Lauren Smith, MD, HEC-C @lbsmithmd Twitter profile

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Lauren Smith, MD, HEC-C

1 year

My honors thesis @UMich was on the amazing #rothko chapel in 1992. It’s a phenomenal space if you ever have a chance to visit Houston.

Rothko Chapel

@rothkochapel

2 years

Words from a Visitor: "This is such a unique space that allowed me to quiet the noise and worldly concerns that I came here with. I feel lighter and my hope is restored." The Rothko Chapel is open on Tuesday - Sunday from 10am - 6pm.

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

@laurenstricos The obsession with in person routine meetings even occurs amongst antisocial pathologists. I don’t get it. I have no need to have large group meetings in the office in person ever again!

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

What is this cell and when is it seen? #hemepath #MedTwitter #heme

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

@MaaloufMD

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Lauren Smith, MD, HEC-C

@lbsmithmd

10 months

@Judah_Grunstein Yeah let’s have more strained buttons on coats that barely cover the bum in our post-modern world. Lol. I fully enjoyed his thread and appreciate the lesson on classic dressing. Style has nothing to do with it.

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Morphologic diagnosis please? Look carefully #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Auer rods in a dysplastic neutrophil. A rare finding post-ATRA and in some M2 AMLs including t(8;21). This was AMML (M4 for the FAB folks out there). #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Beautiful example of a classic in #pathology #hemepath What is this?

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Small intestine mass. What’s your ddx on H&E? #pathology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Child with fatigue and normal platelet count. What is your diagnosis? #pitallsinheme #PathTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

What kind of #lymphoma is this? No need to magnify. #pathology #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

World’s biggest multinucleated giant cell #Pathtwitter #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Follicular hyperplasia and beautiful monocytoid B-cells after #Covid_19 vaccine. #hematology #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

18 year old with cervical lymphadenopathy. What is your diagnosis? #pathology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

My advice to #pathology junior faculty members: take all of your vacation days. That’s the tweet.

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

Every so often a bone marrow comes along that makes me happy I don’t only do lymph nodes. 65 year old woman with macrocytic anemia and thrombocytosis. What’s your dx? #hemepath #bonemarrow

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

What is the diagnosis? Notice anything unusual? #PathTwitter #MedTwitter #heme

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Young person with enlarged cervical LN. what immunostains would you order? #pathology #VirtualPath #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 months

So proud of @HHamnvag and our @UMichPath @umichmedicine team. Alerted to new acute leukemia 8 am. Clinicians alerted of prelim at 9:30 am. Slide review signed out at 11 am. Flow completed 2 pm. Urgent FISH prelim done at 4:30 pm. What’s the dx? Thanks to the team who came in NYE!

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

What are the 2 diagnoses shown here in this lymph node? #hemepath #pathology #noimmunostains

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

Pre-order our practical new lymph node biopsy book @TheUSCAP . A labor of love by me, Anamarija Perry @UMichPath , and Becky King @MayoClinicPath #PathTwitter #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

@ThorntonMcEnery

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

Amazing gift from my former fellow Vivian Hathuc #MedTwitter #Pathtwitter ❤️❤️❤️❤️❤️❤️❤️

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Small intestine 60-year-old man. What’s your differential? #pathology #Gastroenterology #hemepath #oncology

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

What cytogenetic abnormality are you suspecting? Why? #PathTwitter #medtwitter #leukemia

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

How cool is it to make diagnoses every day on tissues such as this one? Pathologists have unique skills that are cultivated over many years. People ask how I recognize lymphomas. After many years, it’s as easy as seeing the faces of your friends. #pathology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Cells that read the textbook. What’s the clinical presentation? #hemepath #pathology #hematology

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Nice case of primary amyloidosis in bone marrow. Thickened vessels with apple-green birefringence and 10 percent clonal plasma cells. #pathology #hematology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

10 months

My #hemepath @Barbie seems especially timely now. Thanks to Dr. Vivian Hathuc for predicting all the cool trends. #MedTwitter #PathTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Elderly man with buccal ulcer extending to mandible. CD20 and CD30 shown. What would you do next? #pathology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

What is the diagnosis? Immunostain is cyclin D1 #pathology #hemepath #VirtualPath

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Young woman with persistent rash. What is your diagnosis? #hemepath #pathology #dermpath

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Lauren Smith, MD, HEC-C

@lbsmithmd

6 months

70 year old man with history of lymphoma. What kind of lymphoma does he have? #MedTwitter #PathTwitter #heme

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Lauren Smith, MD, HEC-C

@lbsmithmd

6 months

Cluster of cells in the CSF. Is this hematopoietic? Why or why not? #MedTwitter #PathTwitter #cytology #heme

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

Congrats to our new trainees! @UMichPath #PathMatch22

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Young person (30s) with mediastinal mass. Impending SVC syndrome. What’s your differential and most likely dx? #hemepath #pathology What immunostains?

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Young woman with fever and renal failure. What is your diagnosis? #pathology #hemepath #bestcaseever

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

Pro tip: if you’re in the lung, stomach or lymph node, it’s not myeloma. It’s marginal zone lymphoma with plasmacytic differentiation. #hemepath #PathTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

What is the relevant history here? #pathology #hemepath #microbiology

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Amazing case similar to one @DennisOMalleyMD shared with me recently. What do you think is in the plasma cells? #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Remember that “Hodgkin” type R-S cells have a prominent cherry red nucleolus which helps differentiate them from benign immunoblasts. CD30 can also mark immunoblasts so be careful. #PathTwitter #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Cool classic Hodgkin #lymphoma mimicking cat scratch or necrotizing granulomas. A well-known pattern of nodular sclerosis type. CD30 and CD15 pictured. #pathology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

30-year-old woman with a mediastinal mass and SVC syndrome. What is your leading ddx? #PathTwitter #hemepath #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Always remember that starry sky isn’t always #burkitt #lymphoma . Often it’s lymphoblastic lymphoma. #hemepath #pathology

Neha Gupta

@NehGuptaaMD

4 years

Mesenteric mass. Dx? (we had a wonderful lecture by Dr. Medeiros today 6/30) #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Woman with gingival mass. CD4 shown. What stains would you order? #pitfalls #entpath #headandneckpath #hemepath #oralpath

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Not the best H/Es (sorry). But classic morphologic features. What is your diagnosis? #virtualpath #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

10 months

It’s finally out! Excited about my collaboration with these wonderful women. #PathTwitter #MedTwitter #lymphoma #heme @Wolters_Kluwer @MayoClinicPath @mayocliniclabs @UMichPath

Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

Pre-order our practical new lymph node biopsy book @TheUSCAP . A labor of love by me, Anamarija Perry @UMichPath , and Becky King @MayoClinicPath #PathTwitter #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Supraclavicular lymph node. What is the differential diagnosis? #pathology #hemepath

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Crazy a$& plasma cells #pathology #cytology #hematology

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

This is CLL/SLL (see proliferation center in first image). These patients are at risk for herpes lymphadenitis. If the abnormal inclusions were not present, Kikuchi’s/lupus would be a good thought with the abrupt necrosis. Great job folks.

Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

What are the 2 diagnoses shown here in this lymph node? #hemepath #pathology #noimmunostains

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Beautiful micromegakaryocyte and abnormal platelets. When do you see micromegs? #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

@UrbaneDoc4Kids @tnicholsmd @TheAtlantic Yeah I made a positive comment about masks on his post and now all the gd anti-vax/maskers are out to get me. Bring it on.

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

In case you’ve ever wondered about the origin of the name “pawn ball megakaryocytes,” the nuclear lobes are widely-spaced like the symbol. #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

That was me (incognito) showing a bone marrow to a patient. I also did this in lymphoma clinic and patients love it. Would you want to see your biopsy? #patholoy #hemepath #seeingpatients

Michigan Pathology

@UMichPath

5 years

Pathologists at #USCAP2019 : We're curious to hear how you feel about patient-pathologist consultation programs. Would you be willing to fill out this 1-minute survey? #visiblepathologist #patientcenteredpathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

What is this cell? #pathology #hemepath #hematology

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Lauren Smith, MD, HEC-C

@lbsmithmd

6 months

GI cases for Monday. #jobsecurity #PathTwitter #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

It’s sad that so many people think efforts to promote social distancing are laziness or fear. To be clear, I’m not scared of getting this virus. I’m scared of giving it to you or your elderly parents. I’m scared to make rationing decisions. #COVID19

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Hi, I’m Lauren Smith. Hematopathologist and clinical ethicist. As an ethicist and daughter of cancer patients, I believe immediate release of results will cause immeasurable psychological harm @Pathologists #capchat @UMichPath

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

@DGlaucomflecken My pug Lyle loved the squeaky parts

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

To all of the #hematology #oncology trainees out there, please know that #flowcytomery is not indicated in patients with neutrophilia or isolated anemia. It is a test designed to immunophenotype blasts and lymphoma cells. #trusttheautodiff #publicserviceannouncement

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

Elderly person with enlarged lymph node. Differential dx please! #hemepath #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

Soft tissue mass in middle-aged person. What is your ddx? What immunostains would you like? #hemepath #medtwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Fall in MI

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

I’ve been reflecting a lot on what our move offsite did to morale and overall faculty happiness. We moved to a bldg 2-3 mikes from the hospital 5 yrs ago in 2018. #PathTwitter #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

@drninashapiro Yesterday I heard a deli counter worker at a fancy food market in Ann Arbor tell someone that a study just came out showing vaccine causes cancer in kids. I told him he was wrong and he argued that i hadn’t seen it since it just came out. Prob in the J of consp thr.

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Lauren Smith, MD, HEC-C

@lbsmithmd

6 months

Our @UMichPath case. Remember that ATLL can mimic lots of things including T lymphoblastic leukemia #PathTwitter #SH2023

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Frontal bone. What immunostains would you order? #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 months

Pleural fluid of patient with lung mass. What’s your dx? #PathTwitter #MedTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

@UMichPath Photos by Dustin

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

First art show in the books

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Calling all new #meded #pathology trainees. I wish you the best and I hope I can convince you to pursue #hemepath once you’ve started. Congratulations on your excellent career choice. Pathology is the bomb.

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 months

This guy passed his first test to become a certified therapy dog! Coming to a retirement home/hospital or undergrad event @UMich @umichmedicine soon! #therapaws

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

This is an example of leukemic phase of follicular lymphoma. The clefts (pale lines) through the nucleus and lack of cytoplasm are highly characteristic. CLL may look bilobed and have wider indentations. ALL is in the differential but chromatin usually smoother.

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

I’ve been that person more than once and as a pathologist, I need these.

Ruth Ann Crystal, MD

@CatchTheBaby

3 years

"Is there a doctor on the plane?" This JAMA article has printable cards that can remind you what to do in a medical emergency on an airplane. In-Flight Medical Emergencies: A Review @VioletaYammine

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

I never believed that “sinus histiocytosis” in a report could be misinterpreted as Rosai-Dorfman disease until today.

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

(Re)learning things in my new volunteer job as a hospital #autopsy attending. Subtle contraction band necrosis in the myocardium after myocardial infarction. #cardiac #pathology #nolymphomahereguys

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Beautiful immunoblastic DLBCL. Ddx includes plasmablastic lymphoma, ALK + LBCL and PEL. PBL should be CD138 + and CD20 neg (75% EBER). PEL HHV8 +. ALK + usually neg for B-cell markers but may express plasma cell markers and always ALK (usually granular golgi). #hemepath

Usuario

@okja2024

4 years

Axillary node 68 px. CD20+ (pic), BCL2 +, CD3/CD5/MUM1/CD138/BCL6/CD10/EBER neg Ki67 50% #HemePath #lymphoma #pathology #pathologist

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

@VPrasadMDMPH Kids are fine with masks. It’s the adults who don’t think kids are fine. It’s a pandemic.

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

@choo_ek As an introverted woman who hates phone calls, I always find it fascinating that a man would ever talk that much.

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

Currently recruiting a Hematopathologist and #hemepath fellowship director @UMichPath ! See ads on @Pathoutlines and @SocforHemepath for additional details. Apply to work with our dream team!

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Whenever I see immunoblastic morphology I have the same ddx: 1) Immunoblastic DLBCL 2) plasmablastic lymphoma/Anaplastic plasmacytoma 3) PEL (solid variant) 4) ALK pos DLBCL. This guides ipox w/u. What should I do next?

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

@soumya_goblue And it is pretty offensive to say that we chose our specialty for work life balance. We have someone on call 24/7 so it sounds like a communication problem to me. Or maybe you don’t really need negative path to discharge.

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Body fluid on patient with pb lymphocytosis consisting of T-cells expressing normal intensity CD3, CD4, CD5, and CD7. What is your diagnosis? #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Happy Thursday #pathology #cytopathology #cytology

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

Obligatory on my way to @TheUSCAP selfie #nola

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

Yes—many MALT lymphomas are IGG4 positive. Don’t make the mistake of calling it IGG4-related disease!

Sara Javidiparsijani, MD, FCAP

@javidiparsijani

5 years

Interesting case of MALT lymphoma (conjunctiva) that is also IgG4(+)...

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

PSA: if you see amyloid in the head/neck or other tissue sites like lung, it’s probably a MALT lymphoma with extensive plasmacytic diff (not systemic amyloidosis). It may have few B cells or small clusters. #PathTwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

I was so honored to be a visiting professor @CLEClinicLabs hosted by @DrMNichols and @monakashim1 Thank you so much for a wonderful visit.

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

An absolute lymphocytosis in a patient over 50 is a lymphoproliferstive disorder until proven otherwise. Public service announcement. #hemepath #hematology #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

Possibly the nicest thank you note I’ve ever received. #payitforward #randomactsofkindness

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

Happy New Year to everyone on Twitter who has made this solitary year more bearable. Thank you #pathology and #ethics and all other friends.

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

My dad died of GI bleed 12/18/19 after treatment for CMML. I hoped for a better 2020. Now I just hope that #SocialDistancing saves your elderly relatives. I will do everything I can to #FlattenTheCurve for your loved ones. That is my moral duty.

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Come to our @TheUSCAP short course on Wednesday 8-12 featuring the amazing Anamarija Perry and the always entertaining Adam Bagg #USCAP2020 #hemepath #pathology

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

Organ and diagnosis? See- #hemepath doesn’t always need #ipox #Medtwitter

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Lauren Smith, MD, HEC-C

@lbsmithmd

5 years

Beautiful CHL with pleomorphic cells. CD30, CD15 and PAX-5 shown. My wonderful mentor Dr. Bertram Schnitzer told me that CHL can have very pleomorphic cells. #mentor #hemepath #hodgkins

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Three Laurens signing out #hemepath ⁦ @UMichPath ⁩

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

@DGlaucomflecken But do they know the history behind Congo Red???

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Lauren Smith, MD, HEC-C

@lbsmithmd

1 year

The incomparable Dr. Rob McKenna #hemepathgiants #PathTwitter #USCAP2023

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Lauren Smith, MD, HEC-C

@lbsmithmd

2 years

Turquoise lake near Leadville and Camp Hale #Colorado

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Lauren Smith, MD, HEC-C

@lbsmithmd

4 years

Interesting AITL that mimicked Hodgkin on H/E. ICOS and CD21 shown.

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Lauren Smith, MD, HEC-C

@lbsmithmd

3 years

If you are planning on applying to @UMichPath #hemepath fellowship (but have not yet) and you have your heart set on coming to Ann Arbor, please DM me since the process gets earlier every year. #PathTwitter

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