Understanding Childhood Cancer With Dr Geoff

49 episodes listed below

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Plain-language childhood cancer explanation, from inside the hospital.

The gist

Understanding Childhood Cancer With Dr Geoff turns childhood cancer care into careful, practical explanation. Across episodes on CAR T-cells, neuroblastoma, immune suppression, blood cultures, molecular profiling, MEK inhibitors, and minimal residual disease, Dr Geoff translates hospital language into parent-facing context.

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About Understanding Childhood Cancer With Dr Geoff

Understanding Childhood Cancer With Dr Geoff is a specialist medical podcast built around explanation, not spectacle. The subject is childhood cancer and leukaemia, with the emphasis on what parents and carers may hear inside a children's cancer unit. Dr Geoff takes clinical vocabulary seriously. Then he slows it down. CAR T-cells become a discussion of acute lymphoblastic leukaemia, relapse, leukophoresis, specialised cell processing, access, funding, and which children are currently likely to need the therapy. Neuroblastoma is sorted through stage MS disease, liver and skin involvement, bone marrow details, age definitions, and the unusual possibility that some children may be watched rather than treated immediately. Immune suppression gets treated as a central fact of chemotherapy, not a side note. Fever is framed as urgent because neutrophils, lymphocytes, bacteria, fungi, viruses, and antibiotics all have a practical role in the risk picture. Blood cultures receive the same patient attention. The show explains why blood is taken carefully, why central lines matter, how culture bottles help detect bacteria, and why doctors want to identify both the organism and the right antibiotic. Research and consent are also part of the territory. In the PRISM episode, molecular profiling is described through tumour samples, blood samples, DNA testing, information sheets, participating hospitals, and the right of parents and children to decide about tissue samples. Drug episodes can become very technical. MEK inhibitors, trametinib, selumetinib, BRAF changes, neurofibromatosis type 1, low-grade gliomas, and plexiform neurofibromas all appear in the evidence window. The tone is direct and careful. It is not dry. Dr Geoff uses food analogies, hospital detail, local asides, and occasional jokes to keep dense material from turning into a lecture wall. The show is still medically serious and often confronting. Its value is the combination of precision and parent-facing translation, with repeated reminders that individual treatment advice belongs with the child's own oncology team.

Made for: Suits a listener who wants careful context around childhood cancer care, especially a parent, carer, nurse, doctor, or family member trying to understand treatment language. It also suits someone comfortable with detailed medical explanation rather than broad wellness talk.

What sets it apart: The show stands out by staying close to real childhood cancer decisions: fever protocols, blood cultures, relapse therapies, molecular profiling, consent, and drug classes. It explains complex medicine without pretending a podcast can replace a treating team.

In their own words

Understanding Childhood Cancer with Dr Geoff. Hosted on Acast. See acast.com/privacy for more information.

Why you'd press play

That fever warning has a neutrophil count behind it, and Dr Geoff lets you see why.

Press play if you want

  • to understand why a fever during chemotherapy calls for urgent attention
  • a clearer head before discussing PRISM tumour testing and consent with your treating team
Read the full recommendation in PlayNext →
childhood cancer and leukaemiaCAR T-cellsimmune suppression and feverblood cultures and infectionsneuroblastomamolecular profiling and consentMEK inhibitorsminimal residual disease

Talks about

Best episodes of Understanding Childhood Cancer With Dr Geoff

Short reviews from the PlayNext desk, based on the episodes we processed.

CAR T-cells, Interview with Dr Caroline BatemanMar 14, 2022

A measured guide to where CAR T cells fit when childhood leukaemia resists treatment or returns.

CAR T-cell treatment is framed here as a carefully targeted option for some children with B-cell acute lymphoblastic leukaemia: those whose disease does not clear, keeps coming back, or returns after a transplant.

"S" is for "Special" : Stage MS Neuroblastoma (also called Stage IVS, 4S)May 20, 2021

A clear guide to why Stage MS neuroblastoma can look worrying early while often carrying a very favourable outlook.

Stage MS neuroblastoma, formerly called stage 4S, is explained with useful care here. Dr Geoff McCowedge shows how a typically small primary tumour can spread to the liver, skin, or bone marrow while still behaving very differently from the high-risk disease seen in older…

Where did my child's immune system go?Mar 26, 2021

A clear, practical account of why fever can become urgent during cancer treatment.

Immune suppression is framed as one of the practical realities of cancer treatment, with Dr Jeff McCowedge explaining why children with cancer or leukemia can become more exposed to infection.

Update re the future of rock and roll.... CAR T-cellsMar 10, 2021

A clear, practical update on CAR T-cell access, from cell collection to treatment funding in Australia.

A fancifully titled update on CAR T-cell therapy settles into a useful account of what changed as the treatment became easier to access. Dr Geoff McHowage, a paediatric oncologist at the Children's Hospital at Westmead in Sydney, explains that Novartis has acquired the…

Blood CulturesMar 8, 2021

A clear, grounded review of why blood cultures matter when chemotherapy leaves children vulnerable to infection.

Blood cultures sit behind one of paediatric oncology's most urgent questions: when chemotherapy has weakened a child's immune defences, is a high fever being driven by bacteria in the bloodstream?

Podcasts like Understanding Childhood Cancer With Dr Geoff

Episodes

  1. 1

    CAR T-cells, Interview with Dr Caroline Bateman

    Hidden gem

    Dr Geoff McHowage talks with Dr Caroline Bateman about tisagenlecleucel, the CD19 CAR T-cell product called Kimriah, as it moves toward use at the Children's Hospital at Westmead.

    Mar 14, 2022·46m·3 clips
  2. 2

    "S" is for "Special" : Stage MS Neuroblastoma (also called Stage IVS, 4S)

    Hidden gem

    Dr Geoff McCowedge, a paediatric oncologist at Children's Hospital at Westmead in Sydney, Australia, focuses on stage MS neuroblastoma, also called stage 4S.

    May 20, 2021·24m·1 clip
  3. 3

    Something you can do for me

    May 6, 2021·10m
  4. 4

    Where did my child's immune system go?

    Hidden gem

    ["Jeff McCowedge, a children's cancer specialist at Children's Hospital at Westmead in Sydney, explains why treatment for childhood cancer and leukemia suppresses the immune system.", "He breaks the body's defenses into skin, mucosa, neutrophils, lymphocytes, and antibodies, then shows how chemotherapy, steroids, central lines, and poor nutrition weaken each layer.", "The episode gives concrete rules: neutrophils below 0.5 are severe neutropenia, a 38\u00b0C fever is an urgent call, and Bactrim or Cotrimoxazole is used to prevent Pneumocystis pneumonia.", "He also contrasts standard chemotherapy with bone marrow transplant care, where graft versus host disease and long-term immune suppressive drugs can force stricter isolation."]

    Mar 26, 2021·45m·3 clips
  5. 5

    Update re the future of rock and roll.... CAR T-cells

    Hidden gem

    CAR T-cells have moved from clinical trials to commercial availability as Novartis' Kymriah in multiple countries, including Australian centres.

    Mar 10, 2021·40m·3 clips
  6. 6

    Blood Cultures

    Hidden gem

    Dr Geoff McEwage, a paediatric oncologist at the Children's Hospital in Westmead, explains why blood cultures matter for children with cancer or leukaemia who develop a fever.

    Mar 8, 2021·22m·1 clip
  7. 7

    PRISM, Molecular Profiling, and Informed Consent

    Hidden gem

    Dr Geoff explains Australia’s PRISM trial, which compares tumour and normal blood DNA and RNA to identify abnormalities that could inform drug choices.

    Feb 24, 2021·56m·3 clips
  8. 8

    The MEK inhibitors: trametinib and selumetinib

    Hidden gem

    Dr Geoff McCowage explains how trametinib and selumetinib block MEK, a chemical in a growth pathway that can become stuck in the “on position” in cancer cells.

    Feb 19, 2021·41m·2 clips
  9. 9

    The needle in the haystack: Minimal Residual Disease

    Hidden gem

    Dr Jeff McCowage of Understanding Childhood Cancer explains how minimal residual disease testing detects leukemia cells that microscopy can miss, including one cell among one million normal bone marrow cells.

    Jan 14, 2021·42m·3 clips
  10. 10

    DIPG: to biopsy or not to biopsy

    Nov 16, 2020·14m
  11. 11

    DIPG: what do these letters stand for?

    Jan 22, 2017·20m
  12. 12

    Chemotherapy 7: Ifosfamide

    Nov 27, 2016·23m
  13. 13

    Why does my child need a heart test? Echo's and ECG's.

    Sep 7, 2016·17m
  14. 14

    Highlights of ASCO: Two transplants for neuroblastoma??

    Aug 8, 2016·30m
  15. 15

    "A Selfless Act": my reading of an article on clinical trials in childhood cancer.

    May 25, 2016·18m
  16. 16

    Residents, fellows, registrars; who are all these doctors?

    May 23, 2016·32m
  17. 17

    G-CSF and PEG G-CSF: drugs to boost the bone marrow.

    Apr 13, 2016·28m
  18. 18

    Neuroblastoma 3: High-dose MIBG as treatment

    Apr 6, 2016·27m
  19. 19

    Adolescents and Young Adults with Cancer: What's special about the AYA's?

    Mar 21, 2016·26m
  20. 20

    Neuroblastoma 2: MIBG scans

    Jan 5, 2016·20m
  21. 21

    What not to give your oncologist for Christmas.

    Dec 16, 2015·33m
  22. 22

    Interesting article: do children with cancer have an underlying gene abnormality?

    A pediatric oncologist explains a recent study on genetic factors in childhood cancer for parents of affected children.

    Dec 2, 2015·36m
  23. 23

    Personalised Medicine 5: how to detect all these DNA abnormalities

    Dr Geoff explains personalized oncology for parents of children with cancer, focusing on analyzing tumors to find effective treatments.

    Nov 24, 2015·33m
  24. 24

    Lymphoma 1: Hodgkin's and Non-Hodgkin's (x4)

    Nov 2, 2015·30m
  25. 25

    Personalised Medicine 4: How DNA gets messed up to cause cancer.

    Oct 29, 2015·29m
  26. 26

    Personalised Medicine 3: how the right DNA leads to the right cake.

    Oct 26, 2015·22m
  27. 27

    Glioma 1: what does 'grade' mean?

    Oct 20, 2015·13m
  28. 28

    Personalised Medicine 2: first ya gotta understand the proteins

    Oct 20, 2015·17m
  29. 29

    Lumbar Punctures 2: injecting a drug into the spinal fluid

    Oct 15, 2015·14m
  30. 30

    Lumbar Puncture 1: what is a lumbar puncture?

    Oct 8, 2015·14m
  31. 31

    Nutrition 4: Total Parenteral Nutrition

    Oct 7, 2015·14m
  32. 32

    Personalised Medicine 1: What is Personalised Oncology?

    Oct 6, 2015·23m
  33. 33

    Nutrition 3: Nasogastric Feeding Tubes

    Sep 24, 2015·17m
  34. 34

    Nutrition 2: Quinoa or KFC?

    Sep 23, 2015·10m
  35. 35

    Nutrition 1: Why is Nutrition an Issue?

    Sep 21, 2015·9m
  36. 36

    Immunotherapy 4: Those amazing new antibodies against cancer

    Sep 19, 2015·17m
  37. 37

    Clinical Trials 5: What I love about the Europeans

    Sep 8, 2015·7m
  38. 38

    Fevers: why are the doctors so obsessed with fevers?

    Sep 8, 2015·18m
  39. 39

    Chemotherapy Drugs 7: High Dose Methotrexate

    Sep 2, 2015·26m
  40. 40

    Clinical Trials 5: What trials would we choose to open?

    Aug 31, 2015·30m
  41. 41

    Clinical Trials 4: Phase 3 Trials

    Aug 31, 2015·39m
  42. 42

    Why I took two days off, and why kids on chemo should go to school (usually)

    Aug 29, 2015·27m
  43. 43

    Platelet Transfusions.

    Aug 21, 2015·47m
  44. 44

    Central Lines 3: Things that can go wrong with central lines

    Dr.

    Aug 17, 2015·25m
  45. 45

    Blood transfusions.

    Aug 14, 2015·28m
  46. 46

    Clinical Trials 3: Phase 2 Studies

    Aug 13, 2015·27m
  47. 47

    Acute Myeloid Leukamia 2: Treatment of AML

    Aug 13, 2015·24m
  48. 48

    Clinical Trials 1: What are Clinical Trials?

    Aug 7, 2015·14m
  49. 49

    Clinical Trials 2: Phase I Studies

    Aug 7, 2015·29m