Random non-MCAT and only peripherally related to the MCAT thread - Part 6

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Welcome to Part 6! Everyone did a bang up job by hitting 10k in less than 12 days--11 days 19 hours and 18 minutes to be exact. A new record! 😀

For those not familiar with what we do here, Molly has been kind enough to put together a nice description.

MollyMalone said:
Not sure what the Random thread is all about? Well, here's the answer to all your questions.

It's basically a restaurant. That serves breaststicks. And lots of cute fruit and veggies. And is patronized by a HO. And Tucker Carlson. Vin Diesel, too. Lots of race car drivers eat here, as well. We're very well respected by the Amish... one girl in particular is here almost all the time.

The food is great if you're low on iron. It's not on the menu, but you can ask about the special secret garlic cure home recipe. One of the hostesses often makes weather predictions, but she's not always around. I think she has another job with the government. Or a government. Something like that. One of the other hostesses says "Bitch, please," a lot, but she's joking... don't take it personally.

Forget anything you've heard about the girl who died here from arsenic poisoning. That was a long time ago, and she's still alive, anyway... just busy so she doesn't come in as much. Besides, a little arsenic adds a lot of flavor to just about any dish.

Pretty flowers by the entrance, hey? Lilis, they are. Beautiful. And the music is totally hopping... we have our very own DJ. Looks a little like Brad Pitt.

I guess that's pretty much all you need to know. I'm usually in the corner booth over there drinking a nice glass of wine. You're welcome to join me, anytime. We're open 24/7.
Click to expand...

And the final tally from Part 5:

WilliamsF1 2,128
RAD11 1,484
Nikki2002 587
jlw9698 458
Anastasis 410
mshheaddoc 384
Dr Durden 367
Arsenic 366
MollyMalone 362
supernova33418 355
beary 353
megboo 259
ironmanf14 252
oxeye 242
BrettBatchelor 240
da_donut 193
Crazy Canuck 184
QofQuimica 184
Dr. Pepper 180
scentimint 162
EvoDevo 147
lilithny 128
UMP 117
TypeA 108
AWhitehair 104
Teerawit 87
Tanner82 79
abadri421 45
DRKUBA 44
gujuDoc 31
Cozmosis 23
leesh 7
dr.kicia 1
X_Marker 1
ylitia 1
bananaface 1
MicroBugs 1
Noeljan 1
Jacks Mannequin 1

We've been through highs and lows in Part 5. From the final matches of Andre Agassi's career to the loss of the World's friend, Mr. Steve Irwin. May he rest in piece.

With all that said, let the green flag wave! Boogity Boogity Boogity!!!

greenflagwaveqk5.gif
 
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beary said:
Artificial heart approved

Interesting news story. You sure would think that with all the rejection problems, etc. with transplants that artificial hearts would be better. But obviously they're not. Cool technology though.

9791119_240X180.jpg
Click to expand...
They've put quite a few of those in here at Louisville already.
 
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wow i cant believe part 5 closed out like that in a day. oh well i'll catch this one hopefully

only got one thing to say: sharapova's in her little black dress is so hot. she can wair anything and look incredible. sorry if that pisses the anti tennis people off

im out till later
pce
 
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OK, you guys asked for it!!

You're a pre-med female shadowing Arsenic for "clinical experience" (meaning, he's a hottie). Arsenic has had a long day in clinic and does his 1000th pap smear of the day. He takes the cells from the cervical canal and puts them to transport medium, where they are then sent to beary, the friendly neighborhood pathologist.

Beary, who has a half hour turn around time, immediately gets to work staining and looking at the cells. Since you are an enthusiastic pre-med, you run over to beary's little scope (hurry, before she signs it out!) You see this:

c05705-c1.jpg


Beary says, whoa, high nuclear/cytoplasmic ratio in these here cells. Look at those pleomorphic, hyperchromatic nuclei! You're like, wtf, damn pathologist can't speak English, and go back to Arsenic. Arsenic decides to do a colposcopy and identify suspicious areas with acetic acid. He shows you this:

MII21.jpg


What do you think this patient has and what should Arsenic do next?
 
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beary said:
OK, you guys asked for it!!

You're a pre-med female shadowing Arsenic for "clinical experience" (meaning, he's a hottie). Arsenic has had a long day in clinic and does his 1000th pap smear of the day. He takes the cells from the cervical canal and puts them to transport medium, where they are then sent to beary, the friendly neighborhood pathologist.

Beary, who has a half hour turn around time, immediately gets to work staining and looking at the cells. Since you are an enthusiastic pre-med, you run over to beary's little scope (hurry, before she signs it out!) You see this:

c05705-c1.jpg


Beary says, whoa, high nuclear/cytoplasmic ratio in these here cells. Look at those pleomorphic, hyperchromatic nuclei! You're like, wtf, damn pathologist can't speak English, and go back to Arsenic. Arsenic decides to do a colposcopy and identify suspicious areas with acetic acid. He shows you this:

MII21.jpg


What do you think this patient has and what should Arsenic do next?
Click to expand...
Cervical dysplasia - he should biopsy it and send it to you. 😉 The acetic acid turns the bad areas white. 😀

I saw a few of these during my shadowing. 😉
 
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beary said:
Beary says, whoa, high nuclear/cytoplasmic ratio in these here cells. Look at those pleomorphic, hyperchromatic nuclei! You're like, wtf, damn pathologist can't speak English, and go back to Arsenic. Arsenic decides to do a colposcopy and identify suspicious areas with acetic acid. He shows you this:


What do you think this patient has and what should Arsenic do next?
Click to expand...

omg, you crack me up woman. :laugh: :laugh: :laugh: :laugh: :laugh:

answer: arsenic says, "wtf... i need to go study for my shelf, let me get that resident in here." :meanie:

the funny thing is that we were in colpo clinic today (no joke). beary you are a stalker, i'm sure of it now. 😱 😉
 
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oh my goodness. 1st post in Random v.6.0. and yes- I did actually read (ok, skim) 18 pages in Random 5.

so let me say:

megboo- I have not talked w/Mama W nor received any emails, so I don't know about the gift- sorry 🙁

Brett and RAD- congrats on 7500 and 2000 respectively! sorry I wasn't there to DJ for y'all...

Durden- things were moving fast, but I suggested that we play a New Orleans Jazz Funeral for a dead thread. you know- celebrating the life of the thread after its corporeal death? whaddaya think?

Williams- nice pinch-hit on the DJing. Don't let it go to your head. 😉 also- I saw your SNL/Jeopardy posts- one of my adolescent private clients has on occasion referred to me as her "The Rapist", which always cracks me up.

Cozmosis- HBDTY

Arsenic- nice avatar :laugh:

Nikki- congrats on your test :clap:

TypeA- hope school's going well, dear! and seriously- lay off the mojitos. easiest way to not get mint leaves in your teeth. :meanie:

beary- a crotch rocket? seriously? okaaaaaaaayy...

mush- hope all is well and the man is home soon!

Ana- sorry you got robbed of 10K, but congrats on the last post in 5!

Oxeye- so if your kids are in the crate..... is the dog sleeping in the crib? 😕

Is that everyone? Who am I missing? And I'm sorry if I missed you- I'm doing this from memory.....
 
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megboo said:
A primary amelanotic cancer of the cervix or vagina. Treatment: irradiation, chemotherapy. Referral to oncology.

Edit x 2: I said melanoma when I meant cx!
Click to expand...

Aww, megboo, you just had me going on the craziest differential of the day. I was like, well, I don't think it's melanoma, but could it be??

You can get melanoma in the vagina or cervix, and they do stain acetowhite. BUT, the cytology is different (I didn't know any of this until just this minute). Melanoma has characteristic huge nucleoli and the cells tend to be more isolated. Here is a picture of melanoma cytology:
resp205li.jpg
 
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jlw9698 said:
oh my goodness. 1st post in Random v.6.0. and yes- I did actually read (ok, skim) 18 pages in Random 5.

so let me say: ...

Is that everyone? Who am I missing? And I'm sorry if I missed you- I'm doing this from memory.....
Click to expand...

Gold star for that review! 👍
 
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beary said:
Aww, megboo, you just had me going on the craziest differential of the day. I was like, well, I don't think it's melanoma, but could it be??
Click to expand...

yeah - I went back to read my post and I read "amelanotic melanoma". I thought -- ooooh THERE's something you don't see everyday! But really I posted the wrong word.
 
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jlw9698 said:
😳 memory like a fricking elephant for trivia.

wish I could remember to pick up the dry cleaning or something useful. actually, I wish I could remember to drop it off. 😳
Click to expand...

The patience to plow through that many pages of Randomness awes me more than the memorization.
 
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oxeye said:
Cervical dysplasia - he should biopsy it and send it to you. 😉 The acetic acid turns the bad areas white. 😀

I saw a few of these during my shadowing. 😉
Click to expand...

Yep, oxeye is right on!! Those of you that said cancer could be right, but the cytology is more suggestive of dysplasia (changed cells on the way to becoming cancerous, but not invasive yet). BUT you would need a biopsy to tell for sure, showing the full thickness of the epithelium instead of just random cells like you get on pap.

So, Arsenic did a biopsy today in colposcopy clinic, and sends it to me who's now playing surgical pathologist instead of cytologist. It looks like this:
img0011.jpg


There are atypical cells through the full thickness of the epithelium, making it high grade dysplasia, but not invading, so it's not cancer yet. But you definitely want to get it all out with clear margins.
 
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megboo said:
beary! I missed the crotch rocket conversation! NOOOOOOOOOOOOOOO!

They should only be allowed on specific tracks for one, and two they are a beeaatch to insure.

NONONONONONONONONONONONO
Click to expand...

Whoa, thanks. I was hoping you were here earlier!

My mom went ballistic about me even going shopping for one so I dropped it for now. But I really appreciate your motorcycle/crotch rocket knowledege!
 
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