Host Dr. Aditi Nerurkar sits down with Dr. Thomas VanderMeer, surgical oncologist and interim director of the Upstate Cancer Center at SUNY Upstate Medical University, to trade notes on the real work of caring for the data-informed patient.

They start with a case. A woman with rising ctDNA, no imaging correlate, walking into Tom's office. He thought the conversation would be about the limits of detection. It wasn't. Her question, once he listened for it, was about her children, and whether the same molecular tests could tell her something about their risk. Tom uses the case to make a larger point. The question on the surface is rarely the question the patient actually came in with.

From there, the two doctors get into the practice. The teach-back method as a check on real understanding. The discipline of not looking at your watch, even when the schedule says you should. And the throughline Aditi names back to him by the end of the conversation: open-mindedness and humility, held steady against the rigor of the science.

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