Medicine is a science of uncertainty and an art of probability.
After a day on the wards I pick the questions that came up and write the answer the way I would explain it at the bedside: what we used to do, what we do now, and the trial that changed it. There is no schedule. A new page appears when a day was worth writing down.
Short
One idea per card. Each topic opens with the single line to remember. Readable between patients.
Sourced
Each topic ends with the papers and labels the numbers came from, so you can check me.
Not a protocol
It does not replace the treatment plan, pharmacy, or current guidelines. Scenarios are altered for teaching and contain no patient information.
Tips
Oct 6, 2026
- Small cell lung cancer: from 10 months to a positive trial at every step
- Pancreatic cancer: resectability, the new second line, germline testing and PARP inhibitors
- Tumor lysis: who gets rasburicase before chemotherapy, and at what dose
- Ifosfamide inpatient or outpatient, mesna, and the lifetime doxorubicin budget
This site has a single purpose, which is academic: the education of medical students, residents and fellows. It has no commercial interest, no sponsor and no advertising.