As I came in to work for a night shift a colleague asked me to look down the microscope and asked me what I thought. I said I thought it looked “bloody awful” and refused to be drawn any more than that. Back in the day I would have been rather more forthcoming, but in this era of flow cytometry it seems that morphology is less and less of a diagnostic too.
It transpired that my professional opinion of “bloody awful” was spot on. It was a case of Richter’s syndrome; a rare transformation of chronic lymphocytic leukemia (CLL) into an aggressive lymphoma.
I was right to say “call out the consultant”.