Heme/Onc Fellow @DanaFarber/@MassGeneralBrigham. Former @BrighamMedRes and @Georgetown MD/PhD. Passionate about true crime podcasts, reality TV, and Taco Bell.

Joined December 2011
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I’m so excited to share my third and final first-author publication from my PhD!! We discovered NK cells express fibroblast activation protein (FAP) and use it to migrate into tumors! FAP overexpressing NK cells reduced pancreatic cancer growth in mice! tinyurl.com/FAPNK1
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Got to celebrate the end of the year with some of the best residents/fellows/friends around. @BrighamMedRes
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Today I learned you should not give methylnaltrexone to patients with constipation who have not had a BM for 5 days because it can cause perforation if there is a distal blockage. If no BM for more than 5 days enemas are the standard.
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Today I learned that while CML is unlikely to cause leukostasis despite causing high white counts, it can rarely cause priapism due to leukostasis. Priapism is more common in patients with CML than other leukemias.
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An iconic use of the emergency notification systemπŸ¦β˜€οΈπŸ₯³
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It was actually de novo metastatic ER HER2- breast cancer! Repeat testing confirmed extremely high TMB. Interesting!
A TMB of 285 has to be some sort of record
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This is amazing! And this hopefully represents a cascade of new and improved treatments coming for patients with pancreatic cancer with the advent of these new targeted therapies
Last year, we reported that KRAS PRMT5 is synergistic in MTAP-null PDAC (doi.org/10.1158/0008-5472.CA…). Today, the first clinical data for a KRAS/PRMT5 combination was reported, with an incredible 92% ORR. RAS inhibitors are the present, but combinations are the future!! $TNGX $RVMD
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Allison Fitzgerald, MD, PhD retweeted
It's going to be a different kind of meeting this year, I imagine...
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Submit an abstract by July 13 for the AACR Conference on Pancreatic Cancer (Sept 25-28; San Diego), chaired by Andrew J. Aguirre, Florencia McAllister, Kenneth P. Olive, Eileen O’Reilly, Diane M. Simeone, and Colin D. Weekes. brnw.ch/21x3bqM #AACRpan26 @MadameSurgeon
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A good tidbit is the only time peripheral blasts can be benign is during count recovery (even in pts w/ leukemia). The only definitive way to differentiate benign vs malignant is bone marrow bx, but the presence of other cells on the diff (myelocytes, metas) suggests benign.
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Today I learned that: By age 60, 10% of US adults are cancer survivors. By age 80, ~30% men and ~20% women are cancer survivors.
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I’ve thought this for a long time. While it’s amazing to see the advances in technology, these advances are outpacing our ability to make clinically meaningful discoveries. We need to get better at using the data we can generate.
1/ Another single-cell study drops. 500,000 cells sequenced. More UMAP plots. More clusters. But here’s the question: Are we learning moreβ€”or just counting better? 🧡
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And in celebration of having a month left of my first year of fellowship- My first set of new plants since starting residency! I’m trying railing planters for the first time (we don’t have a yard so this is the closest we can get to a garden)! Let’s see how it goes!
I’m hopeful I can get back to some hobbies once my clinical year of fellowship ends this July. In med school I loved my plants but once residency started they all nearly died πŸ’”
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Today I learned that ALL is a uniquely hyper-methylated malignancy. This causes hypermethylation of asparagine synthetase, decreasing expression. ALL cells then can’t make asparagine. Asparaginase depletes exogenous asparagine, resulting in ALL cell death.
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Today is national donut day. Please plan accordingly!
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Today I learned that although we’re taught to avoid G-CSF in AML, some AML regimens use it. Cytarabine (chemo) is s-phase specific bc it’s a nucleoside analog that inhibits DNA synthesis. G-CSF primes leukemic cells by pushing them into S-phase, enhancing chemo efficacy.
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Allison Fitzgerald, MD, PhD retweeted
The timing could not be worse. At #ASCO2026, we saw #daraxonrasib double survival in #PDAC, a reminder that decades of NIH research investment are paying off. Yet federal research funding is being cut. The biggest victims won't be scientists... They'll be future patients
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Allison Fitzgerald, MD, PhD retweeted
ABBV-706 [#SEZ6 #ADC ] in 2L SCLC showed ORR 82% (14/17), with activity even in platinum-refractory/resistant disease and CBR >94% @SclcSMASHERS Early days, but an agent to continue to watch in relapsed SCLC @ASCO #ASCO26 #LCSM @LaurenByersMD @alissajcooper @drshieldsmd
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Me to my toddler: sneeze into your elbow! My toddler: sneezes into her hands *looks me dead in the eyes* wipes it on my face
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Very cool!! Excited to see this in practice!
After almost 2 years of work, I'm beyond thrilled to share TESSERA πŸŽ‰ 🧬 A foundation model for the cancer genome. One genomic fingerprint β†’ 🩺 Diagnosis πŸ“ˆ Prognosis πŸ§ͺ Prediction πŸš€ Preprint LIVE β†’ biorxiv.org/content/10.64898… #CancerGenomics #FoundationModels #AIinMedicine
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Today I learned that for differentiating hypereosinophilia etiologies, the degree of eosinophilia is rarely helpful unless eosinophils >20k. Counts this high are rarely caused by infections, more likely a clonal process. Parasites rarely cause eos greater than 5k Differential:
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If your main criticism of a new cancer drug that doubles overall survival is β€œit’s not a cure”, please work on developing intellectually rigorous clinical trial assessments. And while we’re at it, how about some empathy? An extra YEAR of life is nothing to balk at
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