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President Biden’s Metastatic Prostate Cancer Diagnosis: A Look Through the Oncologist’s Lens

News broke today that President Joe Biden has been diagnosed with stage IV (metastatic) prostate cancer. As an oncologist, this is not just a headline—it becomes an important teaching moment for how we evaluate and manage newly diagnosed metastatic prostate cancer. With the public eye now focused, many are likely wondering: what does this diagnosis …

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From Fatal to Beatable: How Science Turned the Tide on a Deadly Leukemia

This post was inspired by a recent review in the New England Journal of Medicine — click here to read it. What moved me most was the extraordinary time, effort, and global collaboration it took to transform the outlook for patients with Ph+ ALL. This progress was only possible because of the clinical trials carried …

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Belated but Unbroken: An Oncologist’s Mother’s Day Reflection

I missed posting on Mother’s Day. Not because I forgot, but because I was exactly where I needed to be: with my wife, our kids, and our family. We spent the weekend together, quietly celebrating everything my wife does as a mother of four—and everything she is. She’s emotional and empathetic in all the ways …

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When Cancer Moves Fast: Understanding Visceral Crisis and Urgent Oncologic Decisions

Disclaimer: The following stories and cases are generalized for educational purposes. All patient-identifying details have been significantly modified or omitted. Over the past few months, I’ve encountered several powerful cases—both clinically and through consult work—that highlight an urgent and often misunderstood reality in oncology: impending visceral crisis. Visceral crisis refers to a rapidly deteriorating state …

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The Story Behind the Logo: Building the Bridge, Stone by Stone

Every now and then, someone asks me about the logo on my website. Why that particular image? Where did it come from? The truth is, it took time—a lot of it. I sifted through nearly a thousand generated images, refining and reflecting, trying to capture something that wasn’t just visually appealing, but emotionally true. Something …

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Remembering Dr. Craig Kitchens: The Legacy of a Great Physician

Some people teach us medicine. Others teach us how to be in medicine. It’s with a heavy heart and deep reverence that I reflect on the passing of one of my most formative educator, Dr. Craig Kitchens — a physician who left an indelible mark on my education, my clinical practice, and, frankly, my character. …

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Six Months Later: Rediscovering Balance Through Locum Life and New Ventures

It’s been just over six months since I stepped away from my previous role at Orlando Health — a decision that marked a turning point not just in my career, but in how I live, work, and grow as a physician, father, husband, and entrepreneur. What started as a professional pause has quickly become one …

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When Delay Becomes Harm: A Clinician’s Reflection on Timely Cancer Care

Medical malpractice is a difficult subject in our profession. It evokes emotion, judgment, and often criticism—especially toward those who serve as expert witnesses. As an oncologist who has reviewed hundreds of cases over the last decade, I understand the hesitations. Most of my work in this space focuses not on standard of care, but on …

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Understanding Disability in Oncology: A Clinician’s Perspective

As an oncologist and medical reviewer, I’ve had the unique opportunity to evaluate more than a hundred disability-related cases over the past six months. These cases span a wide range of cancer types, treatment timelines, and patient recovery experiences. What’s become abundantly clear is the disconnect that can sometimes occur between well-meaning clinical advocacy and …

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The Joy of Growth: Reflections on Writing a Letter of Recommendation

I was recently asked to write a letter of recommendation for one of my former clinical research coordinators—a young professional I had the privilege of working with for nearly two years. What I expected to be a routine task turned into something much more meaningful. It was an opportunity to pause, reflect, and appreciate the …

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Meet the authors

Dr. Sajeve Thomas
Dr Daniel Landau


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  • Home
  • Blog
    • The essentials
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    • About Dr Thomas
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  • đź§  How I Create My Blog Posts