Daniel Skipper, DO

Histopathologic evaluation and reporting in inflammatory bowel disease. A consensus paper sponsored by the Rodger C. Haggitt Gastrointestinal Pathology Society modernpathology.org/article/S0893-… #GIpath

@tony_breu I have HCM and had a myectomy and a mitral valve replacement (mechanical). I take warfarin. I hope at some point in the future there will be an alternative to warfarin. I found this new study quite interesting. ashpublications.org/bloodvth/artic…

1/14 Why can't you use direct oral anticoagulants (DOACs) in patients with mechanical valves (MVs)? DOACs have been one of the most important advances in my career. And yet, the presence of a MV is one of the few contraindications. The reason highlights the unique nature of thrombus formation in those with a MV and provides insights into the evolution of human hemostasis.

Despite simplified diagnostic criteria, intraobserver and interobserver variability remain in the interpretation of colorectal serrated polyps onlinelibrary.wiley.com/doi/10.1111/hi… #GIpath

Just out in AJSP – a paper from our group describing a MAJOR new oddity. Tumors that normally arise in the jaw from tooth🦷precursors (ameloblastoma) – but as lung primaries 🫁! This was a neat collaboration b/w MSKCC, Mayo and UTSW where these cases were encountered independently, and we put our heads together with the help of original contributors and fellows to tackle this puzzle. Time will tell if these are truly exceptional or have been underrecognized. journals.lww.com/ajsp/fulltext/… @JLHornick @ENTpathology @MSKPathology @PulmPathSoc @yro854 @thoracicpath @Path_Matt @SansanoValero @AndreMo77438628

1/ Just out in @ModernPathology New study from our group: A distinct variant of aggressive lung carcinoma with peculiar pathologic features. We called these tumors “SAGA” (solid and granular adenocarcinoma) .. sorting them out was in fact a long and winding saga that led to some unexpected insights. 👇 modernpathology.org/article/S0893-… pubmed.ncbi.nlm.nih.gov/41580239/

@Tiffany_Ba71521 BEWARE, THIS IS A SCAMMER. @Tiffany_Ba71521

Something interesting happens in the altcoin market when interest rates move toward the lower end of the cycle.

Banks are coming for our Stablecoin Yields - they are coming for DEFI, and they are coming for Self Custody - $BTC Loans $ETH Staking, and even $XRP Yields on @FlareNetworks This is where it starts! After what we discovered in our research, they want "ALL The Money." Fight Back Now! Going for 10K signatures! change.org/p/stop-banks-f…

Do you want to cut your surgical pathology reporting time in half? Let me show you what we built. See below if you’re interested in real-world, clinically deployed AI in pathology — not proof-of-concept research. #NextGenerationClinicalInformatics #SurgicalPathology #LLMAgents

Let me make this very clear: Big Banks (think JPMorgan Chase, Bank of America, Wells Fargo, etc.) are lobbying overtime to block Americans from getting higher yields on their savings—while trying to block any rewards or perks from being given to customers. These banks, and others, pay rock-bottom rates on standard savings (often 0.01%–0.05% APY), even as the Fed pays them 4% or more. This massive spread fuels record profits, with almost none passed back to their customers / everyday depositors. Today, the banks are desperately targeting crypto/stablecoins, where platforms plan to offer 4–5%+ yields or rewards. The ABA and other lobbyists are spending millions trying to ban or restrict those yields via bills like the Clarity Act, crying “fairness” and using words like "stability"—when it's really about protecting their low-rate monopoly and preventing deposit flight. This is anti-retail, anti-consumer, and straight-up anti-American. Next time you see a big bank dropping billions on a shiny new Midtown Manhattan HQ, you know exactly where that money comes from: the non-existent interest rate they “pay” you! Fortunately, the big banks are losing this fight as customers wake up to the games… @worldlibertyfi

@PathologyKate I sure wish they were all this easy to spot!

Same node. Caseating granulomas.

@drHTBlungpath Yes. It resembles a myxoid liposarcoma.

I had a feeling today would bring an unexpected diagnostic twist. The patient presents with a solitary lung mass and a remote history of “thigh surgery,” though the nature of that prior procedure remains unclear. As I reviewed the morphology, a familiar pattern began to emerge—does this architecture remind anyone else of a particular entity? @USFpathology #Moffitt #lung #path #pulmpath #thoracic #thoracicpath #PathTwitter #MedEd One of the most rewarding aspects of thoracic pathology is the remarkable breadth of disease processes it encompasses. Each case offers a new opportunity to integrate knowledge across organ systems—whether encountering an unusual metastatic pattern, a previously unrecognized systemic manifestation, or a subtle variation in tumor biology. The constant interplay between pulmonary pathology and the wider landscape of human disease ensures that the field remains both intellectually stimulating and clinically impactful. Thoracic pathology truly exemplifies the excitement of diagnostic medicine: every slide is a new question, every pattern a clue, and every day a reminder of how dynamic and interdisciplinary our work can be.

We recently held the 13th Arkadi M. Ryvlin International Surg Path Symposium in Pilsen, Czech Republic. The *ENTIRE* 3 day course is now available for FREE. World experts present various surgical pathology topics in an "unknowns" format youtube.com/playlist?list=… #PathTwitter

@PathologyKate @slusagar Yes! Now that is funny.

@slusagar @DCSkipperDO true?

attending to the fellow who ordered vimentin on an already-scant soft tissue mass bx

@ZachRector7 Zach! Glad you are doing well. I’m 40 and had open heart surgery to replace my mitral valve (mechanical valve) last year. Being a physician, it was very eye opening becoming the patient. I enjoy listening to your content. Praying for you.

Heart surgery went smooth! My valve did come from a bull so you know what that means! ✅🐂🚀

Patient with pneumothorax. @smlungpathguy will correct me, if I got this wrong 🫣

@PathologyKate What about Warthin-Finkeldey giant cells? Classic for measles but also seen in HIV, Kimura disease, and other entities. Just a thought.

All of my viral stains are negative. It’s only in a focal spot of an otherwise benign lymph node.

@PathologyKate This is great! Dr. Smith! My mentor. The man, the myth, the legend. Tell him I had a microcystic/reticular schwannoma recently. First one I’ve ever seen in real life. And tell him hello for me.

When your favorite neuropathologist has a birthday. #pathology #neuropath

@PathologyKate He’s watching you.

Cloud-like anyone?

After 9 years of training, a pathologist in 2024 will get paid $35.36 to diagnose a person’s cancer, compared to $45 in 2000. That is a 45% decrease in inflation-adjusted income. 0.006% of the US population is trained to do this job. When do we say enough is enough?