Dr. August Bones

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Dr. August Bones

Dr. August Bones

@Ausbones

Dad | Polymath | Academic | Immunologist | Nurse Scientist || #Immunology #Immunochemistry #Microbiology #Allergology #Panomics #Oncology #PublicHealth #MedSurg

Rivendell, Eastern Eriador Sumali Aralık 2009
10.9K Sinusundan13.7K Mga Tagasunod
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Dr. August Bones
Dr. August Bones@Ausbones·
24: Welcome to Episode 1: The Panic Room (The Adrenal Heist). The setting is the Adrenal Glands, two triangular hats sitting atop the Kidneys. They are currently quiet, but inside, the Medulla (the inner sanctum) is packed with high-pressure canisters of Adrenaline (Epinephrine), just waiting for a reason to ruin someone's afternoon. The Calm Before the Storm It’s 8:45 AM. The Human is sitting in a car, listening to a podcast about 'Mindfulness'. The Vagus Nerve is sending 'Soft Life' signals. The Heart is beating a steady 65 BPM. Adrenaline Molecule #001: (Polishing his boots) "Look at them. So peaceful. So 'aligned.' It’s disgusting. I haven't been out of this canister in three days. I’m starting to feel like a background character." Cortisol (The Manager): "Patience. The Human is entering the busiest part of town now. The 'Hustle' is about to provide an opportunity. Check the sensors." The Trigger Suddenly, a danfo bus cuts across the Human’s lane, missing the bumper by an inch. The Human’s eyes widen. The Amygdala (the brain's alarm) screams: "THREAT DETECTED!" The signal hits the Adrenal Glands like a lightning bolt. Cortisol: "Oya! Release the hounds! Open the valves! We are in Fight or Flight mode! This is not a drill!" Adrenaline: "FINALLY! LET'S GOOOOO!" The Hijack Adrenaline floods the bloodstream like a shot of liquid lightning. It hits the Heart first. Adrenaline: "Hey, Heart! Stop the 'Soft Life' rhythm! I want 120 BPM right now! We need to pump blood to the biceps! We might have to fight this bus driver!" The Heart: "But we were just listening to a podcast about–" Adrenaline: "I SAID PUMP! And you, Lungs! Expand the bronchioles! I want maximum oxygen! We need to breathe like we’re sprinting from a leopard!" The Collateral Damage While the Heart and Lungs are racing, the rest of the body is being "defunded." The Stomach: "Hey! Why did the blood flow just drop? I was halfway through digesting that breakfast akara!" Cortisol: "Sorry, Gastric Department. Digestion is a 'luxury' we can't afford right now. All resources are being diverted to the 'Survival Fund.' We’ll get back to your beans in thirty minutes—maybe." The Immune System (The Spleen): "Wait, I was about to fix a minor scratch on the finger,–" Cortisol: "Shut it down! Immunity is for people who aren't about to be 'eaten' by a danfo! Everyone, focus on the muscles!" The "False" Victory The Human isn't actually fighting a leopard. They are just gripping the steering wheel very tightly, sweating, and shouting at the windshield. Adrenaline: "WE SURVIVED! Look at that grip! Look at that focus! The material benefit is... well, we didn't crash." Cortisol: "Good work. Now, I’m going to stick around for the next four hours just to make sure the Human stays 'on edge' and 'productive.' If they try to relax, I’ll trigger a random thought about an unpaid bill." NK Cell: (Floating by in the blood, shaking his head) "See? This is why the 'Steeze' is so hard to maintain. One bus driver behaves badly, and these hormones turn the whole body into a war zone for no reason." #ImmunoTutesFunShades
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Dr. August Bones@Ausbones

23: Welcome to The Bone Marrow, the "Foundry," the "Genesis Block," and the ultimate "Cradle of Steeze." This is where the story begins. Deep inside the femur and the hip bones, far away from the chaos of the outside world, is a high-security, red-lit sanctuary. This isn't a factory; it’s a Womb. Every single second, this place births over 2 million new citizens. The Stem Cell: The "Ancestor" At the very center of the marrow sits the Hematopoietic Stem Cell (HSC). He’s sitting in a golden rocking chair, wearing a traditional embroidered agbada, looking ancient and powerful. Naive T-Cell (to-be): "Baba, what will I be? Will I be a Red Blood Cell and carry the oxygen? Or will I be a Platelet and stop the leaks?" The Ancestor (HSC): "Patience, my child. You have the 'Pluripotency.' You could be anything. But remember – whatever you become, you carry the DNA of the whole family. You are the 'Material Benefit' before the benefit even exists." The Differentiation Department The Ancestor waves his hand, and the young cells move into the Lineage Hall. Here, signaling molecules called Cytokines are acting like career counselors. Cytokine Counselor: "You! You look sturdy. We’re low on Neutrophils today because the Human tripped in the kitchen. Here’s your 14-day supply of toxic granules. Go to the 'Myeloid' wing!" Young Cell #1: "Yes, sir! I’m ready to explode for the cause!" Cytokine Counselor: "And you... you look a bit more 'intellectual.' You’re going to be a Lymphocyte. Go to the 'Lymphoid' wing and wait for your flight to the Thymus. You’ve got a long road of 'Recognition Training' ahead." The Megakaryocyte: The "Big Mama" In a corner, a massive cell thousands of times larger than the others is sitting there, literally falling apart. This is the Megakaryocyte. NK Cell: (Leaning against a bone trabecula, watching) "Look at her. She’s the definition of sacrifice. She doesn't even leave the marrow. She just stays here and buds off tiny pieces of her own body." Megakaryocyte: (Tossing a handful of tiny fragments into a nearby capillary) "Go on, my little Platelets! Go and find a scab to build! If the Human gets a scratch, you be the first ones there! Don't let the 'Soft Life' leak away!" The Final Inspection Before the cells can leave, they have to pass through the Sinusoidal Endothelium, the "Exit Gate" of the Marrow. The Gatekeeper: "Identity check! Are you mature? Do you have your receptors? Are you ready to work 24/7 without a pension?" New Red Blood Cell: "I’ve ejected my nucleus, sir! I’m 100% Hemoglobin! I’m hollow and ready to roll!" The Gatekeeper: "Pass! Welcome to the bloodstream. Try not to get stuck in the Spleen on your first day." The "Soft Life" Origin The NK Cell turns to a group of brand-new B-Cells waiting for their departure. NK Cell: "Always remember where you came from. This place is quiet, it’s warm, and it’s protected by layers of hard calcium. The 'Hustle' out there is only possible because this 'Soft Life' in here never stops. You are the hope of the body. Now, oya, move out! The Human just woke up and needs a fresh batch of immunity!" #ImmuneTutesFunShades

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Dr Ihab Suliman
Dr Ihab Suliman@IhabFathiSulima·
What is the diagnosis ⁉️
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MR RECOUP🔬🥼
MR RECOUP🔬🥼@viswaggie·
@Ausbones @NigeriaStories MDCN wants to have members in all jOHESU Include 6 members of the public to all the councils Make laboratory tests like genetic testing and other molecular tests to be done by doctors Pathologists should be members of MLSCN
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Nigeria Stories
Nigeria Stories@NigeriaStories·
JUST IN: The Association of Medical Laboratory Scientists of Nigeria on Saturday raised serious concerns over a controversial bill before the National Assembly, warning that its passage could destabilise Nigeria’s healthcare system, compromise patient safety, and trigger fresh inter-professional conflict in the sector.
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Nsikak Daniel, MD
Nsikak Daniel, MD@nsidaniel11·
Y’all are busy throwing hate on IMGs for doing the work and matching into US residencies….meanwhile AMGs are leaving clinical medicine less than 1yo out of training. Everybody needs to get with the program!
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Dr. August Bones
Dr. August Bones@Ausbones·
Studies suggest that microplastics can cross the blood-brain barrier, with concentrations in the human brain increasing by nearly 50% between 2016 and 2024.
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Dr. August Bones
Dr. August Bones@Ausbones·
Patients with microplastics found in artery plaque have a higher risk of heart attacks and strokes
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The_Bearded_Dr_Sina
The_Bearded_Dr_Sina@the_beardedsina·
I'm really wondering how hospitals are coping with this electricity issue. I'm hearing some people are even cancelling surgeries, not able to sustain cold chain, electronic medical records are being affected and more. It is a total disaster for the health sector
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Dr. August Bones
Dr. August Bones@Ausbones·
Microplastics have been detected in human blood, liver, kidneys, lungs, heart, stool, and breast milk.
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Morris Monye
Morris Monye@Morris_Monye·
I think every 3-5 years, hotels should strip down and renovate their buildings and interior. You visit some good hotels and it’s feels and smells old.
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Dr. August Bones
Dr. August Bones@Ausbones·
Dear HCW trying to Japa. Turn to content creation. It is a sure way of raising enough resources to self fund the process.
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Dr. August Bones
Dr. August Bones@Ausbones·
When you are under chronic stress, your body releases cortisol, which normally helps reduce inflammation. However, over time, high cortisol levels can cause your immune system to stop responding, leaving you susceptible to infections. #ImmunoTutes
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@ps_wears has been suspended
My colleague called me this morning, she was trembling on phone. She said she came outside snd saw her little baby holding a snake in the compound. That she was so scared she couldn't shout, she went back to call her husband to come see what's up. They can't explain where snake came from, but how did the child even have mind to carry the head😩😩😩 I just dey shout yeeeee years. Hope she is ok? And this isn't the first time the baby is carrying animals or insects that are dangerous. Sometimes last year she carried scorpion and it didn't bite her. The mum is very concerned and scared. Have you ever head of something like this.
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Dr. August Bones
Dr. August Bones@Ausbones·
You may read about the one about paternity here 👇🏼 x.com/i/status/20378…
Dr. August Bones@Ausbones

I wrote this yesterday in response to something like this. For the sake of education 👇🏼 Paternity tests don't automatically rule out chimerism as a matter of routine procedure but laboratories can identify it by looking for specific clues in the DNA data and when a discrepancy is found, by testing multiple tissues from the same person. This is how to avoid a 'false negative' ie a pseudo-exclusion where a biological father is incorrectly told he is not the parent. But first let us examine the problem. 1. Why does chimerism breaks a Standard Test? A standard paternity test compares a child's DNA profile, usually from a buccal (cheek) swab, to the alleged father's DNA profile, usually from a blood sample. The problem is that a chimera has two distinct sets of DNA. The set in their blood (mesoderm) might be different from the set in their cheek cells (ectoderm) or most critically, their sperm (germline). If a man's sperm contains DNA from his "twin" genome, and the paternity test only analyzes his blood (which carries his own genome), the test will show a mismatch, leading to a false exclusion. 2. What is not theSolution ? How do Labs detect chimerism? When a routine test shows a parent-child mismatch, a forensic or specialized genetics lab will investigate further. They look for two main indicators: Indicator 1: Unexpected "Extra" Alleles The first red flag is seeing more than two alleles (gene variants) at a single genetic marker. A normal person inherits one allele from each parent, for a total of two. 🔸In a chimeric individual, a lab may detect three or four alleles at a single locus because cells from two different genomes are present in the sample. Example: A 2025 case study described a paternity test where the child's blood sample showed three alleles at 10 different genetic loci. This was the key clue that led to the diagnosis of chimerism in the child. Indicator 2: The "Avuncular" Relationship Pattern. Sometimes, the standard test doesn't show extra peaks but still produces a baffling result. In a famous 2017 case, a man's DNA test excluded him as the father but showed a probability of 0%. However, closer analysis revealed that his DNA matched the child as an uncle (specifically, a 25% avuncular match) rather than as a father (a 50% match). 🔸 This pattern occurs because the man's tested tissue (blood) contained the genome of his unborn twin. Biologically, the child was actually his nephew, fathered by the twin's genome present in his sperm. 3. The Protocol we use today is by confirming with Multiple tissue samples. If a lab suspects chimerism based on the indicators above, the next step is to test multiple tissues from the same individual to see if their DNA profile is consistent across their body. 🔸Tissues tested: In documented cases, scientists have tested buccal swabs, hair follicles, nail clippings, earwax (cerumen), semen, and skin cells to map the distribution of the two genomes. 🔸 How do we find the Father Genome ? The definitive solution is to test the tissue directly involved in reproduction. In cases of suspected paternal chimerism, analyzing a semen sample will reveal the true genetic makeup of the sperm. If the child's alleles match the alleles found in the semen, paternity is confirmed despite what the blood test says.

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Dr. August Bones
Dr. August Bones@Ausbones·
The principles for maternity test are almost identical to that or the paternity I posted earlier but for those that may not have seen that I will post exclusively for maternity. It is worthy of not that despite the similarities, that the biological context differs slightly because the germline tissue (eggs) is harder to access than sperm. 1. A standard maternity test compares a child’s DNA (usually buccal swab or blood) to the alleged mother’s DNA (usually blood or buccal). If the mother is a chimera, the set of DNA in her blood (mesoderm) or cheek (ectoderm) may be different from the set in her germline (eggs). If the child inherited DNA from a 'twin' genome that is not present in the tested maternal tissue, the test will show mismatches and incorrectly exclude the biological mother. 2. How Do Labs Detect Chimerism in Maternity Cases? The same two indicators apply, but they appear in the mother‑child comparison. Indicator 1: Unexpected “Extra” Alleles At a single genetic marker, a normal person has two alleles. If the mother is chimeric and her sampled tissue contains two cell lines, the lab may see three or four alleles at some loci in her profile. When compared to the child, this creates an inheritance pattern that doesn’t follow Mendelian rules unless both maternal genomes are considered. Indicator 2: Avuncular or Sibling‑Like Pattern If the mother’s tested tissue contains only one of her two genomes, the maternity test may show a probability of 0% but produce a statistical match consistent with an aunt (≈25% shared DNA) rather than a mother (50%). This discrepancy is a red flag. 3. Confirmatory Protocol: Multiple Tissues and Germline Testing When chimerism is suspected, the lab tests multiple tissues from the mother: 🔸 Tissues tested: blood, buccal, hair follicles, skin, nail clippings, and if possible, ovarian tissue or eggs (though eggs are rarely available for routine testing). 🔸Mapping the two genomes: Different tissues may show different proportions of the two cell lines. Finding two distinct DNA profiles across the body confirms chimerism. Definitive proof for maternity: In theory, testing an egg (polar body or oocyte) would reveal the germline genome. Since eggs are not easily obtained, labs instead rely on comparing the child’s DNA to the mother’s multiple somatic tissues. If the child’s alleles match the genome found in the mother’s ovary‑derived tissue (if available) or if the mother shows tri‑allelic patterns that align with the child’s inheritance, maternity can be confirmed despite a buccal or blood mismatch. 4. Important Differences from Paternal Chimerism 1. Access to germline: Sperm is easily collected; eggs are not. Thus, confirming maternal chimerism often remains at the level of explaining the discrepancy rather than directly testing the germline. 2.Detection rate: Maternal chimerism is less frequently reported in paternity/maternity testing because the child’s DNA is compared to the mother’s; if the mother’s blood matches the child, no further analysis is done. It usually comes to light only when a routine test shows an unexpected exclusion or extra alleles. As mentioned earlier the same principles outlines for paternity apply to maternity. Since chimerism violates the assumption of genetic uniformity it is detected in the lab via tri‑allelic patterns or unexpected relationship indices and multi‑tissue analysis (including germline if possible). This is a protocol to avoid a false exclusion. #BonesTutes
Kreative Doctor ⚕️@the_grafixmedic

A similar thing happened in 2015 A man took a DNA test expecting a normal confirmation of fatherhood. Instead, the results came back shocking he was not the father. Even stranger the test suggested he was the child’s uncle. The man had no brother. The mother insisted he was the only possible father. Everything pointed to a mistake but repeated tests gave the same result. So what was going on The answer was a rare condition called chimerism. Before birth, he had absorbed his fraternal twin in the womb. Because of this, his body carried two different sets of DNA. The DNA from his cheek cells used in testing belonged to one identity. But his sperm carried the DNA of the absorbed twin. So when the child was conceived, the genetic material came from that second DNA line making the child appear like a nephew instead of a son. In reality, he was still the biological father just through a different genetic identity within his own body. One body. Two DNA profiles.

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Emerie😉
Emerie😉@doc_2be·
@Ausbones Really interesting and amazing
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Dr. August Bones
Dr. August Bones@Ausbones·
I wrote this yesterday in response to something like this. For the sake of education 👇🏼 Paternity tests don't automatically rule out chimerism as a matter of routine procedure but laboratories can identify it by looking for specific clues in the DNA data and when a discrepancy is found, by testing multiple tissues from the same person. This is how to avoid a 'false negative' ie a pseudo-exclusion where a biological father is incorrectly told he is not the parent. But first let us examine the problem. 1. Why does chimerism breaks a Standard Test? A standard paternity test compares a child's DNA profile, usually from a buccal (cheek) swab, to the alleged father's DNA profile, usually from a blood sample. The problem is that a chimera has two distinct sets of DNA. The set in their blood (mesoderm) might be different from the set in their cheek cells (ectoderm) or most critically, their sperm (germline). If a man's sperm contains DNA from his "twin" genome, and the paternity test only analyzes his blood (which carries his own genome), the test will show a mismatch, leading to a false exclusion. 2. What is not theSolution ? How do Labs detect chimerism? When a routine test shows a parent-child mismatch, a forensic or specialized genetics lab will investigate further. They look for two main indicators: Indicator 1: Unexpected "Extra" Alleles The first red flag is seeing more than two alleles (gene variants) at a single genetic marker. A normal person inherits one allele from each parent, for a total of two. 🔸In a chimeric individual, a lab may detect three or four alleles at a single locus because cells from two different genomes are present in the sample. Example: A 2025 case study described a paternity test where the child's blood sample showed three alleles at 10 different genetic loci. This was the key clue that led to the diagnosis of chimerism in the child. Indicator 2: The "Avuncular" Relationship Pattern. Sometimes, the standard test doesn't show extra peaks but still produces a baffling result. In a famous 2017 case, a man's DNA test excluded him as the father but showed a probability of 0%. However, closer analysis revealed that his DNA matched the child as an uncle (specifically, a 25% avuncular match) rather than as a father (a 50% match). 🔸 This pattern occurs because the man's tested tissue (blood) contained the genome of his unborn twin. Biologically, the child was actually his nephew, fathered by the twin's genome present in his sperm. 3. The Protocol we use today is by confirming with Multiple tissue samples. If a lab suspects chimerism based on the indicators above, the next step is to test multiple tissues from the same individual to see if their DNA profile is consistent across their body. 🔸Tissues tested: In documented cases, scientists have tested buccal swabs, hair follicles, nail clippings, earwax (cerumen), semen, and skin cells to map the distribution of the two genomes. 🔸 How do we find the Father Genome ? The definitive solution is to test the tissue directly involved in reproduction. In cases of suspected paternal chimerism, analyzing a semen sample will reveal the true genetic makeup of the sperm. If the child's alleles match the alleles found in the semen, paternity is confirmed despite what the blood test says.
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Kreative Doctor ⚕️
Kreative Doctor ⚕️@the_grafixmedic·
A similar thing happened in 2015 A man took a DNA test expecting a normal confirmation of fatherhood. Instead, the results came back shocking he was not the father. Even stranger the test suggested he was the child’s uncle. The man had no brother. The mother insisted he was the only possible father. Everything pointed to a mistake but repeated tests gave the same result. So what was going on The answer was a rare condition called chimerism. Before birth, he had absorbed his fraternal twin in the womb. Because of this, his body carried two different sets of DNA. The DNA from his cheek cells used in testing belonged to one identity. But his sperm carried the DNA of the absorbed twin. So when the child was conceived, the genetic material came from that second DNA line making the child appear like a nephew instead of a son. In reality, he was still the biological father just through a different genetic identity within his own body. One body. Two DNA profiles.
Kreative Doctor ⚕️@the_grafixmedic

She gave birth to her children but DNA said they were not hers. Lydia Fairchild nearly lost her children not because she was not their mother but because science said she was not. While applying for state assistance in Washington, a routine DNA test was done. The results came back shocking Lydia was not a genetic match to her own children. Authorities suspected fraud. She was accused of possibly trying to claim benefits for children who were not hers. Even during her pregnancy with her third child, doctors witnessed her give birth yet DNA tests still said she was not the mother. It made no sense until a rare explanation emerged. Lydia was a human chimera. Early in development, she had absorbed her fraternal twin. As a result, her body carried two different sets of DNA. The DNA in her blood and cheek cells did not match her children but the DNA in her reproductive organs did. In simple terms the part of her body that formed her eggs came from her twin. A cervical tissue test finally confirmed it she was the biological mother all along. One body. Two genetic identities. A case that challenged assumptions about identity motherhood and even what DNA evidence really means.

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Dr. August Bones
Dr. August Bones@Ausbones·
@Zara_jae2 @DrJohnAfam There are only three possible scenarios here. 1. Baby is switched (maternity & paternity are -ve). 2. There is paternity fraud (maternity is +ve; paternity is -ve) 3. There is no paternity fraud (maternity is +ve; Paternity is -ve this is rare then chimerism is queried).
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Dr. August Bones
Dr. August Bones@Ausbones·
Autoimmune diseases, such as lupus, happen when the immune system gets confused and attacks healthy tissue. The name lupus actually comes from the Latin word for wolf, because medieval doctors thought the skin lesions looked like wolf bites. #ImmunoTutes
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