Professor, Hematopathology, @cbssm, creator of Path of Excellence in Ethics, and Clinical Ethicist @umichmedicine. therapy dog owner. views are own.

Joined November 2016
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My honors thesis @UMich was on the amazing #rothko chapel in 1992. It’s a phenomenal space if you ever have a chance to visit Houston.
Words from a Visitor: "This is such a unique space that allowed me to quiet the noise and worldly concerns that I came here with. I feel lighter and my hope is restored." The Rothko Chapel is open on Tuesday - Sunday from 10am - 6pm.
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My office @UMichPath is 70 sq feet with no windows (and it’s always cloudy) so let me know if you need #hemepath @StanfordPath because that has always been my dream job. #californiadreamin
Hey @IHC_guy! Congrats on your first day! Today is my first day getting cases in my new office at @StanfordPath!
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Lauren Smith, MD, HEC-C retweeted
At #Princeton26 Commencement, President Eisgruber called on graduating students to have the courage to confront challenges and stand up for the values of learning, independent thinking and integrity that higher education institutions like Princeton hold dear. “I know that all of you who receive your degrees today have earned them fully by working hard, deepening your knowledge and acquiring new skills,” he said. “Our world needs not only your knowledge and your skills but also your courage.” In his Commencement address, titled “Learning, Citizenship, and the Courage to Be Unpopular,” Eisgruber emphasized the importance of “civic and personal courage.” “We must be faithful to the standards of truth-seeking inquiry and civic responsibility even when they lead us down difficult paths,” he said, noting the courage needed “to rebut dangerous tendencies and corrosive ideas.” “Dissenting from popular opinion — in politics, in a committee meeting, or in a discussion among friends — will often feel uncomfortable. There is an inevitable temptation to remain silent so as not to hurt other people’s feelings, forfeit their affection or risk retribution,” Eisgruber said. “If we are to live up to the ideals of citizenship and scholarship, we must sometimes speak anyway.” Read his full Commencement address: bit.ly/3RJDkaL
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Young patient with enlarged “lymph node” #PathTwitter #pathology #heme #hemeonc #hemepath
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There is an associated finding in the last H/E (maybe not the world’s best pic). Can you name it?
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Must exclude benign pannuculitis in autoimmune dz (same age group but more CD4 and plasma cells), gamma delta T-cell lymphoma (more aggressive) and extranodal NK/T-cell lymphoma.
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Additional immunophenotype: Positive for TCRBF1, TIA, granzyme and negative for TCRdelta, CD56 and EBER. What is your dx?
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A message from my #ICC co- author for all of the women in lymphoma #heme #PathTwitter
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This is BCL2. What is the diagnosis? #hemepath #PathTwitter #heme #pathology #lymphnodes
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There is no need to find in situ follicular neoplasia (so don’t stain every node) but if you do order stains, make sure you look at them carefully. ISFN often has brighter CD10/BCL2 expression. Patients may have FL in another node or may never develop FL so I don’t seek it out
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Here is the CD10.
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Lauren Smith, MD, HEC-C retweeted
From Shamai Leibowitz: For the @UMich administration, "honoring a suffragette is commendable, celebrating a Jewish pioneer is admirable and praising Black students’ struggle is noble. But dare to suggest that Palestinians, too, possess human rights 1/2 detroitnews.com/story/opinio…
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Lauren Smith, MD, HEC-C retweeted
Orchard Awakening By Jeff Stanford, 2026
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Lauren Smith, MD, HEC-C retweeted
189 scholars, writers, and journalists from around the world, in partnership with @UgandaStudies, call on @UMichPresGrasso & @UMich's administration to extend unwavering support to @Unseen_Archive following last week's commencement. Professor Peterson’s speech emphasized the ideals of justice and human compassion that are cornerstones of all humanistic scholarship. The attacks on the speech, particularly from those in administrative and political leadership, directly undermine the principles of our profession and universities in a divided, violent world. We denounce the inflammatory, violent, and vile comments and threats that have been directed against Peterson. @chronicle @zeteo_news @prem_thakker @CBSDetroit @insidehighered @Jerusalem_Post @CBS @CNN @AP @politico @nytimes
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Lauren Smith, MD, HEC-C retweeted
My piece on the University of Michigan commencement uproar. For U of M alumni, please sign the open letter to university admin linked at end forward.com/opinion/824062/u…
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Lauren Smith, MD, HEC-C retweeted
Below: a statement laying out the context for my 2 May speech before the graduating students @UMich. In summary: I didn't mislead anyone about what I planned to say; neither did I replace one script with another. 1/2 facultysenate.umich.edu/stat…

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Lauren Smith, MD, HEC-C retweeted
💬 Viewpoint: For-profit whole-body #MRI screening of the general adult population is not endorsed by evidence-based guidelines, given the lack of proven benefit and the likelihood that cumulative harms outweigh potential advantages. ja.ma/3R7lYUW
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Lauren Smith, MD, HEC-C retweeted
At @JAMA_current today, 2 radiologists publish what should be the consent form for a total body MRI in healthy people Note: "no major medical society recommends whole-body MRI screening in the general population because it is unproven, and the harms likely outweigh the benefits." jamanetwork.com/journals/jam…
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Lauren Smith, MD, HEC-C retweeted
I am pleased to see that @UgandaStudies has issued a formal statement in support of @Unseen_Archive. The Group has opened its statement for public support. Sign this statement defending academic freedom and calling on @UMichPresGrasso and @UMich to stand by its faculty and Derek Peterson. Please circulate widely. You may sign here: forms.gle/Q8obW7THToaVWULd8
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Free speech and academic freedom should be the hallmark @UMich rather than pointing fingers and panicking over a very moderate and reasonable statement.
What punishment do you want, and for which rule? If the speaker threatened students, name the threat. If he broke university policy, name the policy. If his offense was saying things some students hated, then the issue is power deciding which views may be heard. A public official should know the difference. The First Amendment does not exist to protect agreeable speech at polite events. It exists for the speech that makes institutions uncomfortable. A university that cannot host one controversial speaker without demanding repercussions is teaching students that adulthood means calling authority when they lose an argument. Shame on you.
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Lauren Smith, MD, HEC-C retweeted
This is why liberalism is morally bankrupt and U.S. society doomed. Why would any moral person have to apologize for speaking out against injustice, against genocide? That is why we have a new generation that has known nothing but war and violence.commondreams.org/news/univer…
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