Lainee Bulawa, MS, PA (ASCP)

Pathologists’ Assistant at Mayo Clinic | RFUMS, 2018| Viterbo University, 2015| Tweets do not represent medical advice; opinions are my own. Cases not current.

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@roseannvitale Sometimes I like to just stand there over the cutter’s shoulders and watch it happen in awe.

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@WPathassist @E_Heidi_Cheek @Alysha_Martini That’s a bomb specimen photo ya got there

[AAPA Students @AAPAstudents]

Less than 10 days away from PA Day on April 14, so get ready for some posts celebrating our profession! To kick it off, here's a little infographic that sums up who Pathologists' Assistants are, where we come from, & what we do! #PADay #pathologistsassistant #anatomy #pathology

[E. Heidi Cheek, MHS, PA(ASCP) @E_Heidi_Cheek]

Ovarian CA: 1️⃣Assess if intact/disrupted 2️⃣Surface involvement 3️⃣FT involved/subtle fimbria nodules 4️⃣Examine lining for excrescences/solid/friable areas 5️⃣Describe contents (mucinous/serous)6️⃣Sample solid & excrescences 7️⃣ ?SEE-FIM 8️⃣Measure peritoneal mets (impacts staging)

[Roseann Vitale, MS, PA (ASCP) @roseannvitale]

While health care workers are on the front lines, death care workers also play an important part in the response to the pandemic. Their contributions are essential in tracking mortality rates, protecting the public, and helping grieving family members deal with loss. #pathassist

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@E_Heidi_Cheek @WPathassist @Alysha_Martini @johncheville +1

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@GtoxFmZh0bPg0o8 @Pathology3636 @E_Heidi_Cheek @Alysha_Martini @WPathassist @johncheville @MKendall_PathA @Erica_M_Reed12 @CourtneyHyland8 Unfortunately, I have no books to suggest. 😕 A lot of my knowledge comes from being trained by other more experienced and knowledgeable coworkers @E_Heidi_Cheek

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

When grossing oral maxilla/mandible specimens, knowing the difference between soft tissue and mucosal margins is important. When in doubt, have the surgeon orient you. Also make sure to note bone involvement. Use teeth to help orient. #maxillectomy #pathology

[E. Heidi Cheek, MHS, PA(ASCP) @E_Heidi_Cheek]

Pheochromocytoma: well-circumscribed, pink-red, & medullary-based mass. 10% rule: familial, bilateral, children, malignant, & extradrenal. Note residual adrenal gland parenchyma along periphery. Also super cute 🥰🥰#grosspath

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@E_Heidi_Cheek @KMirza @Path_Matt @WPathassist @AmyHDeekenMD @johncheville @iplaywithorgans @smlungpathguy @HermelinMD @MelanieBoisMD @AAPAstudents Oh it’s gorgeous

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@E_Heidi_Cheek My first tweets were placenta...

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@Danford2013 @E_Heidi_Cheek @Alysha_Martini @WPathassist @johncheville @MKendall_PathA @Erica_M_Reed12 @CourtneyHyland8 The entire bone for this specimen was softened and involved by mass, so I was able to cut through with just a blade. Normally we remove the teeth, section with Stryker saw, fix the section overnight, then use RDO for decal.

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@DrGeeONE @E_Heidi_Cheek @Alysha_Martini @WPathassist @johncheville @MKendall_PathA @Erica_M_Reed12 @CourtneyHyland8 Thank you!

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@roseannvitale @E_Heidi_Cheek @Alysha_Martini @WPathassist @johncheville @MKendall_PathA @Erica_M_Reed12 @CourtneyHyland8 It doesn’t help when there isn’t much for grossing guidelines!

[Alysha Rushton, PA (ASCP), D-ABMDI @Alysha_Martini]

Glioblastoma. The gray-white matter junction can be helpful in identifying these ill-defined tumors grossly. The junction is more “blurred” when involved by tumor in comparison to non-neoplastic tissue. Intratumoral hemorrhage is also a common finding. @E_Heidi_Cheek #surgpath

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

Aishu! We’re all so proud of you!

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@E_Heidi_Cheek @KMirza @AmyHDeekenMD @smlungpathguy @WPathassist @iplaywithorgans @pathologiste08 @Sara_Jiang @SarahEKerrMD @sam_albadri @kabeerkshah #Pathtweetaward

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

@E_Heidi_Cheek @kabeerkshah @smlungpathguy @sam_albadri @ALBoothMD @JMGardnerMD @EEVMD @Path_Matt @MelanieBoisMD @KMirza @DrFNA @WPathassist @Alysha_Martini Hey there! I’m Lainee, I’m also a Pathologists’ Assistant at Mayo. I have a strong affinity for placentas, autopsy, and livers. In my spare time I like to be outside, reading, cross stitching, or having conversations with my “talkative” dog Noodle

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

(2/2) It's important to remember that small specimens still have a large impact on patients' lives (emotional/physical/financial stress of surgery). Clean, focused specimen photography helps care teams put an image to patients' health, and aids putting them at ease/educating them

[Lainee Bulawa, MS, PA (ASCP) @BulawaMs]

Adrenal corticoadenoma: mainly in adults, slight predominance in females. True # of incidence is unknown as they are not diagnosed until symptomatic hormone impact occurs. Most common primary adrenal lesion. Usually small (<5cm) and solitary with well defined capsule... (1/2)