February 28 2011 (Monday) - C.M.L.

Look at this white cell count:

Specimen Results Entry NEW, Patient                                         DOB  16/09/1963 Sex F Pat No 907310       Source    Address   Their House                     Clinician Diagnosis Specimen No   :  AW168788Y               Selected Auth Level : S  HB     7.7    F000  MONO   *      F000   WBC    404.0  F000  EOS    *      F000  PLT    332    F000  BASO   *      F000  RBC    2.96   F000    HCT    0.250  F000  MCV    84.5   F000  MCH    26.0   F000  MCHC   30.8   F000  NEUH   *      F000  LYMPH  *      F000

And just to be sure there’s no error, look at the buffy coat and the IMI channel plot

Microscopy revealed it to be a case of CML. There were no previous blood count results at all….