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Fun Blood Fact! General AML

I’m out on vacation for the next week so I’ll give basic Fun Blood Fact! based on high risk patients.

AML: t(15;17) needs results within 12 hours. t(8:21), inv(16) need 24 hour results. t(15;17) is adverse butt the others are good excluding adverse CRAB.

ALL: t(9;22) KMT2A are adverse adults, t(12;21) positive and then CEP 4/10 indeterminate in children.

MDS: See the IPSS scoring guidelines. This is based off of the blast percentage in the morphology and flow, cytogenetic abnormalities and the impact of the tier I molecular variants, clinical presentation and the CBC.

Any further questions will be laughed :marseylove:

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HI GUYS ITS ME GARRY CHESS HERE WITH YET ANOTHER POST REMINDING YOU THAT I AM A DOCTOR

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HI GUYS ITS A TRAINSPHOBE THAT IGNORES EVERY POST THAT POSTS INTERESTING FACTS WHERE MORE KNOWLEDGE COULD LEAD TO MORE DRAMA

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:marseyreading: :marseysmoothbrain:

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:marseyproctologist:

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Dammit geese, I don’t want their bussy, I want their sweet sweet hips.

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:marseymeds: :marseydisagree:

:marseyaward::marseyrage:

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B O R I N G

Post good medical facts

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Name a non boring medical fact then :marseyshrug:

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Some neurons are LOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOONNNNNNNNNNNNGGGGGGGGGGGGGGGG

(Just Like this comment)

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That is an actual issue unless you have an ROS1, TNF or possibly an ALK issue within your dendritic cells that could lead to loss of chemical transference.

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Also I’m bored so we have dendritic cells in our gastric mucosa. Can you guess their function?

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Immune system bullshit

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We need a mass tagged to call you an r-slur

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Not my fault immunology is boring

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Immunology is fun though. VDJ recombination, cfDNA stem cells promoting biodiversity, pancreatic ability and etc. is a lot of fun!

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The most effective way of making a depressed person not-depressed is still to just strap them to a bed and electrocute them

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butt

Dude bussy lmao


![](/images/16674454055116708.webp)

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:marseyconfused: Just tell me how many aspirins to take

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I don’t know you so like 2mg a day?

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Question: how much are doctors (in either a hospital or office setting) directly influenced by knowledge of billing rules? For example, a wsj study showed that Medicare patients were disproportionately discharged immediately after the hospital was able to bill Medicare for an entire next day stay….like patient might be able to go home but they were discharged at 1AM to get more reimbursement money for the hospital. Private commercial patients with different rules/payment structures were not discharged in this fashion.

How much of this is done bc doctors are told by the hospital to increase revenue? How much is it them being savvy and not directly told?

Also if you have a chemo suite at your office, try to get it changed from place of service 11 to one that can bill at a higher rate 🤗

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Generally smaller offices know more than I do about billing so they’re more sensitive to rules. I know what tests I can do without prior approval by insurance so I try to stay in those guidelines but will order tests that the hospital has to foot the bill for if medicaid or insurance won’t cover if I think it’s clinically warranted. I discharge patients when I feel it’s appropriate to do so, regardless of insurance but I know some for profit hospitals will milk as much money as possible.

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I don't speak r-slur. Try again

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Cancer bad :marseygigaretard:

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Have you ever inspected someone's peepee? And for what reason

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Yes. Standard physical. Undramatically, touch your balls every month and do a touch feel of your entire body every month. If anything feels abnormal, schedule an appointment with your PCP

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touch your balls every month

The reverse would be an impossible challenge for a dramanaut. Thanks doc, prescribed monthly peepee and ball torture :marseypsycho:

What was your wierdest peepee experience.

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Can’t really say since I’ve seen quite a bit. One case I remember was seeing lymphoma that travelled to the septa.

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Speak English, Nerd!

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No. :marseysmug2:

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:bow:

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My dad doesn't understand my switch to Linux or open source software in general. He told me to print a document today, something I hadn't done and never planned to do on Linux since I ditched Windows. I connected the usb cable to my laptop, did an lsusb, it was connected. I went into LibreOffice to print the document, it was undetected. My dad asked, "what can your garbage linux do?" and left the room. After 10 minutes I figured something out and printed the document. I handed it to him and told him my laptop isn't useless. He laughed at me. It almost looked like he proved me right. I knew it wasn't true but something about it just hit me. I don't know why I'm crying rn. Is it because I feel defeated by windows-only hardware or because I'm an incompetent wimp?

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