Anne Herdman Royal, MD

“The River House Broke. We Rushed in the River.” The July 4 Texas flooding ripped our Kerr County home from its pillars, pulling us into the water and into the night. Then morning came.

Unfathomable 💔

This judge is all of us.
#HopeDudesWifeLikesPopcorn

This is simply perfect 🤌🏻

Amazing 💥💉

Converting my 401K into cartons of cigarettes for barter before the market opens tomorrow.

Maybe next time let’s not elect someone who runs because they’re trying to not go to jail?

Jawdropping.

You would expect this in a dictatorship, not the United States.

This country is unrecognizable.

If we really want to “make America healthy again,” we’d have Medicare for All.

4x H&E, prominent sclerotic background of tumor

10x H&E, WDNET

40x, WDNET w/prominent pale sclerosis and patchy calcification

Congo red stain, minimal apple-green birefringence under polarized light, consistent with amyloid deposition

Any clinical significance to amyloid in a pancreatic well-diff neuroendocrine tumor? Assoc with systemic amyloidosis, tx target or anything?
My partner ordered a Congo red on this case and left for me to report, and I can’t find much in the literature.
Do I need to care? 😁
#GIpath #GIsky #PathSky

Because of DOGE, countless Americans are going to die.

Oklahoma is the most embarrassing place to live, for sure.

the single most un-american and anti-constitutional statement ever uttered by an american president

I can't tell if the world is getting worse or we can just hear all the stupid people now.

A diverse flight crew of a gay guy, a Black man, and a woman

A gay guy, a Black man, and a woman walk into a flight deck— that’s not the beginning of a joke, but just a regular day at work! There was so much DEI on this plane that we could hardly get in the air. Luckily my limp wrists were able to wrestle the heavy jet back to the ground 💅🏼

Thank you, Canada!

Did you know?

In 1968, 24 Black men in Pittsburgh revolutionized emergency medicine.

The Freedom House Ambulance Service was established to provide emergency medical care to underserved Black neighborhoods—creating the world’s first paramedics.

Such an important point…

“The country has been hardened by a nine-year deliberate campaign of dehumanization.” — @NicolleDWallace

We didn’t get here overnight. This wasn’t a quick process.

i just cannot get over how much the administration’s response to the crash shows a profound disrespect for the lives of the people they are supposed to serve

Brilliant piece of writing. Spot on. 😣

PLEASE NOTE: Bribes are now called "settlements."

Navajo Nation leaders raise alarm over reports of Indigenous people being questioned and detained during immigration sweeps | CNN At least 15 Indigenous people in Arizona and New Mexico have reported being stopped at their homes and workplaces, questioned or detained by federal law enforcement and asked to produce proof of citiz...

At least 15 Indigenous people in Arizona and New Mexico have reported being stopped at their homes and workplaces, questioned or detained by federal law enforcement and asked to produce proof of citizenship during immigration raids since Wednesday, according to Navajo Nation officials.

An image of me pointing to a closet full of Enfamil cans of various types and colors.

If you're struggling financially due to government fuckery or for any reason really and you need infant formula talk to your pediatrician we can hook you up and don't like to ask questions.

From the fednews community on Reddit Explore this post and more from the fednews community

This comments section is the first time I've felt even a shred of hope in eight days.

This is oligarchy. This is where we are now, and it’s all fully out in the open. This is where a profound lack of civics education and apathy has dragged us. 😞

Their aim has always been eliminating democracy (aka power with the people) and consolidating that power to themselves, with the sole goal of their own enrichment (and only their own).

This is a superb summary, a 10,000 ft view of exactly what’s happening in this country right now. It’s the culmination of the long game played by a group of very patient, exceptionally wealthy men 😣

Anal canal adenoCA of either type (anal gland vs colorectal) are treated the same - neoadj chemo and then chemoradiation +/- surgery.

Prognosis in anal canal malignancy:
SCC >> adenoCA colorectal phenotype >> adenoCA anal gland phenotype. The latter is very rare compared to either of the others.

Submitted by colorectal surgeon as “anal mass concerning for squamous cell carcinoma” #ButItsNot
Thought it had a fair chance of being anal gland carcinoma (CK7+/CK20-/CDX2-) #ButItsNot

Adenocarcinoma of the anal canal with a colorectal phenotype (CK7-/CK20+/CDX2+)
#PathSky #GISky