Richa Ganatra MD

We paid in sweat and blood, but it was a fair price. Done with three long years of M.D, Medicine at PGIMER Chandigarh. On this side of the biggest exam of my life, I would like to share the humble scribbles that served as the stepping stones to this feat.

“February comes when we are sick of winter. Wishing to do her best, she ventures her spring costume: crocus, primrose and daffodil days. Ah no! We know March is to come with its frosts, a plunge back into the winter which poor February tried to flatter us was over.”~A.A.Milne

Beyond R-CHOP: The rise of antibody-drug conjugates in DLBCL #lymsm doi.org/10.1016/j.blre…

Special thanks to the Department of Hepatology for a wonderful morning session. @ajay_duseja @doc_arka @drnipunverma @madhumita ma'am.

Privileged to be part of a team that encourages learning through such high-quality academic interactions. Deeply grateful for the knowledge and insights shared by our esteemed guest, Prof. Siddhartha Ganguly. @bmtdoc63 @DrPMPGI @ArihantDr @Charanpreet_14 @Aditya_PGI @alka_khadwal

Beautiful summary slide of the approved first line treatments in CLL by none other than our Prof @NitinJainMD at 49th MHG annual conference #CLL

@rudra09s025 It would be an honour to be able to work with you, as a part of the team! Thank you very much for the wishes.

@tea_on_loop Thanx and wish u all the best .. looking forward to welcome u as one of us .

Many congratulations @rudra09s025 sir, and to the entire #Hematology team at #PGIMERChandigarh!! Proud and humbled to witness each day of such impactful research at my alma mater. #Blood2025 #ASH25 #Thalassemia #ASH

Words matter, especially in oncology 📚 I consciously strive to choose words that place the burden of the disease and its treatment on the illness itself, not the person battling it 💪 Here’s what that shift looks like in my practice: Talking About Disease Progression & Treatment Response ❌ "Patient has progressed/failed first line therapy" ✅ "The cancer has progressed despite first-line treatment" On Side Effects & Compliance ❌ You are not tolerating chemo well ✅ You are experiencing significant treatment toxicities ❌ Patient is non-compliant ✅ Treatment side effects have caused treatment interruptions ❌ "How are you tolerating the chemo?" ✅ "How is chemo treating you?"/"How are you feeling with the treatment?" (Credits - @UGrewalMD) Stating Diagnostic Findings ❌ "The patient is HER2 positive." ✅ "The patient has been diagnosed with HER2-positive breast cancer." Describing Relapse ❌ "The patient relapsed after transplant." ✅ "The malignancy has relapsed despite the transplant." 🎯 My goal is to avoid placing the burden of treatment tolerability or effectiveness on the patient—even in subtle ways. 😇 I don't know if this changes outcomes, but I believe it changes the atmosphere. Our words should be tools of comfort. #Oncology #MedTwitter #PatientCommunication #Empathy #WordsMatter [Image AI Generated]

🚨 ONCO EMERGENCY: How to Manage EXTRAVASATION in 30 Seconds 🩺💉 Extravasation of chemotherapy = oncology emergency. Early recognition + immediate action = tissue saved. Here’s the crisp, protocol-ready approach 👇 1️⃣ STOP Immediately ❌ Stop infusion ❌ Do not flush ✔️ Leave cannula in situ ✔️ Aspirate as much drug as possible ✔️ Mark the area + click a photo 2️⃣ Identify the Agent Classify the drug: 🔥 Vesicant (DNA-binding / Non-DNA) 😣 Irritant 🙂 Non-vesicant (Anthracyclines, Vinca alkaloids, Taxanes, Platinum, Mitomycin etc.) 3️⃣ Two Key Pathways A) “Localise & Neutralise” – DNA-Binding Vesicants (Anthracyclines, Mitomycin, Dactinomycin) ❄️ COLD compress 20 min × 4/day × 1–2 days 💊 Antidotes: <3 ml anthracycline → Topical DMSO 3 ml anthracycline → Dexrazoxane (Savene) within 6 hrs Mitomycin → DMSO B) “Disperse & Dilute” – Non-DNA Binding Vesicants (Vinca alkaloids, Taxanes, Trabectedin) 🔥 WARM compress 20 min × 4/day × 1–2 days 💉 Hyaluronidase 150–1500 IU SC around site (5 injections) 4️⃣ Elevate, Analgesia, Plastics Referral ✋ Elevate limb 💊 Analgesics if required 🏥 Early plastics/flush-out team for large-volume or CVAD extravasa tion 5️⃣ Follow-Up Mandatory review within 1 week Patient counselling: monitor for redness, blistering, worsening pain Document EVERYTHING (site, size, drug, photo, interventions) 💡 TAKE-HOME Extravasation is rare but high-stakes. Most injuries are preventable with: Good venous access Trained staff Fast action Correct antidote pathway Oncology teams save tissue before they save time. ⏱️🩺 🔖 Save this. Share with your residents and healthcare staff. #OncoTwitter #MedTwitter #ChemoSafety #Nursing #Oncology @myESMO @OncoAlert @ESMO_Open @asco

Medical profession at its core gives a purpose in life. Most other professions don’t give this one thing - Purpose- that money can’t buy. Teaching is another profession which does that. The act of helping others- both doctors and teachers- it genuinely feels good. Not gonna lie. In a world where all of us are chasing a status, doctors and teachers get that naturally. Aspiring doctors- don’t get disheartened by the long journey. Live life in between. Propose to that girl you liked in MBBS (if she’s still single :)], get married during SRship, go on that dream vacation in your training, travel the world to present your research. Don’t stop for studies to finish. Enjoy the process. It ain’t so bad afterall.

@DrAkhilX Vitamin A for APML

Tell me one vitamin that can cure a disease.

"Where reason gives us least assistance, emotion comes to our rescue and guides us. The astronomer may tell us something about the moon, but so too does the poet. The astronomer's moon is everybody's moon; the poet's is very much his own and not everyone can share it."~C.R.Milne

A boy is brought to the clinic for evaluation of asymmetric limb overgrowth and multiple soft tissue masses as shown. What is the most likely diagnosis? Image CC: TheKoshurDoc

Put your knowledge of clinical hematology to the test with EHA's Halloween CasEscape!  Navigate through five haunted houses, solve a clinical case, and load up on treats. 🎃🍬 Enjoy your adventure and good luck! Access on mobile for an optimal experience: ehaedu.org/CasEscape-Hall…

@tarunjindal3165 @JasmineNephro @29th_of_Feb @JasmineNephro ma'am, your perspective on this topic would be deeply valued. Please do suggest any corrections or additions you may have.

@tarunjindal3165 @JasmineNephro @29th_of_Feb We can further check for: - TTKG (S. and U. osmolality required) - urine anion gap (U. Na and U. Cl required) --> should be + in RTA - autoimmune workup as per clinical suspicion (ANA, Anti-Ro/La) - USG KUB --> may show nephrocalcinosis

Hey #MedTwitter Need help with a case A patient with recurrent paraplegia due to hypokalemia on and off since 4 months. U. K+ is 47, ABG below, U. Ca is 4.4mg/dl, U. Creat is 27mg/dl , SMg is 2, S po4 9.2, Rft✅Can you help me with dx?@JasmineNephro @tea_on_loop @29th_of_Feb

A World without vaccine.