# Episode 156: Immune Thrombocytopenic Purpura Series, Pt 2- Relapsed/Refractory Page: https://stenobird.com/podcast/the-fellow-on-call-the-heme-onc-podcast-4669989/episode-156-immune-thrombocytopenic-purpura-series-pt-2-relapsed-refractory Text version: https://stenobird.com/podcast/the-fellow-on-call-the-heme-onc-podcast-4669989/episode-156-immune-thrombocytopenic-purpura-series-pt-2-relapsed-refractory.md Podcast: [The Fellow on Call: The Heme/Onc Podcast](https://stenobird.com/podcast/the-fellow-on-call-the-heme-onc-podcast-4669989) Published: 2026-06-24T08:00:57+00:00 Episode link: https://www.thefellowoncall.com/tfocpodcast/itprelapsedrefractory Audio file: https://static1.squarespace.com/static/61b273ac9be6aa2250498c9e/t/6a3ac76bb1ad17039574c938/1782237053423/The+Fellow+On+Call+-+ITP+Second+Line+Therapies+-+Mix_Edited.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-fellow-on-call-the-heme-onc-podcast-4669989/episodes/episode-156-immune-thrombocytopenic-purpura-series-pt-2-relapsed-refractory ## Resource This week, we move to the relapsed/refractory ITP setting, focusing on what options are available to patients after their initial treatment with steroids ± IVIg, which we discussed in Episode 155. If you have not done so already, definitely listen to that episode as we build on the topics discussed here today! Content: - What are options after steroids? - How to counsel patients on options? - Is there a correct way to sequence available options? ** Want to review the show notes for this episode and others? Check out our website. Love what you hear? Tell a friend and leave a review on our podcast streaming platforms! Twitter: @TheFellowOnCall Instagram: @TheFellowOnCall Listen in on: Apple Podcast, Spotify, and Youtube ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-fellow-on-call-the-heme-onc-podcast-4669989/episodes/episode-156-immune-thrombocytopenic-purpura-series-pt-2-relapsed-refractory/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-fellow-on-call-the-heme-onc-podcast-4669989/episode-156-immune-thrombocytopenic-purpura-series-pt-2-relapsed-refractory.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.