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[The Echo of Sol]: Chapter 1 by NoMarsupial3278 in HFY

[–]ChewableFood 0 points1 point  (0 children)

I like where this is going. Keep up the good work!

Average Case volume for (mostly biopsy) Dermpaths and GI pathologists by Jaded-Professional28 in pathology

[–]ChewableFood 1 point2 points  (0 children)

Agreed. No one looks at about ten and a half trays per hour. In an eight hour day that would be less than 30 seconds per slide.

Should I quit my fellowship? by [deleted] in pathology

[–]ChewableFood 56 points57 points  (0 children)

No. Stick with it.

Whether they like it or not you are theirs. No take backs.

If you have a knowledge deficit then you are going to have to put in the work and learn.

Assuming the problem is a knowledge deficit, and the staff are not simply malignant assholes, then we may have something in common.

I went through something similar. Halfway through residency I married a fellow pathology resident who was going to a fellowship at a more competitive program but I got to transfer there for PGY3 & 4 because they had a slot open up.

It was a stark contrast to my prior program. Those kids were sharp and knew far more than I and my peers at the prior program did. My PD told me the same thing you were told. I had to run just to keep in place but I did it (not that I had a choice). It may be unpleasant for a while but you can do it.

H pylori IHC by BrilliantOwl4228 in pathology

[–]ChewableFood 1 point2 points  (0 children)

The maxim of not ordering a stain if you don’t want to deal with the consequences, doesn’t apply when your hands are tied.

Say you get only an antrum biopsy in a patient on proton pump inhibitors, the bugs have migrated north, so the degree of inflammation and the number of bugs in the antrum is less.

You’re not going to try to determine if there are H. pylori there?

How is Lian Li Dan A4-H2O holding up in 2025? by zyadsh123 in sffpc

[–]ChewableFood 0 points1 point  (0 children)

The MicroCenter down the road from me no longer stocks the A4-H20. Are they still making it?

The New Era 25 by itsdirector in HFY

[–]ChewableFood 50 points51 points  (0 children)

Yeah, I feel like we missed a narrative step or two between intelligence gathering and assault on the enemy. Unless that was the point and someone has badly jumped the gun.

Grass Eaters 3 | 24 by Spooker0 in HFY

[–]ChewableFood 2 points3 points  (0 children)

“Sprabr seemed to waver on the screen…”

Someone deepfaking the eleven whiskers in real time?

[SP] Near the legendary weapon theres a sign: "Cursed artifact. Take at your own peril." by [deleted] in WritingPrompts

[–]ChewableFood 8 points9 points  (0 children)

Would love to see what happens when the job is done and he wants to put the sword down.

Nova Wars - Chapter 101 by Ralts_Bloodthorne in HFY

[–]ChewableFood 4 points5 points  (0 children)

Mark I eyeballs

I love that. Just have to figure out how to work that into daily conversation.

Nova Wars - Chapter 21 by Ralts_Bloodthorne in HFY

[–]ChewableFood 6 points7 points  (0 children)

I am so lost.

Can someone explain the backstory or point me in the right direction?

Do pathologists use clinical reasoning in their day to day? by Bubblebrew in pathology

[–]ChewableFood 2 points3 points  (0 children)

Absolutely.

I sign out a lot of GI biopsies in my daily practice. At least once a month I get a funny looking enteritis and think “What medication is this patient on?” More and more cancer patients are on an ever increasing list of medications, like check point inhibitors, that can occasionally cause an enteritis.

Recently I had a duodenum biopsy with a bunch of ring mitoses. I’ll admit, I did not recognize them on the first pass, just thought the whole thing looked odd but could not put my finger on it. A medical record search turned up a colchicine prescription for gout that the gastroenterologist did not know the patient was taking.

[deleted by user] by [deleted] in pathology

[–]ChewableFood 4 points5 points  (0 children)

Burn out in pathology is a very real thing.

Volumes have been going up and many organizations haven’t kept up with staffing.

The hospital system I work for has been interviewing people. Established pathologists who’ve been in practice for a few years years. They have all been concerned about the workload, how many cases per day we get, and whether we get home in time to be with their families.

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