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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.
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Philippe Stephenson, MD
13.2K posts
Philippe Stephenson, MD
@TotalCytopath
Cytopathologist and breast pathologist at the Centre hospitalier de l'Université de Montréal (CHUM).
Katılım Mayıs 2020
640 Takip Edilen2.3K Takipçiler
In both cases, this ended up being an intrathyroid thymic carcinoma. Hard to be specific without material in the block.
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Especially the last image strikes me as similar to what we see here: x.com/TotalCytopath/…
Philippe Stephenson, MD@TotalCytopath
Second (different Dx):
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Reviewing cases from the past year. Here's an interesting thyroid, where I couldn't make the exact diagnosis with the material, and had to give a differential (which included the ultimate diagnosis).
What would you include?
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@pepeheffernan @Saroja_DeviG @Citopatoroxx @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum I'll admit I've never seen that outside a textbook (at least to my knowledge!).
I guess it looks this cellular, like autoimmune pancreatitis does?
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USCAP attendees from other parts of the world seeing a Buc-ee's for the first time.
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@Saroja_DeviG @pepeheffernan @Citopatoroxx @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum I don't believe I did, or I think I put a comment saying I didn't see such atypia/mitoses/necrosis to favour it.
The presentation did look aggressive, due to local invasion, but we didn't know how quickly it had grown.
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@TotalCytopath @pepeheffernan @Citopatoroxx @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum Looks malignant and I feel like a few areas show squamoid differentiation. Would you include anaplastic thyroid carcinoma in the differential?
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@Citopatoroxx @pepeheffernan @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum No, though always a good thought.
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@TotalCytopath @pepeheffernan @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum Does the patient have a previous history?
Maybe something metastatic.
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@DrRanasaleh @pepeheffernan @Citopatoroxx @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum I don't think I included that in my comment - seemed like not enough cytoplasm to me.
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@TotalCytopath @pepeheffernan @Citopatoroxx @Baskotacytopath @edusqo @VarshaManuchaMD @Arshi_Asma @RazaHoda @FridaRosenblum Follicular neoplasm oncocytic type, Bethesda IV
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It reminded me of this documentary, except that we ostensibly have better roads in Canada.
youtube.com/watch?v=WCiUVr…
YouTube
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Very happy not to be among the eight cars I saw in the ditch on my way home from Ottawa this afternoon.
The drivers all seemed OK, other than needing a tow truck, btw.
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@pepeheffernan @ArghyaBandyopa5 @smlungpathguy Either that or clumped up stain. But it's a bit big for that, and a little pale.
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@ArghyaBandyopa5 @smlungpathguy I would consider the posibility of platelet clumps
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25 years female, FNAC from right parotid swelling. (Clinical diagnosis: Chronic parotitis) What are those tiny structures?
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I will advise any patients on which peptides their cells ought to make, for a fee.
Dr. Spencer Nadolsky@DrNadolsky
There are a lot of non-doctors making peptide recommendations yet have zero liability if there is harm. Zero downside. Only upside for making a lot of money.
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@preta_6 Look up Slavic recipes. Great in borsht.
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Have a big container of sour cream and it will go to waste unless I do something with it. What are your favourite ways to use sour cream?
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@RazaHoda @drkeithsiau I've seen a video of a mobile tiny home in Japan that looked like this. Not sure where the guy goes to the bathrooom, though.
youtube.com/watch?v=7UY2Ck…
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@KMirza You can always get less invasive screening if you like.
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Turned 45 this year and had been procrastinating about scheduling my colonoscopy. Saw this tweet and immediately scheduled it.
Screening saves lives.
As physicians we talk openly about risks. Every intervention has them. The reason screening programs exist is because the data consistently show that the benefits outweigh those risks.
Don’t let misinformation talk you out of preventive care.
Andrew Kaufman MD@AndrewKaufmanMD
Let’s pause and think about what actually happens during a colonoscopy. You’re sedated. A flexible tube with a small camera is inserted into the colon so physicians can examine the lining and remove abnormal growths at the discretion of the doctor. That lesion may become cancerous in 15-20 years or it may never become cancer. In the meantime, poking a little too hard with the instruments can make a hole, leaking fecal matter into your abdominal cavity. So you could end up with emergency surgery for a possible lesion that could possibly become cancerous someday. Now, instead of reacting emotionally or projecting the program you’ve been given, step back and think logically. Does this sound like a good idea? When a procedure can lead to death or permanent damage, don’t you think it’s time to rethink our approach?
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@neoavatara Well, what do the RCT data show? Should be pretty easy to settle.
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Homie @michaelmalice getting out there and educating Americans on what’s coming.
Thank you for spreading this so people can wake up and protect themselves from medical murder.
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@Citopatoroxx So you're back with the people you trained with?
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Y hace 5 años de estas fotos en la graduación de Citopatología, aún en pandemia.
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@DrNadolsky That's what I like about someone like Peter Gotzsche - he shits on drugs he thinks have a poor evidence base, but does it to "alternative medicine" on exactly the same basis.
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Person: I would never take the experimental jab!
Same person: So anyway, I injected 46 different peptides yesterday, none of which have any human RCT data nor come from an fda approved manufacturer.
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