This is (supposed to be) a reflective diary by a (not very) anonymous biomedical scientist who works somewhere in the south of England. One day this diary may well be submitted to the Health and Care Professions Council as evidence of ongoing continual professional development....
Time for another BTLP-TACT exercise. I was presented with one case – a twenty-six-year-old chap with a GI bleed needing four units of blood within two hours.
He grouped
as O Rh(D) Positive, but a rather weak Rh(D) Positive.
Should I
have called it indeterminate? No. It was positive; just weak. The antibody
screen was negative.
I took no
chances and selected four units of O Rh(D) Negative (K-negative) blood
and pressed the “submit” button expecting failure..
I got it right…
Here’s a photo of something I saw today. This is a shot of a film made from the blood of a patient with the highest white cell count have ever seen in forty-one years of blood testing.
Wbc 842.0
It’s a case of CLL in a chap who is one hundred and three years old… smear cells, prolymphocytes...
The nice people at Lablogatory sent an update on lymphocyte subsets today. A test which so many labs have tried to set up, and then realised that it is best sent to a specialist centre… A shame – it isn’t *that* difficult to set up.
