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To me the actually fun part was that some of my black guy friends liked this post
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Patient presents to PCP with swelling of the left clavicle persistent for 3 months. Hx of schizoaffective disorder, depression, hypertension and active multiple myeloma. Case goes into consult with multiple physicians. What are considered treatment plans?
For consideration
Heterogenous enlarging left clavicle mass (3.8cmx3.2cm)
Bone marrow suggests plasmacytoma with skewed kappa/lambda ratio, CD138 positive cells (value not reported due to conflicting lab results)
FISH showed 17p deletion.
Labs consistent with previously diagnosed multiple myeloma
Prior treatment included radiotherapy 1 month post initiation of a combination of lenolidomide, bortezomib and dexamethasone
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Why is this sub pretending black people aren't talking about this?
Post skin
You wish honky
Fake Beef
They share a publicist
He literally called him a p-do bro I don't think this shit is fake ๐ญ
Bro if your facial hair is this bad just wax your face and save some money on razors
We need a final solution for people on this sub who don't really know what wiggers are.
!redscarepod, why are you guys so sensitive you can't take a joke at your own expense?
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ๆฐใใๆฅๆฌใฎใญใใ็ปๅ ด๏ผ
ใใใๆฐใใๆฅๆฌใฎใญใใใใญใใใใพใใใใใฎๅฏๆใใใฉๅผทใใฆๅๆขใชๅฐๅฅณใๅฐ้ฃใซ็ซใกๅใใใๅๅฉใใใใใพใใ่ฃธ่ถณใฎใทใงใใใๅคใใใฏใชใจใคใฟใผใฎ้ซๅบฆใชใขใใกใผใทใงใณๆ่กใ็คบใใฆใใพใ
ๆฅฝใใใงใใใใจๅฌใใใงใใใใฉใใฟใผใบ๏ผ
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In all honesty there are no correct answers and only incorrect answers. Possibly a pentad combination could work, you could adjust or go for removal of lenalidomide, change to a two factor drug, initiate differing cycles of dexamethasome could be beneficial due to refusal of ASCT by patient. This is how medicine works, there's no one size fits all and all we can do is attempt to help.
This was a case I worked on with people from MD Anderson, John Hopkins School of medicine, Mt Sinai, New York and unfortunately the patient refused all forms of treatment and expired.
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Didn't have much planned so I called in a lawnscaper who cleared my yard while I just got shit faced drunk off Voodoo Ranger IPS. Had a few old work related things to do but that took like 10 minutes and these bitches act like it take hours.
Now it's just time to play horizon: Zero dawn
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Basically he wanted to do all Christian holidays in Ukraine on same day as catholic have. He failed but also probably later realised there ain't much of Christianity left in the west Europe
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Such is life as a mailman.
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๐ Russian military partially captured Keramik and advanced towards Arkhanhelske in the Avdiivka direction, โ Suspilne. pic.twitter.com/q4OjNFEKFP
— MAKS 23 ๐บ๐ฆ๐ (@Maks_NAFO_FELLA) May 4, 2024
Wtf is even partially captured ?
This village is fully captured
Someone even posted this epic cope map
What's the hold up on conscription and getting more bodies