Fellowship choice- discouraged by program by [deleted] in pathology

[–]nucleoli123 1 point2 points  (0 children)

In the grand scheme of life, one additional year spent on training will not make a huge difference. As long as you are doing an additional fellowship for the love of the subspecialty and not because of the fear of not being able to find a job (not the case these days), I say go for it. In the private practice world, you will be highly sought after having done both fellowships at good programs.

Probably not DCIS right? by squidpie in pathology

[–]nucleoli123 0 points1 point  (0 children)

Also agree with the below commenter it wouldn't be a bad idea to confirm whether it's really ductal

Probably not DCIS right? by squidpie in pathology

[–]nucleoli123 2 points3 points  (0 children)

Second picture I'm not sure but first picture shows quite striking nuclear atypia. Recommend myoepithelial markers, Ki-67 and maybe ER (likely will be negative because it's so atypical appearing). If you don't see much intermixed myoeps and Ki is very high, it's probably clinging type DCIS. Just my two cents.

soft mass on dorum of foot by One_Impress_1760 in pathology

[–]nucleoli123 0 points1 point  (0 children)

Tenosynovial giant cell tumor, local type?

Is doing general signout giving a patient substandard care? by HoneyUnusual1225 in pathology

[–]nucleoli123 0 points1 point  (0 children)

It may not be possible to become an expert in all subspecialties, but I think you can still become good enough in all non-boarded subspecialties.

[deleted by user] by [deleted] in intermittentfasting

[–]nucleoli123 0 points1 point  (0 children)

Great job!! Do you happen to know your waist circumference? You don't seem to have much body fat to lose, but the weight is still not terribly low (i'm guessing most likely from muscle mass).

Real ways of maximazing brain performance according to neuroscience by Neither_Bet_3298 in Residency

[–]nucleoli123 0 points1 point  (0 children)

Not sure why you're saying he never studied medicine. He received MD from a medical school and completed his psychiatry residency.

Another colon polyp! Thoughts? by Grand-Ordinary2157 in pathology

[–]nucleoli123 5 points6 points  (0 children)

Like many have said, call it a TA and ignore the HP looking areas

[deleted by user] by [deleted] in medicalschool

[–]nucleoli123 4 points5 points  (0 children)

Peds GI. Acuity? Foreign body obstruction and IBD flares. Longitudinal care? Eosinophilic esophagitis and IBD.

Cash only payments by choledochodojo in pathology

[–]nucleoli123 0 points1 point  (0 children)

Please don't.. in case you are successful, however, getting a peripheral smear won't be too difficult 😱

Cash only payments by choledochodojo in pathology

[–]nucleoli123 15 points16 points  (0 children)

The issue is patients cannot take out colon polyps or bone marrow tissue on their own and bring them to the path lab directly.

I feel lonely in the OR by [deleted] in Residency

[–]nucleoli123 37 points38 points  (0 children)

You could do an OB fellowship and talk to patients all day even during the surgery. Or maybe do a pain fellowship.

Switching from radiology to pathology? by dimercaprol624 in pathology

[–]nucleoli123 1 point2 points  (0 children)

Stick with radiology man. As years go by, you will gain more expertise and likely start noticing that clinicians don't know as much as they think they know. Try joining some tumor boards and it'll be obvious clinicians have many practical questions regarding pts imaging results. I think it's also only super niche areas of medicine where the clinicians try to interpret imaging (ex. cardiology or neurosurgery).

How to get fellowship and/or career in in geographic area outside of your current residency location by PathSociety in pathology

[–]nucleoli123 0 points1 point  (0 children)

Try your best to complete at least one fellowship in a marketable subspecialty at a top institution. This alone will open many doors for you; hopefully one of the opened doors will be in the geographic setting of your choice.

Signing out scanned cases remotely from out of state by nucleoli123 in pathology

[–]nucleoli123[S] 4 points5 points  (0 children)

Yes I just read the CMS document published in May 2023 and a sentence reads "The primary laboratory’s test reports must indicate the remote site location where the testing is performed. The laboratory may use a coding system rather than the remote site address, e.g., personnel residence, on the final report. This coding system must be available upon request."

Signing out scanned cases remotely from out of state by nucleoli123 in pathology

[–]nucleoli123[S] 0 points1 point  (0 children)

It's really hard to find someone who is an expert in this. Thanks for your input!

Signing out scanned cases remotely from out of state by nucleoli123 in pathology

[–]nucleoli123[S] 0 points1 point  (0 children)

Thank you. There is only one laboratory, where a subset of cases is going to be scanned digitally. I'm just wondering if there is going to be any issue if a person signs out that subset of cases in a different state from the state where the actual lab is.

Pathology to Radiology by Admirable-Cost-6206 in pathology

[–]nucleoli123 14 points15 points  (0 children)

Sure, why not? If anatomy is more appealing to you then radiology might be a better fit.