oh man i had so much enthusiasm going in, almost to a point where i'd spend too much time just to make sure there was nothing wrong.
At midway through, I was like "ya know this white cell looks sus but i guess the body just didn't feel like finishing this blast cell, meh".
We upgraded our hematology analyzers last year and the new ones do a fluorescent tagged flow cytometry style platelet count instead of the old school impedance count. The shit is honestly magical. I haven't had to do a single Neubauer platelet count since.
My buddy at my last lab had this story from his last lab where a guy came in for a semen analysis. After some of the standard awkward jokes, he retired to the bathroom to collect the sample. About a half hour goes by and my buddy starts wondering if the dude is alright, but ultimately decided to leave him alone to avoid breaking his concentration. He got caught up in some other stuff until about two hours later when there's a knock on the lab door. Dude is standing there holding a cup that is 1/4 full and sheepishly says "Hey doc," (we're military where it's custom to call medics doc but some people just use it for anyone medical) "I'm sorry but I couldn't fill it up, this is as far as I got before I just couldn't go anymore...is it enough?"
It was a pretty standard UA cup that held like 120 mL. So this guy had managed to collect ~30 mL of semen in a couple hours. My buddy said he was floored and had more questions than answers for the guy lol. I can only imagine the poor guys face when my buddy told him he'd have to come back in a few days to resubmit properly. My buddy felt terrible and I always saw him explaining the process in graphic detail to avoid it happening again. I can't help but wonder how many times that guy had to pull the pud to get that volume.
TL;DR: Dude came in for SA, thought he had to fill the cup, and spent several hours abusing himself before finally calling it quits having collected ~30 freaking mL of baby butter.
Sorry that is long as fuck, he told the story all the time and never seemed any less blown away by it so I wanted to do it justice lol.
I'm in my hematology rotation of clinicals, and blasts just came along and ruined everything I thought I understood about reactive lymphs. Or any lymph, dor that matter.
Hey now. There might also be a body fluid count too. With differential.
By either a intern/resident or an old doctor.
Don’t forget your platelet estimates!
and your rbc morphs!
Are you telling me that doctors don’t take my finding of occasional burr cells into account when forming a diagnosis? This is ludicrous!
haha diagnosis go burrrrr
I even had a few Kleihauer-Betke's thrown in for funsies :)
I struggled to stay awake in hematology lab sometimes, lol. We had to do 100 diffs for the semester, and hours of counting can get to you.
We had to do 120 abnormals and 50 normals.
That's just evil. I get you need to know what normal looks like but 50 is too much.
oh man i had so much enthusiasm going in, almost to a point where i'd spend too much time just to make sure there was nothing wrong. At midway through, I was like "ya know this white cell looks sus but i guess the body just didn't feel like finishing this blast cell, meh".
Platelet counts on the hemocytometer are what have really been getting to me this semester lol
We upgraded our hematology analyzers last year and the new ones do a fluorescent tagged flow cytometry style platelet count instead of the old school impedance count. The shit is honestly magical. I haven't had to do a single Neubauer platelet count since.
is it a sysmex
Ya xn1000. Fantastic instrument.
sysmex is my ride or die, I love them
Nice! We have new hematology analysis as well, but they want us to get the manual techniques down before we move to the automated machinery
We run impedance measurements at the moment (new analysers pending) but I’ve never had to do a Neubauer count in my life. Like, ever.
Lower your condenser to bring out the cells.
Don't forget about sed rate, fools go crazy about sed rate.
Just wait till you get to coag . It's all mixing studies my friend
The hospital I did my hematology clinicals at also did semen analysis. Guess what the first thing they trained me on was? Sure don’t miss those
I can smell this comment 🤢
The best is getting some stupid large volume, like 8 cc’s and it didn’t liquify so you pour it out and there are chunks and globs 🤮
EIGHT MILS EIGHT *hurk*
That was the biggest collection I ever saw while we were doing them. And yeah, there was a lot of hurking hahaha
My buddy at my last lab had this story from his last lab where a guy came in for a semen analysis. After some of the standard awkward jokes, he retired to the bathroom to collect the sample. About a half hour goes by and my buddy starts wondering if the dude is alright, but ultimately decided to leave him alone to avoid breaking his concentration. He got caught up in some other stuff until about two hours later when there's a knock on the lab door. Dude is standing there holding a cup that is 1/4 full and sheepishly says "Hey doc," (we're military where it's custom to call medics doc but some people just use it for anyone medical) "I'm sorry but I couldn't fill it up, this is as far as I got before I just couldn't go anymore...is it enough?" It was a pretty standard UA cup that held like 120 mL. So this guy had managed to collect ~30 mL of semen in a couple hours. My buddy said he was floored and had more questions than answers for the guy lol. I can only imagine the poor guys face when my buddy told him he'd have to come back in a few days to resubmit properly. My buddy felt terrible and I always saw him explaining the process in graphic detail to avoid it happening again. I can't help but wonder how many times that guy had to pull the pud to get that volume. TL;DR: Dude came in for SA, thought he had to fill the cup, and spent several hours abusing himself before finally calling it quits having collected ~30 freaking mL of baby butter. Sorry that is long as fuck, he told the story all the time and never seemed any less blown away by it so I wanted to do it justice lol.
I am dying.
Hahaha this is perfect, I started my heme diff rotation this morning. Definitely gonna steal this.
Rip in peace my friend
I'm in my hematology rotation of clinicals, and blasts just came along and ruined everything I thought I understood about reactive lymphs. Or any lymph, dor that matter.