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Welcome back, clinical problem solvers.

This is Anna.

We're super excited to be bringing you another space learning series episode today. I am here with my dear friends and much-admired colleagues, Kirtan and Priyanka, to go over a case with you.

I'll pass it over to Kirtan. Kirtan, how are things going? What's new with you?

Hi, Anna. Thanks for creating this episode. Yeah, so things are going well. And I just started my

secondary of residency. And I realized that when I started residency, one of my mentors told me that in residency,

the days will seem longer, but the years and months will pass by and they will seem shorter.

So that's what I am feeling that.

I cannot imagine that it has already been like more than 14 to 15 months now and time flies by.

But yeah, I am learning lots of new things, lots of new cases, patient interactions and it's all a learning call. I'm excited to see

how today's episode pans out and how we learn from it. Thank you. That's awesome. I love that

quote. I'll have to keep that with me and that definitely resonates deeply. Priyanka, how are things going on your end?

Hello, hello. It is so good to be back here with you both. Things are going really well. I also cannot believe that it's my last year of residency. I literally

remember my orientation week of intern year so well. And it's actually really scary how fast time

has flown by. And overall, I am doing well because I'm on clinic this month, which means that we get weekends

and I've been able to enjoy some of the summertime in the Bay Area, which has been really nice.

And I am super excited for this case, really, really nice case.

And I'm really looking forward to reviewing it with you both.

Awesome. Well, without further ado, let's get right to it. So this is a young man who is a history of a

provoked VTE and he's presenting to the hospital with two weeks of progressively worsening

...