The fricking cwowld metwl slid owor my skin like silk sliding dwown a fricking banyister. It dwoesn't take much pwessure wen u have a fricking sharp razwor. Bwood came pwouring immediatewy. That's a fricking gwood sign - the fricking deep cuts are fricking bwight white and take a fricking minyute two start bleeding. I am onye with the fricking pain because I deserve it fwor being worthless and a fricking piece of shit and a fricking bad perswon.

Am I bwoken that my mind cwonstantwy instwucts mwe two self-mutilate, b-word? It feels like there's a fricking gwoblin in my head (the Gwueswome Gwoblin) cwonstantwy egging mwe on two dwo the fricking nyeedfwl and start slicing. Can anyonye relate, b-word? I knyow I'm gwoing two dwo it again twomworwow and it's gwoing two be wose. The fricking cycle's begun again.

Patient presents to PCP with swelling of the left clavicle persistent for 3 months. Hx of schizoaffective disorder, depression, hypertension and active multiple myeloma. Case goes into consult with multiple physicians. What are considered treatment plans?

For consideration

Heterogenous enlarging left clavicle mass (3.8cmx3.2cm)

Bone marrow suggests plasmacytoma with skewed kappa/lambda ratio, CD138 positive cells (value not reported due to conflicting lab results)

FISH showed 17p deletion.

Labs consistent with previously diagnosed multiple myeloma

Prior treatment included radiotherapy 1 month post initiation of a combination of lenolidomide, bortezomib and dexamethasone

The drunk r-slurs in the Alberta government are upset the public isn't buying their Alberta Pension Plan bs, plus them shoving Bill 20 onto Albertans.

Bill 20 creates political parties at the municipal level in Alberta, 70% of Albertans don't want that. And it also allows for the Cabinet to fire democratically elected city councillors behind closed doors, and then there's the r-slurred ban on electronic tabulators.

Source account: https://instagram.com/tkk220/

If you ad a cigan anywhere that would be as subtracting at least 10 non cigans

It's called Misinformation Superspreader.

!badgemaxxers !r-slurs Upvote this for the awareness of other dramatards