Pokemon or Prescription?

[George K]

[bachophile]

Aha gotcha can’t be a real quiz. Vinblastine is only given IV. Not in pill form.

Chemo for all sorts of ugliness.

[George K]

@bachophile said in Pokemon or Prescription?:

Vinblastine is only given IV.

Nasty, nasty drug, too. Is it still being used?

[bachophile]

@george-k absolutely

First line treatment in Hodgkins is ABVD, where the V is vinblastine

Also used frequently in testicular.

Vinca alkaloid. I always think of that when I plant vinca flowers. The periwinkle plant. How such nastiness from a plant which makes beautiful flowers.

[George K]

@bachophile the funny (sad?) thing is how, after not having any experience with internal medicine, chemotherapy, etc I am SO out of the loop with newer therapies and drugs.

Living in my cocoon of the OR shielded me from all the new stuff.

Nevertheless, I still got to play with cool machines, new potent-as-hell drugs, and stick catheters into people's hearts.

[bachophile]

@george-k ok now you will feel old. Not much use of swan ganz catheters anymore.

Plenty of ways to assess hemodynamics with less invasive means.

[George K]

@bachophile said in Pokemon or Prescription?:

Not much use of swan ganz catheters anymore.

Yeah, they were going out of fashion when I retired. Some of our CV surgeons wanted to use them for measuring SvO2, others just used a CVP (via IJ).

Echos were just coming into popular use as I retired. Never acquired the skill to interpret them.

[bachophile]

Ultrasound in all its forms looks to me like a Rorschach test

[George K]

@bachophile said in Pokemon or Prescription?:

Ultrasound in all its forms looks to me like a Rorschach test

Indeed. I was pretty good with femoral nerve blocks. When ultrasound became available, I had no clue what I was looking at. Some of my partners were good with them.

Interscalene? Fuggedabboutit!