving is unaffordable -clinical trials too "centralized" at specialty centers -overburdened providers w/o incentives to change -underprioritize care delivery research

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@ramsedhom

Ramy Sedhom, MD

6 months

Proud of @guptaarjun90 who took this concept as his original idea & ignited a movement in oncology Using a Real-Time Location System, his team demonstrates even the simplest of clinic appts can take up hours of patients' time

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Consuming Patients’ Days: Time Spent on Ambulatory Appointments by People With Cancer

This study used real-time location system and geolocation data to assess how much time (in minutes) patients spent on attending clinic appointments. Even s

academic.oup.com

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@ramsedhom

Ramy Sedhom, MD

3 years

Our thoughts on how palliative care teams can mitigate financial toxicity in cancer care A 🧵

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@ramsedhom

Ramy Sedhom, MD

1 year

So grateful to @ScienceAtBMS @PennCancer @PrincetonHealth @PC3Innovation for a collaborative opportunity to transform the care of older adults w/cancer in the community... 🧵

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$2.5 Million Grant Supports Specialized Geriatric Cancer Care

The Penn Medicine Princeton Cancer Center received a $2.5 million grant from the Bristol Myers Squibb Foundation to help fund an innovative program to ensure holistic, patient-centered care for older...

www.pennmedicine.org

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@ramsedhom

Ramy Sedhom, MD

2 years

Behavioral economics can be used to improve hospice utilization for patients w/cancer Lessons learned & thoughts from our randomized trial below Thank you @ConquerCancerFd @ASCO for funding this work

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@ramsedhom

Ramy Sedhom, MD

2 years

Still, one of the best pieces regarding modern health care ever written Thank you ⁦ @danielleofri ⁩

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@ramsedhom

Ramy Sedhom, MD

2 years

a wise person recently commented --- the greatest innovation necessary in patient care today is... *More time with patients*

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@ramsedhom

Ramy Sedhom, MD

5 months

Since new trainees may never have read this piece, reposting a @tomleblancMD gem in @JCOOP_ASCO

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Hope, Phase I Trials, and Palliative Care: So You’re Telling Me There’s a Chance? | JCO Oncology...

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@ramsedhom

Ramy Sedhom, MD

11 months

A fantastic piece I missed when published @ASCO @rochgerionc #geriOnc Understanding treatment tolerability in older adults It has too much depth to fit in a tweetorial; this is a must read

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Understanding Treatment Tolerability in Older Adults With Cancer | Journal of Clinical Oncology

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@ramsedhom

Ramy Sedhom, MD

3 months

In lockstep with the @ASCO Presidential Theme @ASCOPres - Palliative Care is on the stage as a PLENARY at this year's Annual Meeting This kind of research matters - has reach, clinical practice, and policy implications

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@ramsedhom

Ramy Sedhom, MD

3 years

I often think of this article @AlexSmithMD when patients w/cancer are offered the dangling carrot: "you'd qualify for more chemo, if you can get stronger" What follows is a distressing cycle b/w hospital and rehab. It is costly and demanding on families

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Rehabbed to Death | NEJM

For a substantial minority of older adults, a stay in a post-acute care facility is the gateway into a cycle between the hospital and the nursing home that spans the final months of life. Certain M...

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@ramsedhom

Ramy Sedhom, MD

4 years

Televisit today: -patient on 3rd line therapy of metastatic solid tumor -discussed supportive care needs & adjusted meds -WHILE patient was poolside on vacation, and I met her family/friends THAT is leveraging technology to meet patient needs! #QOl #pallonc @guptaarjun90

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@ramsedhom

Ramy Sedhom, MD

1 year

Open invitation to all residents/fellows/faculty/patient advocates interested in joining @ASCO PALLIATIVE CARE Communities of Practice We meet monthly to discuss many topics at the intersection of oncology/palliative care Signup is here:

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@ramsedhom

Ramy Sedhom, MD

3 years

One of the hardest questions asked in the oncology office involves prognosis: "doc, how much time do we have?" I've stumbled & fumbled - I'm sure many of us have too. A thoughtful approach, shared by @peterbachmd cc: @guptaarjun90 @fischmd

CASES; After a Diagnosis, Wishing for a Magic Number

archive.nytimes.com

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@ramsedhom

Ramy Sedhom, MD

2 years

For oncologists who are either dual-trained in palliative care - or - focus their research on palliative care delivery consider joining the @ASCO PC Communities of Practice A group of like-minded colleagues offering peer-mentorship & collaboration

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@ramsedhom

Ramy Sedhom, MD

5 years

Proud of @hopkinskimmel oncology fellow & friend @guptaarjun90 !! Dude is a star. We get to learn from him everyday @HopkinsMedNews

@oncology_bg

Bishal Gyawali

5 years

The wisest presentation at the #ecancerchoosingwisely has just been made by the youngest man here @guptaarjun90 . Watch out world, this young oncologist is going to be a superstar of oncology very soon. Proud of him! 👏👏👏

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@ramsedhom

Ramy Sedhom, MD

3 years

Just Say Die by @scottrberry - agree 💯!!! "The next time you must let someone know they are dying, the best way of doing this may be to say, “You are dying.” cc: @guptaarjun90 @oncology_bg @fischmd

Just Say Die | Journal of Clinical Oncology

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@ramsedhom

Ramy Sedhom, MD

4 years

The impact of pall care dose intensity on outcomes for patients with cancer - Our Editorial @guptaarjun90 now available in @TOncologist tweetorial below

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@ramsedhom

Ramy Sedhom, MD

2 months

Dr. Temel presents stepped PC trial, a practice changing paradigm for integration of palliative care in cancer #ASCO24 This sets the foundation for PC intensity (dose) based on need

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@ramsedhom

Ramy Sedhom, MD

2 years

our field suffers a cognitive dissonance when we push for things that help <5% of people - yet- we do little to improve geriatric assessment, primary palliative care skills, specialty PC access, interventions for dyspnea/pain/cachexia, support to families at home, access to SOC

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@ramsedhom

Ramy Sedhom, MD

10 months

In honor of World Hospice & Palliative Care Day, @ASCO shares an important message on "Making Palliative Care a Part of Your Oncology Practice" We discuss: -benefits of early PC -current & ongoing research -important of multidisciplinary team -ways

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@ramsedhom

Ramy Sedhom, MD

4 months

58! trainees in the @ASCO information session: Combined Fellowship Training Programs in Hematology/Oncology and Hospice/Palliative Care The future is bright!

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@ramsedhom

Ramy Sedhom, MD

2 years

This @guptaarjun90 piece shud be req reading in onc training. So much here to reflect on Will we encourage academic centers to model time tox considerations? Will we incentivize care close to home or at home? love to see someone reimagining what we do

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The Time Toxicity of Cancer Treatment | Journal of Clinical Oncology

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@ramsedhom

Ramy Sedhom, MD

3 years

"Life's most persistent and urgent question is, 'What are you doing for others?'." MLK

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@ramsedhom

Ramy Sedhom, MD

2 months

Amazing work by my friend/mentor @minasedrakmd This trial is THE prototype for future post-marketing trials designed specifically for older adults #GERIONC Learning how older pts with cancer tolerate cancer drugs cc: @tmprowell @EnriqueSoto8 @RyanNipp

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@ramsedhom

Ramy Sedhom, MD

1 year

Inspiring stardom by @DrHKantarjian from Beirut to Chair of Leukemia @MDAndersonNews Immigrants do it well, deserve opportunity in our US health system & improve patient care. They are a natural answer to our physician shortage

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@ramsedhom

Ramy Sedhom, MD

5 years

Olanzapine (low dose 5mg) added to traditional anti-emetics improved cisplatin induced n/v @guptaarjun90 @edubru Have seen patients complain of somnolence from the previously studied 10mg dose - so nice pragmatic information for patient care

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@ramsedhom

Ramy Sedhom, MD

2 years

Amazing that residents will know histiocytosis, FSGS, familial Mediterranean fever & not appreciate impact of falls or isolation for an older adult

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@ramsedhom

Ramy Sedhom, MD

2 years

This is the 1st time I read through the entire #GeriOnc ASCO guideline... wow it is good Thank you @rochgerionc @WilliamDale_MD @aakonc et al for this work and @myCARG clinical implementation core for feedback prior to our GeriOnc clinic pilot...

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Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy:...

Purpose To provide guidance regarding the practical assessment and management of vulnerabilities in older patients undergoing chemotherapy. Methods An Expert Panel was convened to develop clinical...

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@ramsedhom

Ramy Sedhom, MD

4 years

The ability to die at home takes a village 25% of people at EOL need a full-time job’s worth of unpaid help. In decedents w/dementia, ~50% received >40 hours of caregiver hours Policy changes needed CC: @guptaarjun90 @WilliamDale_MD @rabrazzak

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@ramsedhom

Ramy Sedhom, MD

2 years

We see death everyday in oncology. An unmet need is education on complicated grief & bereavement - and resources to address family needs. Well documented risks of depression, anxiety, self-harm and loss of function for >10 years after loss of a loved one in susceptible persons

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@ramsedhom

Ramy Sedhom, MD

10 months

So proud of @guptaarjun90 senior author @JCOOP_ASCO paper while mentoring rising 🌟 @vrpatel97 . PS! there is a NOVEL finding Question: Can we characterize "time toxicity" for pts w/cancer Yes! 1 in 4 days alive were in health care contact

Health Care Contact Days Experienced by Decedents With Advanced GI Cancer | JCO Oncology Practice

Patients with stage IV GI cancer spent 1 in 4 days alive with health care contact!

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@ramsedhom

Ramy Sedhom, MD

1 year

Proud of friend @MazieTsangMD who is graciously chairing the Symptoms & Survivorship oral session this morning @ASCO

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@ramsedhom

Ramy Sedhom, MD

3 years

Despite all the talk on financial toxicity, there is minimal effort to explore the business & finance aspects of cancer care. If our field is filled with clinicians "just taking care of patients" or "doing their research" nothing will ever change

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@ramsedhom

Ramy Sedhom, MD

2 years

No one warns you in medical school the daily sorrow experienced when your patients either can’t receive standard of care or accrue debt for getting sick A shame for a country of great wealth & resources

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@ramsedhom

Ramy Sedhom, MD

5 years

Finished my last inpatient solid tumor rotation as a first year fellow. The greatest lesson so far- pathophysiology, trial data, genomics are always second to an individuals performance status and social history @guptaarjun90 @oncology_bg

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@ramsedhom

Ramy Sedhom, MD

3 years

For all the new onc fellows out there - a heartfelt read - and a story I read time and time again Pain, suffering, caregiving, hope, joy and love - are experienced by individual persons #OncologyCare

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Cancer Doctor Peter Bach on Losing His Wife to Cancer -- New York Magazine - Nymag

The streetlights in Buenos Aires are considerably dimmer than they are in New York, one of the many things I learned during my family’s six-month stay in Argentina. The front windshield of the rental...

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@ramsedhom

Ramy Sedhom, MD

4 years

Can Community Health Workers increase palliative care use for African American Patients with Cancer? Yes, potentially. Our work @FabianJohnston #awesomementor published in @ASCO_pubs A 🧵

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@ramsedhom

Ramy Sedhom, MD

2 years

On this Labor Day, would like to thank the physician residents/fellows & patient caregivers. Two underappreciated communities that keep our health system afloat

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@ramsedhom

Ramy Sedhom, MD

5 years

Touching moment as Dr. Tom Smith is asked to reflect how his personal experience w/cancer impacts his care for patients Dr. Smith: "Ask the patient how are you coping, and then turn to the caregiver and ask, How are you coping." #SuppOnc19 #Caregivers @ASCO @AAHPM #pallonc

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Ramy Sedhom, MD

1 year

Amen. @RanaAwdish

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@ramsedhom

Ramy Sedhom, MD

2 months

Wanted to highlight a key RCT fpresented by @efratdotan #ASCO24 . The GIANT TRIAL - first older adult focused treatment trial in pancreas cancer It highlights the importance of GERIONC trials and several key principles of oncology

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@ramsedhom

Ramy Sedhom, MD

10 months

As oncologists, if we had a therapy that improved QOL, symptoms, mood, coping and caregiver distress, & has never been shown to cause harm… We’d make sure we have available for all of our patients That’s what integration of palliative care offers our patients

@jrgralow

Julie Gralow

10 months

. @ASCO webinar in recognition of World Hospice and Palliative Care Day to be released October 14th @ASCOPres @RamySedhomMD @FeliciaKnaul @BillyRosaPhD

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@ramsedhom

Ramy Sedhom, MD

8 months

Death, grief, & bereavement is a part of cancer. Today, we reflect back & honor those who died under our care. What a privilege it is to care For those who have never participated in a service of remembrance, I encourage you to join your cancer centers program if it exists. If

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@ramsedhom

Ramy Sedhom, MD

10 months

New editorial led by @KathrynDeCarli & ft @ASCO Jamie Von Roenn! We explore what the future may look like for dual-trained physicians in oncology & palliative care as this is now a growing option for trainees @PC3Innovation @PennPalliative

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@ramsedhom

Ramy Sedhom, MD

2 months

Will be sharing all things palliative/supportive care and GeriOnc #ASCO24 Starting with sharing two publications from the @ASCO E-Book 1. PC Communities of Practice - In this piece, @MazieTsangMD I and colleagues share our experience as members

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Transformative Peer Connections: Early Experiences From the ASCO Palliative Care Community of...

The integration of palliative care into routine oncology practice is the standard of care by most leading cancer organizations. Palliative medicine helps to deliver higher quality of care at a lower...

@ASCO

ASCO

2 months

Announcing the 2024 ASCO Annual Meeting Featured Voices! Follow along for a range of expert insights & join the discussion using the official hashtag: #ASCO24 ⤵️

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@ramsedhom

Ramy Sedhom, MD

4 years

@guptaarjun90 at it again! We all scoff at the idea of Financial Toxicity & wonder what we can do to mitigate. Ever wonder the implications of patient parking? Take a read... @tmprowell @yzafar @fumikochino

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Park the Parking | JCO Oncology Practice

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@ramsedhom

Ramy Sedhom, MD

4 months

Big thanks to @thanh_neville who kindly volunteered her time to coach us @PennMedicine @PrincetonHealth on how to implement @3wishesproject_ These small acts of kindness are reminders of how wonderful healthcare workers truly are & how much they care

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Princeton Health’s Three Wishes Project fulfills last requests

The Three Wishes Project at Penn Medicine Princeton Health helps ease the process of dying for patients, their families, and the staff who care for them.

www.pennmedicine.org

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@ramsedhom

Ramy Sedhom, MD

3 years

Majority of med-specialty boards do not have an official lactation exam accommodation policy ~25% of lactating test-takers used test time to express milk & 42% experienced breast engorgement from inadequate/delayed milk expression cc: @tmprowell

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American Board of Medical Specialties Board Examination Lactation Accommodation Policies

This cross-sectional study evaluated American Board of Medical Specialties member boards’ lactation-specific board examination accommodation policies and corroborated the outcomes of these policies...

jamanetwork.com

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@ramsedhom

Ramy Sedhom, MD

2 years

“You can teach a canary in a coal mine to meditate, but it’s still gonna die” I’m 4 years late to this @stevepantilat quote regarding #burnout but it’s a reminder of the importance of meaning, organizational culture & community Cc: @arifkamalmd @guptaarjun90 @PennPalliative

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Ramy Sedhom, MD

4 years

We investigated EOL characteristics associated with short hospice length of stay (<3 days) of our patients enrolled in phase I cancer trials @guptaarjun90 Risk factors: -older age -referral from outside institution -not being seen by palliative care

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End-of-Life Characteristics Associated With Short Hospice Length of Stay for Patients With Solid...

Background: Patients participating in phase I trials represent a population with advanced cancer and symptoms, with quality-of-life implications arising from both disease and treatment. Transitions...

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@ramsedhom

Ramy Sedhom, MD

2 months

AMAZING message by @ASCOPres on the importance of supporting our patients from comfort to cure

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@ramsedhom

Ramy Sedhom, MD

3 years

Really excited to work with community agents of change & policy to improve access to palliative care for patients with serious illness across the state of NJ

@GoalsofCare

Goals of Care Coalition of New Jersey

3 years

#GOCCNJ is pleased to announce the appointment of @ramsedhom to its Board of Directors. Dr. Sedhom's hands-on experience & insight into delivering care for patients w/serious illness will strengthen our breadth of talent making him a great asset to GOCCNJ & NJ. @PrincetonHealth

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@ramsedhom

Ramy Sedhom, MD

10 months

Lessons from @ASCO Pall Care Communities of Practice chat w/ @edubru "How to Build a Clinical Palliative Care Program" 1. Name change to Supportive Care increases referrals

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@ramsedhom

Ramy Sedhom, MD

10 months

Major credit to @ASCO @ASCOPres @jrgralow for communicating the importance of Palliative Care integration in Cancer Looking forward to this webinar on World Palliative Care Day, October 14th.

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Webinar: Making Palliative Care a Part of Your Oncology Practice

The 2023 ASCO President, Lynn Schuchter, MD, FASCO, has made providing palliative and supportive care to all patients with cancer a central focus in her presidential theme, “The Art and Science of

society.asco.org

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@ramsedhom

Ramy Sedhom, MD

5 months

This work needs more attention! Older adults are underrepresented in clinical trials & receive treatment w/limited data on tolerability Mentee of @rochgerionc shows primary dose reduction improves treatment tolerability among older adults w/ advanced cancer & age-related

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@ramsedhom

Ramy Sedhom, MD

5 months

It's about that time of year when graduating fellows are considering new jobs. Here is a blog post I wrote with @ASCO Connection. Hope it is helpful to some considering a non-traditional path

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Meaning, Not Milestones: Redefining Career Success in Oncology

"Ask yourself this question: Are you pursuing now what initially motivated you to become a medical oncologist?" asks Dr. Ramy Sedhom.

connection.asco.org

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@ramsedhom

Ramy Sedhom, MD

4 years

Published 25 years ago; still relevant. Trainees witness this existential slap when patients are hospitalized. It's hard I found this quote thoughtful: "It is good to glance at the sun [death], and be aware of its existence, but staring at it will make you blind."

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@ramsedhom

Ramy Sedhom, MD

4 years

Another example where physicians underappreciate how toxicities impact patients -- when do #PROs become part of standard clinical practice? #ASCO20 #supponc @guptaarjun90 @tmprowell

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@ramsedhom

Ramy Sedhom, MD

2 years

Thank u @ASCO for an opportunity to share the value of dual-training in medical oncology / palliative care Much thnxs to @guptaarjun90 for nudging this career path & to mentors @arifkamalmd , Jamie Von Roenn, & Tom Smith

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Sometimes Cure, Always Care: Reimagining the Training of Medical

"We are quick to race for the cure, but slow to race for the care of those who need it most," said Dr. Ramy Sedhom.

connection.asco.org

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@ramsedhom

Ramy Sedhom, MD

2 months

Yes…AND there is one other intervention with multiple positive RCTs demonstrating benefit for patients & caregivers, improves quality of life, coping, prognostic understanding, costs of care, satisfaction, & survival Not mentioned once… Early Palliative Care

@lungoncdoc

Eric K. Singhi, MD

2 months

The face of lung cancer has changed, & our care for young adults needs to catch up! A holistic approach is crucial: - ⚠️ Risk factors - 🧬 Genetic predisposition - 🔬 Clinical/molecular profiling - ❤️ Sexuality/fertility - 🧠 Psychosocial/QoL outcomes #ASCO24 @ASCO @OncoAlert

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Ramy Sedhom, MD

3 years

@colleenmfarrell Most of internal medicine (chronic disease care) is palliative care Minimal cures, alleviating suffering, improving quality of life. But we aren’t taught within that framework and that’s a loss for patients and clinicians IMO

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Ramy Sedhom, MD

2 years

Dr. @erica_nakajima larger than life at ASCO! Right now in hall D1 Oral Lung cancer session. We are so proud! @Hopkins_HemOnc

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@ramsedhom

Ramy Sedhom, MD

1 year

Physicians are resilient - don't let administrators make you feel otherwise. Medicine has MAJOR systems problems We need to do better; those in leadership need to support their peers/juniors. When looking for a job, DONT DISCOUNT the importance of work culture

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@realbowtiedoc

Dr Joseph McCollom DO

1 year

Dr @IshwariaMD discusses the major impacts and repercussions of burnout, not just for #pallonc and #supponc professionals but for all health care providers for @ASCO Community of Practice. Not too late to join, DM me for a link.

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@ramsedhom

Ramy Sedhom, MD

3 years

Among all the debates of PFS vs. OS, few call out this fact: neither capture a common shared value of older adults w/cancer — functional independence. Per AARP: 81% of older individuals prioritize staying at home. Time to reconsider “value” @rochgerionc @WilliamDale_MD

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Ramy Sedhom, MD

2 years

Next @ASCO Communities of Practice meeting for the PALLIATIVE CARE group will be: Mon, Oct 24th@ 3:00pmET Topic: Career Trajectories for dual-trained clinicians Featuring: 🌟 @edubru @tomleblancMD @MDRoeland @IshwariaMD @cardismith @BussMK Toby Campbell, Pallavi Kumar & more!

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Ramy Sedhom, MD

1 month

So proud of my colleague and friend @Tara_KaufmannMD for this EXCELLENT perspective on how structured ePRO monitoring can allow pathways to tailored supportive care services This is the blueprint for "precision" person centered care cc: @fischmd

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Using Electronic Patient-Reported Outcome Monitoring to Navigate Patients to Supportive Care...

Dr Kaufmann and Dr Rocque envision how #ePRO symptom monitoring can link patients to supportive care services. #pallonc #supponc #patientreportedoutcomes #PROS #cancer #oncology

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Ramy Sedhom, MD

3 years

Death notifications of patients to me are always an opportunity to reflect on 1) gaps in care for pts w/cancer 2) continued suffering experienced by caregivers 3) limited educational focus on palliative care principles & most importantly - the significance/purpose of our work

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Ramy Sedhom, MD

1 year

Recently, a psychologist caring for a pt of mine & their distressed caregiver visited the bereaved family the morning after death from cancer No RVUs, no dashboard to capture quality of care provided. These are the things administrators will never understand or $$ support

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@ramsedhom

Ramy Sedhom, MD

2 months

One of my fav abstracts #ASCO24 by FELLOW @MaryBoulanger4 qualitative study exploring communication gaps when starting immunotherapy for incurable cancers. Important work we can all learn from. Mentored by @lpetrillz (who has done other great work in

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