CRLA2+ Ph-like 36 year old presented and they called me for help since I'm used to treating Ph-like cases. Fly him out to Kaiser, repeat bone marrow for confirmation at TriCore for molecular and cytogenetics. Results should be out within a week. This shit isn't rocket science, why are they bothering an ex doctor for dumb shit like this. I'd rather discuss the lab results than be asked for speculation.
People need to stop calling me for help because it's a pain in the butt
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Hey doc I got this mole on my back can you take a look?
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I'm not a dermatologist so no. Just see a derm, it doesn't even require a referral
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Be honest, when you were younger, you didn't asked help from boomers ?
@IamGod love sucking peepee
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I asked for help in some cases but this is such an easy case. It was supposed to be Ph+ like but but you just send it to Kaiser or Mt Sinai who will take over the case. If they're busy, just send it to Mayo or treat it yourself. We have nationwide doctors devoted to treatment for this. I brought treatment options to my institution in adult males with it but we were never a national branch for Ph+ like treatment center
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This mb interest you but @IamGod have a pal who when he was 13 was skating then hit a pillar with his peepee and when he went too doctor. The doctor told him everything is fine. But when he turned 18-20 his peepee became permanent inflated. He went too all doctors in Europe and even went too China for trad medicine but nothing helped him and last doctor told him that mb one doctor in Hollywood can fix him. He basically damaged his vines and peepee tissue. He can piss and jerk (told @IamGod about his fav porn star so @IamGod assume he jerks) but he is afraid too date because of his problem with his peepee.
You think such case can be fixed ?
@IamGod love sucking peepee
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Sounds like a case of vein fracturing and development. He sounds kind of fricked but at least he can jerk off?
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Hey doc I just got diagnosed with hypergonadism and having a macropeepee. Would you mind taking a look?
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No. None of that is related to my field.
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Is there a way I can get a bigger peepee? Like a normal big peepee, not one stuffed with a plastic sheethe or I ejected with silicone.
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Heck if I know. Go ask a plastic surgeon.
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That's the thing, I don't want like plastic in there. I want to grow it bigger with stem cells or something. You do bone marrow and cancer stuff, right? Cancer is cells growing in a weird way, and bone is halfway to boner, I just feel like you'd have some ideas.
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Maybe try viagra? I don't know much outside of ER and oncology. That's a question much better suited for a plastic surgeon or PCP.
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dude bussy lmao
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Wtf did you type bro?
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Honestly not that hard to understand. They have a t(9;21) (Philadelphia or Ph) with rearrangement of the CRLA gene that's typical in Ph+ though normally seen in male children and rare in adults. Simple case of terminal leukemia and a 6-9 month prognosis and give them a TKI mixture so it isn't 3-4 months
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Give it up folks, einstein over here has something to say. What's that buddy? Wha- A grammatical error?!? WHAT?!? B... Bu... That can't be possible! Surely not! A GRAMMAR MISTAKE? IN MY SIGHT?!? What a great, absolute miracle that you and your 257 IQ Brain was here to correct it! Thank you! Have my grattitude, Actually, What's your cashapp? I'd like to give you 20$... Know what? While we're at it have the keys to my car. Actually, no, scratch that. Have the keys to my house, go watch my kids grow up and frick my wife. Also, my Paypal username and password is: Ilikesmartazzes4 and 968386329. Go have fun. Thank you for your work.
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