Commsvet11
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Posts posted by Commsvet11
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2 minutes ago, Joe Ferguson forever said:
they wouldn't be needed were there very rarely errors. or at least they'd be very rarely needed. Direct observation by clinicians is an important part of QC. No doubt that's in some MT handbook.
You go ahead and find that then best of luck-
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5 minutes ago, Joe Ferguson forever said:
how rarely is "very rarely"? I'd see it every few months. perhaps our lab was under par. I don't think so.
There are 3rd parties like CAP that send specimens year round for MLS and instruments to run if there is a problem with the instruments that lab will fail the cap survey or if it’s a near miss then an investigation of the instruments will happenThe difference between this 3rd party and you is they have the results and total allowable error
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8 minutes ago, Joe Ferguson forever said:
Pointing to systematic testing errors. Are you suggesting that doesn't happen?
Very rarely, usually it’s more human error, if my QC is out no patient results are released and previous patients are spot checked and rerun against total allowable error. -
8 minutes ago, Joe Ferguson forever said:
nope. done it many times. never been told to f off. That would be very bad form. You think they'd do the same when we discuss the path from a biopsy at tumor board? You really don't know how hospitals work, do you? Also, never ordered CBC without diff. That would be MAGA stupid. A 'peripheral smear for pathology review" is one of the most cost effective "consults" one can do. Actual experts then communicate findings with you.
A path review consult has established criteria for abnormal findings examples are abnormal cell linage, critically high or low WBC, PLT or anything the tech like me finds deserving, I call my results give the results and slide to path and they either agree with me or add in their own comments for things above my scope2 minutes ago, Joe Ferguson forever said:no idea what this means. my order was always for CBC with diff...and I always got the results although when I saw an unusual trend I let them know and they paid attention. but by all means continue....
something tells me you don’t understand lab results which makes you a poor doctor-
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7 minutes ago, Joe Ferguson forever said:
nope. done it many times. never been told to f off. That would be very bad form. You think they'd do the same when we discuss the path from a biopsy at tumor board? You really don't know how hospitals work, do you? Also, never ordered CBC without diff. That would be MAGA stupid.
lol you order CBC when a differential has been done for the day for example patient comes in the night before and has a CBC and Diff done the following morning when morning collection is done CBC is ordered because the diff isn’t going to be dramatically different. -
19 minutes ago, Joe Ferguson forever said:
Dude, if I call Dr Smith or Jones in pathology and say their CBC's seem off - Too many elevated WBC counts for example, They're going to do some peripheral smears manually and check the machine. And call me back after it's done.
Wouldn't the world be better off had putin died from covid?
If you called Dr Smith or Dr Jones in pathology they would tell you to ***** off they don’t have time to deal with such a stupid request because QC is done at set times multiple times a day for instruments in laboratories, what are you going to do with that peripheral smear to determine the instrument is incorrect a WBC estimate?
In this example you don’t believe the WBC is correct you miss what should be done, either redraw and rerun on a different specimen or add a diff to the cbc to check the neutrophil count for infection that’s what actual physicians do
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8 minutes ago, Joe Ferguson forever said:
A
and PCR. so you take the sample, put it on a cassette, push the cassette into the machine and it spits out a result. and you need to calibrate the machine maybe once a day? And even then, physicians will report aberrant results, sometimes requiring recalibration or change of controls. So that part can be challenging I guess.Wouldn't America be better off if Putin died from Covid?
The process is more involved than that, and physicians have no control over calibration or QC in the laboratory-
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38 minutes ago, Joe Ferguson forever said:
so educate me. In the hallowed halls of the lab, what is the methodology for rsv, flu, strep, covid multi tests? How do you do all those tests on one nasal swab sample with pipettes, chromatography or bench reagents? My career more than satisfied me.
Well for your point of care example of the Cepheid the cartridges have a reagent/master mix of nuclei acid for the specific strain, extracts and amplifies and detects the virus.
I could go into more detail such as N2 and E nucleic targets but seeing how you couldn’t respond to NC posts on the subject I doubt you could comprehend
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10 minutes ago, Joe Ferguson forever said:
This was surprisingly difficult to findhttps://info.cepheid.com/l/287772/2021-08-02/2jln25?utm_campaign=2024-NAM-US-PARENT-PPC-SEARCH-BRAND-PCRplus&utm_medium=cpc&LeadCampaignID=701Hs000002IU3hIAG&utm_source=bing&utm_term=Cepheid pcr&utm_content=broad-match&msclkid=9cc79526d1fa10a40d28f22e92594066
The GeneXpert and GeneXpert Infinity Systems are available in 2 to 80 modules to meet your lab capacity testing needs and can run our entire menu of tests. Cepheid's GeneXpert Xpress utilizes the same cartridge and module technology in a point of care system designed for near-patient healthcare settings capable of running our CLIA-waived respiratory testing menu.
let's keep playing. this is good fun/.
A sed rate is a nonspecific test for inflammation but can help with some rheumatologic dxes. If it very high a nothing else is suggested, you look for cancer. Obviously many other causes- infection, lupus, polymyalgia rheumatic, temporsal arteritis, nephritis, myocarditis but this is easily searched unlike the methodology for the multi covid test.
As I said point of care instrument, not the thingy on the idiot proof instrument and you finally got one right “doctor” I’m guessing you had at least two malpractice suits right?-
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32 minutes ago, Joe Ferguson forever said:
We don’t have virology departments in our hospitals. These tests are done on cassettes on idiot proof instruments just like chemistries. Even you could do them. But toxicology. Yeah. Different story. And bs, I don’t need to know what subdept of the lab does any test. I used to do plasma catecholamine assays at my tox station. When a urologist or endo had a question hecalled the pathologist who directed them to me. Did you really work in a hospital? Shite most of the time I had residents who would follow up on questionable labs for me
See there is another tell “cassette on idiot proof instrument” that’s called a Point of Care instrument and only limited chemistry such as ionized calcium can be done, why don’t you tell us all what a sed rate is and is it clinically significant?-
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1 minute ago, BillsFanNC said:
😂
Tell us all about your monoclonal antibody development experience Quack.
Maybe your Quack MD skills would come in handy harvesting mouse splenocytes to fuse with myeloma cells, but that's about all you'd be good for. We need to screen those hybridomas then make some ascites!
After that tell us about what type of conjugation chemistry did you use to tether your candidate antibodies to the colloidal gold?
Monoclonal or polyclonal capture antibodies on the nitrocellulose? We need high specificity, can't be having false positives now.
How are your primer design skills? Pretty rusty I'll bet.
Utilize that sterile technique... RNAses everywhere....
And don't forget the reverse transciptase in your master mix!
You're a clown!
Now Now he will just say doctors don’t need to understand that-
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21 minutes ago, Joe Ferguson forever said:
lol. I believe it’s done in chemistry as opposed to micro. As an attending why would I need to know. Any questions would just require a call to path. None of which has anything to do with trump sending scarce tests to putin
As an attending you should understand laboratory testing and results for diagnosis. Currently it doesn’t seem you do, you think Covid is a chemistry department test, Micro would have been acceptable answer more specifically in molecular or virology sub department because as a physician you should know Covid is a virus.-
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8 minutes ago, Joe Ferguson forever said:
In our hospitals, the lab. And pathologists sent out emails on interpretation, sensitivity and specificity
The lab yes, but the question was which department of the laboratory? See this is why people question your credentials, you seem to lack a specific set of knowledge that most physicians would know-
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19 minutes ago, Joe Ferguson forever said:
Re the batch testing, within a month our urgent cares had the rsv flu covid assay and so did our hospital labs. The ref labs initially were doing a single covid assay
And that Covid 19 was added to existing instruments for the Flu A/B RSV Strep testing it’s still available as a stand alone test but most physicians use the combo Covid/FluA/B RSV -
2 minutes ago, Joe Ferguson forever said:
And you believe him. Lol. Where’s he find the time to do research. I’ve got a 6 footer for bird. Be back re Covid testing. Your response is bs
You know what’s interesting…..you are going to be back with Covid testing something you can’t explain right away, so do you have to ask a source or something? As a physician this information of the laboratory should be easy here is a softball question which department of the laboratory does Covid testing fall under? -
3 minutes ago, Tiberius said:
Lies. You people are just pathetic
Trump is bragging about cozying up to our enemies and you just make up BS lies to cover for treason
Alright counter my argument-
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28 minutes ago, The Frankish Reich said:
Commsvet, you make good points. Unlike some others with “expertise” in this area.
But unaddressed are these points:- why send ANY essential equipment directly to Putin at that point in time? Why? You suggest it may have been an act of friendship/comity. But then …
- why deny it happened? The Kremlin said it did. And Woodward didn’t just make it up. If it was normal and important to maintaining good relations, well, then admit and explain.
It’s just … weird.this “what if” game can go too far, but here it’s fair to say “what if it had been Biden and the recipient had been China”
Well I would have the same response if it was Biden to Chinas leader. It wasn’t a money transaction, as I explained before it wasn’t really much of essential equipment, you have a world leader who is terrified of Covid it’s a pretty inexpensive goodwill gesture. You ask why not explain that well just look at the freak out on the tweet where I originally said was hyperbole.
That is of course if the story is true, I myself put under plausible but I’m not trusting the Kremlin or Woodward 100%
As much as it pains some posters on this board the people who are right leaning on this board are educated particularly in STEM
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2 hours ago, Joe Ferguson forever said:
Such bs. We didn’t have any Covid tests for months in our local hospitals. They were send outs to Labcorp etc and took several days to get back. In that situation, why send any testing materials to our enemy? Use every available resource on Americans. It seems that’s what MAGAs say until Russia is involved No doubt, the cassettes and reagents were sent along with the instruments to Putin otherwise they would be useless. In what demented universe does that make sense? Did that gesture stop Putin from invading Ukraine? I think the Russians have now lost 700000 to the war and you think a few tests were going to make a difference on Putin starting the war. He was and is determined to colonize Ukraine. This was a grand gesture meant to show trump’s fealty to Putin. You’re delusional.
Oh this is special, the reason your local hospitals sent out to lab corp which a reference laboratory servicing those local hospitals to begin with was because of the department of the lab that Covid falls under is usually sent out to begin with. The reason it took several days is because of batch testing you run a batch daily because of the volume of testing sent from smaller sites. It in larger hospital that already has that department it could be done in 45 minutes results in an hour.2 hours ago, Joe Ferguson forever said:What’s the basis of your expertise comrade? Commsvet at least plausibly describes working as a lab tech. You wouldn’t have time to work as one or much of anything
I already know NC is at a research level from former conversations, he knows exactly what I’m taking about and could take it further -
40 minutes ago, BillsFanNC said:
You're called MAGA by morons who have zero clue about what any of what you posted above means.
But they "followed the science" so they're all experts!
let’s say the story is True and Trump gave those POC instruments to Putin and makes Putin happy and doesn’t invade Ukraine that’s a pretty damn good trade-
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1 hour ago, The Frankish Reich said:
How so?
Why on earth would Trump do this?
POC testing that’s why, during the pandemic hospitals and reference labs didn’t buy new equipment the manufacturers piggy back on existing PCR technology , take for an example a Cepheid instrument that used PCR to detect Strep Flu A/B and RSV, the manufacturer just added a master mix cartridge for Covid-19.You read that tweet it’s like everybody had to get new equipment and Trump held back millions so people would die.
Then again on this site I’m MAGA so I can’t be a MLS I can only be a stupid red neck.
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6 minutes ago, 4th&long said:
That tweet is some hyperbole there. -
14 minutes ago, stevestojan said:
You…. You realize the person I’m making fun of calls everyone who doesn’t follow his right wing nutjob thoughts “useful idiots?” That guy. Yes. I’m making fun of him. 100%. On a Saturday even.
What do you think that makes you…. -
2 minutes ago, stevestojan said:
Just pointing out some potential root causes of him growing up to become a full fledged right wing weirdo. Was just trying to help! 🫤
oh like how you like spending a Saturday making fun ofstranger online? Sounds like you spent time in a locker or two
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1 hour ago, stevestojan said:
You know he was shoved into more than one locker in high school.
Hey everyone! Look at the “cool” kid on a 90s based social media platform making fun of people because……… of people still having wood paneling?
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Trump is incentivizing Putin to meddle (again) in 2024
in Politics, Polls, and Pundits
Posted
Hi Doctor as you can see here are the results of the 3rd party CAP survey for Potassium which we passed and here are the QC results for the entire year on that instrument notice no results were released unless QC passed, here is a G-curve of the patient population.