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Plenary Session

Myeloma Twitter Just Makes Things Up - Lessons for All Oncologists & Expertise

Plenary Session

Vinay Prasad, MD MPH

Health, Medicine, Policy, Oncology, Science & Medicine

4.7789 Ratings

🗓️ 22 January 2023

⏱️ 42 minutes

🧾️ Download transcript

Summary

I annotate an online case discussion; Every decision is not based in evidence. Madness

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome back to Plenary Session. This is Plenary Session Oncology Edition podcast. We've been

0:05.0

getting back to our roots these last few months. And if you like that, let me know. Send us a message

0:10.3

at Plenary Session Podcast at gmail.com. Today, we're talking about multiple myeloma. We're talking

0:15.4

about a little Twitter discussion that took place about a week and a half ago. I've annotated it for you. I'm going to walk you

0:20.8

through the evidence behind it. There are a lot of really great points to talk about. You're going to

0:25.4

enjoy it. But it's not just about myeloma. No, no, no. If you're out there listening and you're a

0:30.3

GI oncologist or you're a breast cancer oncologist, you want to listen to because this is also a microcosm of expertise.

0:41.0

This is also about what it means to be an expert oncologist in the modern world and how that so increasingly means making shit up.

0:44.9

I mean, just making shit up is really what is the sinequinon of being an oncologist

0:50.2

who is deemed an expert.

0:52.0

We've got to be very careful.

0:53.7

When is it making it up? When is it the best

0:56.1

available evidence? When is it a nuanced understanding of evidence? Where are the lines? And I think

1:00.4

this discussion allows us to kind of get into these topics. So this is about multiple myeloma.

1:05.1

This comes from Twitter. I've redacted, I think, you know, all maybe with one exception because I'm going to say something nice about

1:12.4

this person, but I've redacted all of the speakers. It's not really about the individuals here.

1:15.6

It's about the content of their arguments and why those arguments are lacking. And it's also

1:20.6

sort of a commentary about if you were a patient watching this discussion, is this what you would

1:25.5

want to see on social media? And how much can

1:29.7

you talk about a quote-unquote individual case under the auspices of we're just discussing

1:34.7

management strategies? So I think maybe we'll come to that as well. All right, Myeloma, Twitter,

1:39.5

just makes things up. That's the title of this video. Just makes things up. Making things up is going to be

...

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