Current Issue
VOL 14 NO 2 • Mar 2023
This issue’s cover illustration depicts a patient with right parotid swelling with radiographically distant disease involving a paratracheal node and lung central hilum. PLAG1 in situ hybridization was performed on pulmonary specimens and found to be positive for translocation. Artwork by Alexandra Webber © 2023, DNA Illustrations, Inc., Asheville, North Carolina.EditorialBeth Faiman, PhD, MSN, APRN-BC, AOCN®, BMTCN, FAAN, FAPOPicture this scenario. You are a provider who began a job in hematology at an outpatient community practice. A generally healthy 56-year-old patient with no past medical history of illness presents to you with complaints of bruising. They have not seen a provider in 15 years. You order appropriat...
Research and ScholarshipCecilia Motschenbacher, DNP, ARNP, FNP-C, ACHPN, AOCNP®, and Tanya Cohn, PhD, MEd, RNPatients with advanced cancer have been found to demonstrate severe symptoms and low quality of life at diagnosis (Siemens et al., 2020). Advanced or metastatic cancer refers to disease that is unlikely to be cured or controlled with treatment. Treatment goals for this stage of illness are pallia...
Research and ScholarshipTheresa A. Elko,(1) MPAS, PA-C, Samantha Brown,(2) MS, Stephanie Lobaugh,(2) MS, Sean Devlin,(2) PhD, Ann A. Jakubowski,(1,5) MD, PhD, Miguel-Angel Perales,(1,5) MD, Molly A. Maloy,(1) MS, Allison J. Applebaum,(3) PhD, Sergio A. Giralt,(1,5) MD, Lauren Levy,(1) MS, PA-C, Anne Schneider,(4) LMSW, and Richard J. Lin,(1,5) MD, PhDOlder adults represent a significant population of allogeneic hematopoietic cell transplant (allo-HCT) recipients; in 2018, 38% of allo-HCT recipients were 60 or older (D’Souza et al., 2020). Allo-HCT is a potentially curative therapy for hematologic malignancy, but one that comes with significan...
Review ArticleCourtney R. Arn,(1) APRN-CNP, Kimberly J. Halla,(2) MSN, FNP-C, and Sally Gill,(3) RN (Hons)Cervical cancer is the fourth most frequently diagnosed and fourth most deadly cancer in women worldwide (Arbyn et al., 2020; Bray et al., 2018). Patients with recurrent or metastatic cervical cancer (r/mCC) experience a significant burden from disease-related symptoms, such as vaginal bleeding a...
Review ArticleMichaela Hillengass,(1) RN, ACSM-CPT, Janine Joseph,(1) MS, MBA, Jane McCarthy, and Jens Hillengass,(1) MD, PhDBeing and staying active as a daily routine can be a significant challenge for patients diagnosed with multiple myeloma (MM). Not only do patients have to deal with the concomitant symptoms of the disease, but they also must face the limiting side effects of treatment. Fatigue, increased muscle t...
Grand RoundsAvigayil East, DNPCase Study
A 40-year-old female never-smoker with no significant medical history presented with right-side facial swelling worsening over the course of 3 months, with progressive discomfort emanating from her right cheek and radiating to her right ear. An MRI of the skull base with and without co...
Prescriber's CornerGwen Hua,(1) PharmD, BCOP, Ryan Scanlan,(2) PharmD Candidate, Rachael Straining,(1) PharmD, BCOP, and Daniel S. Carlson,(3) DOMultiple myeloma (MM) is a plasma cell disorder characterized by the clonal proliferation of malignant plasma cells in the bone marrow with monoclonal protein in the serum and/or urine and associated organ dysfunction (Kyle & Rajkumar, 2004). Multiple myeloma is the second most common hematol...
Diagnostic SnapshotMariangel Prieto, MSN, APRN, FNP-BC, AOCNP®History
MG is a 55-year-old male with a past medical history that is significant for type 2 diabetes mellitus, hypothyroidism, and auricular chondritis (Figure 1).
Chief complaint
He presented to the emergency room with reports of fevers up to 100.8°F, significant fatigue, and weakness.
Diagnost...
