Gerson Paull, MD @GersonPaull_MD Twitter profile

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Gerson Paull, MD

4 years

My favorite quote: "One should not aim at being possible to understand, but rather impossible to misunderstand." - Quintilian

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Gerson Paull, MD

@GersonPaull_MD

1 year

@NeilFlochMD @Twitter Sorry for your loss. Being born to good parents is like winning the lottery. Something of great luck that we have no control over.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@nntaleb "You own everything that happened to you. Tell your stories. If people wanted you to write warmly about them, they should've behaved better." Anne Lamott

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Gerson Paull, MD

@GersonPaull_MD

3 years

@SandraGarciaJa2 How some people turn out to be so resilient under adverse conditions should be studied. I always pondered this. No child could be given or self-acquire a greater gift. CONGRATULATIONS.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@KelseyObGyn I specifically ask to be seated in the non-smoking section of the Ebola section.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@jmugele As a pathologist, I got lucky and was able to find a cardiologist in business class who was willing to accept a transfer.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@doctornontrad I would like a more detailed history.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@Dr_RShatsky @premera Name the doctor who denied it. Do not give him the benefit of anonymity. This encourages their behavior.

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Gerson Paull, MD

@GersonPaull_MD

4 years

A surgeon that I know was walking his dog near my house. He was dutifully carrying the dog's poop in a bag until he could dispose of it. Being in front of my house, I said "Give the bag to me. I'm a pathologist. We take shit from surgeons."

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Gerson Paull, MD

@GersonPaull_MD

2 years

@AshleyGWinter Importantly guys, it's only OK to pee in the shower when you're taking a shower.

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Gerson Paull, MD

@GersonPaull_MD

3 years

As a pathologist, the vast majority of my satisfaction comes from MY knowledge that the patient benefited from my concern for excellence. Very little comes from any acknowledgement by clinicians. I am happy for others who get more recognition.

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Gerson Paull, MD

@GersonPaull_MD

1 year

I’m in the mood to say this again: there are no great hospitals without great pathologists.

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Gerson Paull, MD

@GersonPaull_MD

2 years

Employer: You are asking for a lot of money for a pathologist with so little experience. Applicant: Well, the job is going to be really hard because I don't know what I'm doing.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@douglakemd @OGdukeneurosurg What do you think that your comment does to affect trust in medicine? It harms it more than that photo.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@JayBWatson If being a doctor has taught me anything it’s try hard not to need a doctor.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@AshleyGWinter My wife had a lot of nausea with her pregnancy. Most of it was during the conception.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@evolutionarypsy @kjdelay1 The ER doctor tells the man whose wife was brought in for chest pain that she has acute angina. The man replied, “I know. She has a cute ass too.”

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Gerson Paull, MD

@GersonPaull_MD

1 year

@nytimes It’s a slippery slope from helping bison to helping people. He’s probably done something like this before and never got caught. At age 78, it’s scary to think about how many kind things he could have done that went unpunished.

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Gerson Paull, MD

@GersonPaull_MD

3 years

I just celebrated 31 years of marriage to a woman that everyone agrees I am unworthy of. The best part is that she doesn't think so. In her field of public health, she has 160 publications and has never said to anyone "I'd be happy to compare your CV to mine". I'm lucky.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@ObjectsLost @MaaloufMD Employers will start putting clauses in contracts that death does not absolve a physician from fulfilling their clinical duties.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@RatickM @DougDrachmanMD @NilayPatelMD @DrDarshanDoshi @MGHHeartHealth @MGHCVFellows It’s a slippery slope from reheating fish to publishing fraudulent scientific articles. Rumor has it that Dr. John Darsee was a big time fish reheater. So now you can understand their vigilance.

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Gerson Paull, MD

@GersonPaull_MD

3 years

For legal purposes, everybody likes to state that their tweets do not represent the opinion of their employer. I might be overly cautious but I state the same thing and I am self-employed.

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Gerson Paull, MD

@GersonPaull_MD

1 year

You pay more for free range chicken eggs. Can you ask more money for the diagnoses from pathologists whose offices have windows?

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Gerson Paull, MD

@GersonPaull_MD

2 years

@DrLongissimus You are correct in that pathologists have no chance of winning a suffering in training contest. Best wishes to those who are eager to win this type of competition.

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Gerson Paull, MD

@GersonPaull_MD

3 years

30 year old male. Incidental omental nodules. Dx: Calcifying fibrous tumors.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@DrStaciT @kjdelay1 Employers would like you to believe that burnout is just a resilience deficiency.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@kjdelay1 Patient to urologist: “I had a vasectomy because I didn’t want children but when I got home they were still there”.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@mariana057 What has Elon done to our sweet Mariana?

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Gerson Paull, MD

@GersonPaull_MD

11 months

“A bottle of water cost $.50 in a supermarket, two dollars at a gym, three dollars at the cinema, and six dollars on an airplane. The only thing that changes its value is the location. So the next time you feel like you’re worth nothing, you just might be in the wrong place.”

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Gerson Paull, MD

@GersonPaull_MD

2 years

Food for thought. The spoken or unspoken decision to keep #PathTwitter basically devoid of anything other than teaching material does not allow others to see pathologists beyond the stereotype of us.

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Gerson Paull, MD

@GersonPaull_MD

4 years

@yashar @maggieNYT @benyt "At the end of the day, it's all about money." - Garry Kasparov

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Gerson Paull, MD

@GersonPaull_MD

3 years

Mastectomy scar revision. History of large infiltrating lobular carcinoma (> 10 cm). Nevus cells!

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Gerson Paull, MD

@GersonPaull_MD

2 years

@DruvBhagavan @DrLaurenWilson @DGlaucomflecken Should the names of AnthemBCBS (or other healthcare companies) employees be used in tweets such as that of Dr. Wilson? Would a lack of anonymity be something that discourages future denials? Is it wrong? Opinions, please.

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Gerson Paull, MD

@GersonPaull_MD

3 years

My wife is threatening to divorce me and take half of my Twitter followers.

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Gerson Paull, MD

@GersonPaull_MD

10 months

Johns Hopkins pathologist Jonathan Epstein has been on leave since May - The Washington Post

Prominent pathologist at Johns Hopkins on leave, facing bullying claims

Johns Hopkins pathology workers told reviewers that they were uncomfortable speaking up regarding “intimidation” or “bullying” behavior by a department leader.

www.washingtonpost.com

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Gerson Paull, MD

@GersonPaull_MD

2 years

Be careful about agreeing to work for a pathology group that wants you to sign a non-compete with a 50 mile radius around EVERY place they do business.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@AAlhatem_MD Is there anyway you could put them on YouTube so that people could watch them at any time?

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Gerson Paull, MD

@GersonPaull_MD

3 years

@kjdelay1 "Tradition is peer pressure from the dead."

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Gerson Paull, MD

@GersonPaull_MD

4 years

@llsquared79 @AllisonRBond The older doctors who romanticize the rigors of training "in their day", trained in a time essentially free of malpractice litigation, managed care, and a much more limited diagnostic and therapeutic menu. The suffering of residents should not exceed that of their patients.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@avgmedstudent “When you’re 20 you care what everybody thinks, when you're 40 you stop caring what everyone thinks, when you're 60 you realize no one was ever thinking about you in the first place.” (Falsely attributed to Winston Churchill)

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Gerson Paull, MD

@GersonPaull_MD

3 years

The availability of good jobs in the field of pathology is low enough that I could not in good conscience recommend the specialty to a medical student choosing among pathology and anything else. It pains me to say that.

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Gerson Paull, MD

@GersonPaull_MD

1 year

A medical student is shadowing a surgeon who does a lymph node biopsy on a woman that shows metastatic endometrioid adenocarcinoma. The surgeon doesn’t know that she had a hysterectomy for endometrial adenocarcinoma. Yet, we pathologists are lazy for wanting clinical history.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@patel_doctor My family, in a desire to spend less time with me, is encouraging me to go back and re-train as a surgeon. Note: The above is a joke. Somehow and some way, it will construed as a micro-aggression by someone. Let me prophylactically apologize.

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Gerson Paull, MD

@GersonPaull_MD

2 years

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Gerson Paull, MD

@GersonPaull_MD

1 year

@itsjustmelookin Thank you for being the arbiter of when people give up their right to complain. The world owes you a debt of gratitude.

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Gerson Paull, MD

@GersonPaull_MD

3 years

Give 100% without burnout.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@jzaraterod Scientists recently discovered that if you work people to exhaustion without concern for their well-being for extended periods of time, it has a negative effect on their psyche.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@BeccaBrass If pilots were trained like physicians, the cemeteries would be filled with frequent fliers.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@DrTomFrieden “The music is nothing if the audience is deaf.” - Walter Lippmann

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Gerson Paull, MD

@GersonPaull_MD

3 years

If medical students want to choose a specialty where they will meet the coolest people, they should go into pathology. Those people are in the morgue.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@AspiringERMD Expectations of interns and residents have become obscene and inhumane. Shame on those responsible.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@Docs_R_Us We have lost our humanity. The expectations of interns and residents is absurd. I’m sorry that your struggle has been made unnecessarily harsh. Best wishes.

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Gerson Paull, MD

@GersonPaull_MD

2 years

Attention, especially young pathologists. The price of tail coverage for pathologists has dramatically increased. This is important if you are working for a group that does not pay for it. Learn about it.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@krupam_md We try to find out the patient’s clinical history.

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Gerson Paull, MD

@GersonPaull_MD

3 years

Large cell neuroendocrine carcinoma with Desmin positivity.

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Gerson Paull, MD

@GersonPaull_MD

2 years

I once signed up for a class on how to deal with disappointment...but it was canceled.

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Gerson Paull, MD

@GersonPaull_MD

1 year

@GermHunterMD @smlungpathguy @JMGardnerMD @BeccaBrass @HermelinMD @CArnold_Coach PathTwitter is the greatest thing to happen to our specialty. It showcases accomplished and dynamic pathologists who are the antithesis of the boring pathologists responsible for our stereotype. I credit @JMGardnerMD for his seminal contribution. Thanks to all our superstars.

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Gerson Paull, MD

@GersonPaull_MD

3 years

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Gerson Paull, MD

@GersonPaull_MD

7 months

One uropathologist talking to another: what did you think of that movie, on a scale of 6 to 10?

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Gerson Paull, MD

@GersonPaull_MD

3 years

I am going to become a concierge pathologist. While I review your slides, you get a glass of champagne, a fruit and cheese plate, and aromatherapy.

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Gerson Paull, MD

@GersonPaull_MD

1 year

@TheMicheleWojo Black licorice is the most divisive thing unassociated with politics.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@kjdelay1 YES. This is a disgraceful situation and an embarrassment. Maybe the AMA could do something besides overpay it's executives. James L Madara MD EVP & CEO $2,352,068 Bernard L Hengesbaugh CHIEF OPERATING OFFICER $1,265,783 Kenneth J Sharigian CHIEF STRATEGY OFFICER $1,098,510

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Gerson Paull, MD

@GersonPaull_MD

2 years

@DrCasteelEM This would not be tolerated in the airline industry which is the gold standard for safety. Medicine is disgracefully negligent in this regard.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@PathDocBoston @GaryParizher @ChaseTMAnderson It is a tragic irony that President Biden could solve the problem of the unvaccinated by simply urging people to NOT get vaccinated (and then wink to the camera).

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Gerson Paull, MD

@GersonPaull_MD

2 years

@ErikSolheim @thejourneymate If true, medical residency with its sick and traditional fetish for sleep deprivation is carcinogenic.

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Gerson Paull, MD

@GersonPaull_MD

3 years

Leaders in Medicine talk about burnout with eloquent and sympathetic words but no action is actually taken. They talk the talk but don't walk the walk.

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Gerson Paull, MD

@GersonPaull_MD

9 months

Prostate core biopsies come with the history “elevated PSA”. How hard would it be to simply provide the numerical value of the PSA?

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Gerson Paull, MD

@GersonPaull_MD

3 years

@fuzzymittens I bought my son a cake when he was 8 after he failed a math test (he didn't follow the instructions). I had them write "Happy Failure" on it. I explained that failure was part of life. He asked me if he was going to get a cake every time he failed. I said "No".

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Gerson Paull, MD

@GersonPaull_MD

3 years

@AnandWrites I wish Tony’s dad had pulled out.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@AshleyGWinter Good advice. Don't punish any of your organs that can't be transplanted. Stick to alcohol.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@AaronGoodman33 I don’t give false compliments although if I had my life to live over I certainly would. Based upon your tweets, it is easy to tell you are a superb physician. The kind of physician that others send their loved ones to. There is no higher compliment than that in medicine.

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Gerson Paull, MD

@GersonPaull_MD

3 years

Rubik's prostate.

Ricardo Castañeda, MD

@md_castaneda23

3 years

Producto de prostatectomia radical. Carcinoma acinar de prostata

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Gerson Paull, MD

@GersonPaull_MD

4 years

@ElleElleAre She did you a big favor. She did not masquerade as somebody who wanted to learn. She saved you from wasting your time and effort to teach her. I would have thanked her for that reason.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@NurseTexas1 @DrHarryThomas Call administration and tell them you lost your banana. Ask if there is a lost and found. Tell them it was long and yellow. 😀

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Gerson Paull, MD

@GersonPaull_MD

3 years

@JoshuaTylerMD It's a sad commentary that we have to tell physicians that there are advantages to being a decent human being.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@TristanRutland7 @ZHOUSEH @MattieFarzin @smlungpathguy @ariella8 @Teclis82 @Dr_Brian_Cox @JMGardnerMD @DrGeeONE @atman_ci @TheKarenPinto Your contributions to PathTwitter are a joyous learning experience. This platform brings attention to superstars like yourself that would otherwise be undiscovered. I liken it to shows like "Britain's Got Talent" which is now mimicked around the world. Many thanks.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@AshleyGWinter Who did the seminal work on the physiologic aspects of semen retention?

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Gerson Paull, MD

@GersonPaull_MD

2 years

My wife and I just met a 98 year old woman walking along a public trail. I told her that when my wife married me 31 years ago I was quite a good looking man (a white lie). She replied perfectly “I can see remnants of it”.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@smlungpathguy The pitfall of granular cell tumor and pseudoepitheliomatous hyperplasia is well known. Has anyone ever seen a squamous cell carcinoma under-called as PEH in the setting of a granular cell tumor?

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Gerson Paull, MD

@GersonPaull_MD

10 months

It is time to bring attention to the fact that unethical people at the highest level of academia can destroy or severely hinder the academic lives of others.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@_parasocial @askUHC @denehy1 I don't know Tracy and neither do you. Your wrath seems misplaced. Why don't you tweet the names of the top executives of UHC? Employees are at the mercy of their employers. Painful soul-crushing choices have to be made sometimes. Another job may be an unaffordable luxury.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@AshleyGWinter Went to a crowded bar. My friend was drunk and stood up on the bar and told everybody that I was a pathologist. He said that pathologists are heroes behind the scene at the hospital, making sure that their lab tests and diagnoses are correct. He got us both kicked out.

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Gerson Paull, MD

@GersonPaull_MD

4 years

@tomfolanmd "Genius recognizes genius. Talent recognizes talent. But mediocrity knows nothing higher than itself." --- David Chasman This explains patterns of referral in medicine and so much more in life.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@llsquared79 @IDDoc1978 My unfortunate experience has been that the system will crush people who rock the boat. The system wants vanilla not rocky road. The implied message is that caring for patients is secondary to massaging the egos of your coworkers.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@smlungpathguy I am jealous of Pathology residents who get to train in a time when access to great faculty and learning is so abundant. Not everyone can train at a place with great faculty in all of the sub-specialties. This evens the playing field to a wonderful degree.

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Gerson Paull, MD

@GersonPaull_MD

3 years

Hey, clinicians! Only God does not need clinical information and he is off service.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@FannyPackPA First question to ask yourself: is the criticism valid?

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Gerson Paull, MD

@GersonPaull_MD

3 years

In order not to offend clinicians, I have adopted a new strategy. I will only tell them in the report when clinical correlation is NOT required. Example: Skin of left ear, biopsy: Basal cell carcinoma. Comment: Clinical correlation is NOT required.

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Gerson Paull, MD

@GersonPaull_MD

2 years

@Dr_RShatsky @premera So that I am impossible to misunderstand, I wish to state that I applaud you and admire you.

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Gerson Paull, MD

@GersonPaull_MD

3 years

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Gerson Paull, MD

@GersonPaull_MD

2 years

The great Dr. Rosai commented that some things are best overlooked in regards to the diagnosis of follicular carcinoma with only minimal capsular invasion and no vascular invasion.

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Gerson Paull, MD

@GersonPaull_MD

3 years

Massive localized edema. Cobblestone appearance of skin. Patient has morbid obesity. Dermal fibrosis and fibrous bands intersecting lobules of fat.

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Gerson Paull, MD

@GersonPaull_MD

1 year

All mediocre organizations commit the same sin. They do not reward the good employees. The diligent and the uncaring are given similar treatment, thus destroying the spirit of the diligent.

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Gerson Paull, MD

@GersonPaull_MD

2 years

The six best doctors in the world are... : 1. Sun, 2. Rest , 3. Exercise, 4. Modesty , 5. Self respect 6. Good friends. - Charlie Chaplin who lived to be 88

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Gerson Paull, MD

@GersonPaull_MD

2 years

@JLHornick @JMGardnerMD @Vik_deshpandeMD You are all superstars. I still hope that Dr. Gardner will get a McArthur Genius Award for his seminal contribution to providing free medical education using the internet. @macfound

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Gerson Paull, MD

@GersonPaull_MD

2 years

The specimen available to the pathologist, whether it be cytology, biopsy, or resection has one goal: to make the pathologist look bad. It is your adversary. It is the job of the pathologist to not let it.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@PradVaideeswar @WKemp_MT_4N6 Well, they can tell the husband that he is no longer considered a suspect.

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Gerson Paull, MD

@GersonPaull_MD

3 years

@kjdelay1 If Captain Sully Sullenberger who safely landed his passenger plane in the Hudson River, saving all lives on board, was trained like a doctor, he would have been told "great job but your shift is not over". Best wishes to all young doctors starting out in training.

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Gerson Paull, MD

@GersonPaull_MD

3 years

"Expecting life to treat you well because you are good is like expecting the bull not to charge at you because you are vegetarian".

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