OKC PathGuy

@leon_metlay @hemo_shk Agreed. That's what I came to ask.

@hemo_shk Tubal ectopic pregnancy. Why was a hysterectomy needed? I would think a salpingectomy should have sufficed.

#Emergency Why emergency Surgery was required!? #MEDHM

@oatsdoc @JayMB21 Thankfully, as a pathologist I'm in the business of just reaching out to the docs, cuz I don't order anything. And side note, congrats on becoming an attending, fellow Jayhawker!!

@OKCPathguy @JayMB21 THIS RIGHT HERE. Or a message in the EMR is fine. Plus letting the patient know, “hey, based on your labs, I’m concerned for x which is outside the scope of what I do, so I recommend making an appt with your PCP to further evaluate.”

To my specialist colleagues, Please plz plz don’t order labs/imaging and then tell patients to “just follow-up with your primary care doctor to discuss.” He who doth order, doth interpret and communicate to patient. That’s the rule 🤝🤗

@JayMB21 @oatsdoc Follow up with PCP once you have informed the PCP with a phone call. They are the quarterback of the patient's care, but you need to snap the ball.

@oatsdoc This is incorrect- if specialist is looking for something relevant to their speciality- and incidentally finds a different abnormality. Then follow up with pcp is fine

@mtick27 @oatsdoc Specialist needs to reach out and have a conversation with the PCP, at the very least. Big diagnoses mean big conversations.

@oatsdoc If specialist orders CT for something relevant to specialty and scan shows an incidental yet important finding such as a suspected mass - do you prefer specialist review finding with patient then connect them with appropriate specialist to manage? Specialist to dw PCP?

@DrCasteelEM @txsportsdoc My friend back home owns an engineering firm in our small hometown and is paying inspectors with no schooling 100k plus per year. No debt, no risk of losing the house due to a missed diagnosis or slip with a scalpel, and started their life at 20 instead of 35. 🤷

@txsportsdoc You have a lot of legit points here but my whole family works in the trades and nobody makes anywhere even close to doctor salaries. 100K is considered high end and most making more than that are working a lot of overtime, 50-60hour weeks of physical labor.

This is why medicine will no longer attract the best and brightest. Come spend 17 years of your life to train, assume all the risk, take on enormous debt and get paid less than most trades these days. It’s hard to believe we allowed this. We are Medcine, Surgery, but somehow we turned our profession over to suits and allowed them to control us,get paid more than us and in many cases go work for them instead of ourself 🤷‍♂️

@pepeheffernan @DrMarkOng I thought the same two. Happy to be humbled!

@DrMarkOng Upper and lower left 🫣

I'm working on a teaching presentation on Hodgkin's lymphoma. Picture below contains HRS-like cells from 9 different cases. Which ones are classical Hodgkin's lymphoma and which ones are something else? #hemepath #pathtwitter #pathology

@chris9lives @AlbertBreer 🤣🤣🤣🤣 sure buddy. Sure.

@AlbertBreer Nah not really. Barely beat a back up QB at home.

Caleb Williams making the throw to tie it in the face of all-out pressure—yes, the guy was open, but he had to know where he was going as the blitz came and throw to a spot—and then hitting DJ Moore on that shot ... The Bears QB probably changed a lot of people's minds tonight.

@parkmahathey @KJCoakley5 @The33rdTeamFB Monangai is in the same boat with multiple games being brought in just to run out the clock. Almost every running back deals with that.

@OKCPathguy @KJCoakley5 @The33rdTeamFB He’s awesome no doubt I I don’t think it helps Henderson that 2 games tank his ypc because he was given the end of the game touches where he got 2 carries for 5 yards and 3 carries and 3 for 6 that definitely doesn’t help him lol

Five rookie rushers have crossed the 5⃣0⃣0⃣ yard mark through 13 weeks 🏃

@01sth02 @crisdelarco @MeredithKHerman I wish that we all had the funding of NYU. And for single images, cell phones still get the job done in a pinch.

@crisdelarco @MeredithKHerman @MeredithKHerman push your peeps to give you access to WSI it is the way We have it open for everyone and nobody wants a microscope!

#PathX I need suggestions for a quality iPhone/microscope adapters #Pathinformatics Welcome any and all recommendations 🔬📱

@ItsDylanOhh @yungwatersports @SeeColes That's kinda the point. 5% the cost, better rushing yards, more first downs, essentially same touchdowns... The cheaper and more productive option is clearly better.

@OKCPathguy @yungwatersports @SeeColes “yeah our two rbs put up 250 rushing, when did your one RB do this?” cmon man lol

It’s time for an uncomfortable conversation.

@ItsDylanOhh @yungwatersports @SeeColes I mean, the bums just blasted over 250 yards down the Eagles throats... When did JJ ever do that?

@yungwatersports @SeeColes so JJ has more tds than both the bums in chicago combined? cool

@RobertoBoreaMD @JMP_MDPI @MariantoniaNac1 I've been integrating the cytology and histology into one report for a decade (as long as I've been in practice). Almost all cytopathologists I know demand the associated surgical biopsies obtained at the same time.

Amy Ly unpacks the differences between cyto and histo diagnosis. Is a single report the best option to get informations from both of the techniques? ➡️ “one procedure, one report” in modern workflows. @JMP_MDPI #Cytopathology #SmallSamples #MolCytoPath25 @MariantoniaNac1

@ChiT0wnSports23 @bballforever_ Agreed. The Bulls should probably also throw in Giddey, Buzelis and 2 more 1st rounders. As long as we're setting the team back by a decade, make it two decades... 🤦

@bballforever_ Fuck no

The Bulls are a team to monitor for a potential Anthony Davis trade, since Chicago have nearly $90 million in expiring contracts, plus picks, Evan Sidery reports 👀 This trade by Sports Illustrated sends Anthony Davis home to Chicago, along with Klay Thompson and Dante Exum. Dallas get some much-needed picks as well as Nikola Vucevic, Kevin Huerter and Coby White - who are all on expiring contracts.

@GridIron_Geek_ @SwiftyNetwork It's clear that it's supposed to be contact with the head that is initial contact, not after the arm with the ball is hit. It's just like a kicker. Block the punt, blow up the punter. Miss the block, roughing the kicker. Or PI, ball is tipped, no PI.

@SwiftyNetwork He hit him in the head/helmet. It's a stupid rule, but it's clear

Jaquan Brisker goes for the arm, trying to knock the ball out. THIS IS NOT ROUGHING THE PASSER AT ANY LEVEL Just another terrible call. We need FULL TIME Officials. #NFL

@MLisaZhang @DZenezan I always just say, "at least high-grade dysplasia" then mention in a comment it could be either. Unless it's a solid mass, then I call it adeno.

@DZenezan Often can't distinguish--that's why we use the term "high-grade atypia" in cytology instead of "high-grade dysplasia," as HGA includes both HGD and invasive adenocarcinoma. This distinction isn't crucial--both will triage the patient to a high-risk management pathway. #CytoChat

How can I differentiate high grade IPMN versus Adenocarcinoma arising from IPMN? #CytoChat

@DutchRojas I'm not afraid of my employer, I'm "afraid" of my future employer taking a pass if they don't like what I have to say in my personal life.

How many employed physicians (650,000) are “anonymous” on X because they’re afraid of their employer?

@Rick_Pescatore And obviously I have a typo. You know more about triaging than I ever will* as a pathologist, I take amendments seriously 🤣

@Rick_Pescatore And I know more about labs than you ever will, just like you know more about triaging patients than you ever will 🤷‍♂️

Doctor married to a lawyer here: Completely agree.

@Rick_Pescatore And when I say running labs, I'm not talking about small community hospital chemistry, which is "high complexity" I'm talking running a blood bank with attached HLA for transplant, an apharesis lab, and dealing with coags on an ECMO ward and it's just a regular Tuesday.