22 September 2018 (Saturday) - Focus !!


I get my CPD material from a range of sources. I read up and do things and get emails and see things on Facebook and make a note of what I’ve done, and periodically I st down and have a little session when I write it all up.
I had one of those sessions today. When I sparked up my lap-top I had sixty-six potential “things” to write up from the last three weeks. I only bothered with sixteen of them. Fifty potential CPD activities weren’t worth mentioning. That’s a *lot* that didn’t make the grade. They included:

  • Several emails from the American Society of Hematology which were really far too clinically-orientated for me
  • An article about myeloproliferative disease in China which said a lot without saying anything
  • A couple of “Informed” newsletters from NHS England which weren’t really at all relevant to me
  • Several posts from the Hanzo educational blog which might as well have been written in Greek for all the sense they made to me
  • Several posts from the people at Lablogatory which were fine if you work in a manager’s office
  • Newsletters from the bioanalysis zone which do not apply to me
  • Quite a few posts from various Facebook groups that were realistically little more than gossip

 I spent (wasted) quite a bit of time this evening weeding out the activities from which I didn’t actually get any benefit whatsoever.
I *really* need to be a bit more focussed in my CPD-ing.


20 September 2018 (Thusday) - Dohle-Like

Following on from that last case here’s something with Dohle-like” bodies

20 September 2018 (Thursday) - Dohle Bodies ?





Is this a Dohle body?



  sepsis secondary to chest source

            HBM   WBCM    PLT    HCT   RBCM   MCVM   MCHM  MCHCM    RDW      N
300818       88   2.78    214  0.276   3.25   84.9   27.1    319   20.6   0.72
310818       99  17.83    251  0.313   3.61   86.7   27.4    316   21.0  13.94
180918      100   5.15    230  0.311   3.59   86.6   27.9    322   20.0   3.81
190918       95   3.52    236  0.295   3.38   87.3   28.1    322   20.2   0.99

              L      M      E      B    NUC   NUCA    ESR     GF
300818     1.29   0.76   0.00   0.01                           
310818     2.04   1.81   0.00   0.04                           
180918     0.93   0.31   0.06   0.04                           
190918     1.38   0.98   0.15   0.02                           

  WBCM MNEUT MLYMP MMONO  MEOS MBASO  META MYELO  PROM BLAST  NRBC
        (3)   (2)   (1)   (4)   (5)   (6)   (7)   (8)   (9)  #(0)
   0     0     0     0     0     0     0     0     0     0     0
   3.5   0.0   0.0   0.0   0.0   0.0   0.0   0.0   0.0   0.0   0.0


The patient is neutropenic and septic…. It would fit…