#247 SPEP It Up: MGUS, Myeloma, and Immunology, Oh My!

<p>On this episode, Dr. <a href="http://jorgejcastillo.com/bio-JorgeCastillo.html">Jorge Castillo</a> (Harvard, <a href="https://www.dana-farber.org/find-a-doctor/jorge-j-castillo/">Dana Farber</a>) walks us through some immunology basics, teaches us the limitations of the SPEP, plus some additional tests that complement it (think Immunofixation), shares his clinical gestalt about when to suspect  MGUS, Myeloma, Waldenstrom’s, and Amyloidosis--and finally, how to talk to patients about them. If you, like Stuart, have ever wondered what on earth to do with that pesky free light chain ratio or the SPEP that so often gets inboxed to you without explanation, then fear not, Dr Castillo has your back!</p> <p><a href="https://thecurbsiders.com/episode-list">Episodes</a> | <a href="https://anchor.fm/s/4108bcf4/podcast/rss">Subscribe</a> | <a href="https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67">Spotify</a> | <a href="https://www.teepublic.com/user/kashlakmemorial">Swag!</a> | <a href="https://thecurbsiders.com/top-picks">Top Picks</a> | <a href="https://thecurbsiders.com/knowledgefood">Mailing List</a> | <a href="mailto:thecurbsiders@gmail.com">thecurbsiders@gmail.com</a> | <a href="http://curbsiders.vcuhealth.org/">Free CME!</a></p> <h3><br> </h3> <h3><br> </h3> <h3><strong>Credits</strong></h3> <ul> <li>Written and Produced by Nora Taranto MD</li> <li>Infographics by Nora Taranto MD</li> <li>Cover Art by Kate Grant MBChB, MRCGP</li> <li>Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, FACP, Nora Taranto MD</li> <li>Editor: Matthew Watto MD, FACP ; Clair Morgan of <a href="https://www.nodderly.com/">nodderly.com</a> </li> <li>Reviewer: Jooho Chung MD, PhD</li> <li>Guest: Jorge Castillo MD</li> </ul> <h3><br> </h3> <h3><br> </h3> <h3><strong>Sponsor: Panacea Financial</strong></h3> <p>This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just