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....
Her ABO group was indeterminate, but her Rh(D) group was negative.The antibody screen was negative.I selected six units of O Rh(D) Negative.
I saw some things that made me look twice, but nothing convincing. It was probably debris; certainly wasn’t a parasite.I don’t like thick films at the best of times.The slide was actually negative and that’s what I said.
I saw some small worm-things. Was it Leishmania donovani?The expert opinion was that this was amastigotes of Leishmania. Bearing in mind I’ve never seen this outside of a NEQAS exercise I think I’m justified in saying “Go me” (!)
The Fritsma
Factor newsletter appeared in my in-box today. As always there was a lot to
take in, but as a source of haemostasis-related CPD it can’t be bettered.
ThrombocytosisTarget cellsNRBCBizarre red cellsHJB (?)EchinocytesRbc FragmentsLymphocytosisI wondered if this was heat changes, it was a case of congenital dyserythropoietic anaemia from the haematology clinic.
NRBCTarget cellsBotyroid neutroohilsLymphocytosisPolychromasia?? Occasional sickle cells???I wondered if this was a case of heat stroke, it was a case of homozygous sickle cell disease three days after being treated for malaria. Interestingly the botroid neutrophils weren’t spotted by most people.
