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

Did he just sh*t his pants?!😆 pic.twitter.com/r2IpqziQEu

— Spitfire (@DogRightGirl) May 4, 2024

I wanted to call some posts dumb, it's dramaphoic to allow any kind of space I can't post in but can see

If they want their private dumb shit then it should be hidden

She is on the verge of a breakdown trying to convince herself that she is fine and happy.

“I am aging like fine wine, getting stronger with higher standards”

After listening to this, is she right? Or on the past to owning multiple cats?

🔊

pic.twitter.com/GSoQlrZfBx

— Wall Street Silver (@WallStreetSilv) May 4, 2024

Stray dogs need not be a threat pic.twitter.com/d4CAv5AveQ

— Pramesh CS (@cspramesh) May 4, 2024

Wrong on both counts, both are based and it is typical that one who hates both has this opinion but nice

anyway

Well, then I invent the new word "LessWrongism" to refer to all the ideas discussed there connected to "How does thinking work?" and "How do I think better?".

Maybe now my answer is less confusing: The rationalists are early to LessWrongism.

— Milan Scholz (@mulmpages) May 4, 2024

Good work, @Impassionata3.

Sex and nudity in movies has decreased by almost 40%

Movies with no sexual content has increased from 20% per year to 50%

(Source: https://t.co/LmgzvpEwhS) pic.twitter.com/BzAFYMGvig

— DiscussingFilm (@DiscussingFilm) May 2, 2024

!kino !coomers

https://twitter.com/WigginsWick22/status/1786161920019406901

https://twitter.com/english_shamar/status/1786169545998098925

https://twitter.com/XrayPC/status/1786160561488814582

https://twitter.com/AlexM_Artist/status/1786201043216351449

https://twitter.com/Danno_Cal/status/1786206135395188750

LMFAO come on man

https://twitter.com/MenWhoMadeUSA/status/1786176458676638197

https://twitter.com/theFOWLISHHOUND/status/1786172698969723200

https://twitter.com/sysy_eth/status/1786169399474298928

https://twitter.com/alwaysbored34/status/1786233171727778278

https://twitter.com/TalkerReel92/status/1786180807519764586

https://twitter.com/tafpay/status/1786162505036812700

This is not “engagement farming.” It’s actually a serious problem in Western Culture. Discussed it below with the Director of Russia’s Safe Internet League. https://t.co/4s4Rsj2Rsa

— Jackson Hinkle 🇺🇸 (@jacksonhinklle) May 4, 2024

🤡🥴 Russian Ministry of Internal Affairs announced that Zelensky is "WANTED" under an unnamed article of the Criminal Code... pic.twitter.com/KjjDValoGN

— MAKS 23 🇺🇦👀 (@Maks_NAFO_FELLA) May 4, 2024

The comments making hihihaha but that's the first steep after 23rd they will declare him criminal. You technically can't call other leaders criminals but since Zelenskyy didn't did presidential election and what more important parliament election (Ukraine is parliament country) he can't truly legal cancel election since soon martial law will end in couple of days and only elected parliament can extend it so there will be a hole in legitimacy of Ukrainian gov.

Thus, if not for the war, the regular parliamentary elections would have taken place on 29 October 2023.

At that time Zelenskyy didn't filled presidential election

But he never talked about parliament elections. Because he was always sure his party was going to lose it.

Ukraine's parliament, the Verkhovna Rada, on February 6 passed laws to extend martial law and military mobilization for another 90 days as Russia's full-scale invasion nears the two-year mark. President Volodymyr Zelenskiy on February 5 submitted to the Verkhovna Rada the drafts providing for the extension of the two measures from February 14, in line with the provisions of Ukraine's constitution. This extension is the 10th time since February 24, 2022, when the Kremlin launched its invasion, that the parliament voted on the two measures. The extension will be in effect until at least May 13.

So in couple of days there won't be martial law in Ukraine and parliament can't extend it.

Russian argument that they can't sign any agreement with Zelenskyy because he ain't legal will have strong point and BRICS will support/understand Russian point

!kino !historychads if anyone else wants to join and watch, let me know and I'll ad you. Movie reprise tomorrow again at 15:00 E.T.