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My tweets are NOT medical advice. Do NOT perform FNA on yourself and diagnose yourself at home based on my tweets.
Philippe Stephenson, MD retweeted
CC392. For the boards. Adult patient with lung Ca and suspected meningeal carcinomatosis. CSF sample (1.0 ml). How would you report it? #cytopath
A. Non-Diagnostic
B. Negative for Malignancy
C. AUS
D. Suspicious for malignancy
E. Malignant
For people who primarily sign out breast: how many mastectomy specimens do you see per year? How many cancer resections?
From the article's description this sounds like a terrible decision.
xitter.cf/CTVVancouver/status/20…
B.C. tribunal orders doctor to pay $28K after finding he discriminated against trans teen ctvnews.ca/vancouver/article…
In general, I don't believe physicians ought to be made to participate in treatments that violate their conscience, outside of some emergency circumstances.
Today's gem: "Neoplasms were defined as tumors that are not NN [non-neoplastic]".
The logic checks out!
Controversially, I believe the point of cytopathology is to diagnose lesions, and not to assign each sample a category number in a classification scheme.
A woman is holding one of the local pigeons and feeding it out of her hand, conveniently right beside the hospital.
Should I consult ID immediately?
When you have a deep understanding of what's normal/expected, even subtle abnormalities become obvious.
I think after the pandemic, and the numerous missteps by public health authorities and physicians, a bit of humility is in order.
It's probably more effective at reaching people as well.
Philippe Stephenson, MD retweeted
🦀 Medical record: Laryngectomy (Squamous Cell Carcinoma)
🤔 Suspected thyroid metastasis. A 23mm thyroid lobe, heterogeneous.
💉 Ultrasound guided fine needle aspiration performed by Interventional Pathologist.
1️⃣ pass. 25g.
🔬 Metastatic Squamous Cell Carcinoma. Bethesda VI.
I was shocked to learn this morning that one of my residents didn't know Dr Charles Nichols in the The Fugitive is a pathologist.
How is he going to famously switch the samples if he isn't a pathologist?!

















