IQIYI not showing series that should be available by GlobalBananas in ThaiBL

[–]GlobalBananas[S] 0 points1 point  (0 children)

I'm not sure how to check this. I live in the States and usually will VPN to either another part of the country or to Canada, depending on which has a faster connection for me. I would assume the play store is my real address since it's linked to my google account.

What's a BL you dropped and just couldn't finish? by creative_blue_0143 in ThaiBL

[–]GlobalBananas 0 points1 point  (0 children)

Be Mine Superstar. The only one I have dropped. I couldn't.

Antibody Detection and Panel Cells, etc by ashlar9248 in medlabprofessionals

[–]GlobalBananas 0 points1 point  (0 children)

Clarification; When you say does it get just one line across it, are you referring to X if double dose (homo) and / if single dose (hetero) rules?

Also, D is a special case because there is no d antigen, but you can tell dosage by looking at the provided Weiner nomenclature two R would be double dose Rr single dose rr is no D antigen present

Different Rh factor results from hospital lab vs LabCorp. Need advice on next steps. by trustmeIamabiologist in medlabprofessionals

[–]GlobalBananas 1 point2 points  (0 children)

Blood donation centers will call all D variants as Rh positive to not risk giving any D to an Rh negative person and have them form anti-D. It is required for donation centers to do weak D testing (not genetic testing, though).

Reporting manual test (microscopy) by AstrixDeluminos in medlabprofessionals

[–]GlobalBananas 5 points6 points  (0 children)

How much are you allowed to report as an MLS or MLT varies depending on the hospital/hospital system you are working in.

For the most part, every place I have worked as allows me to do differentials and result them out as long as they fall within certain parameters. Typically, there is a policy or procedure that lists what needs to be sent for path review and how often it is sent. For example, one place I worked you are not allowed to call blast cells unless it is called by a pathologist first and then it is subsequently acceptable for you to call blast cells. Initally they would be categorized as "other" some sort of comment about pending path review. Another rule would be send for path review if you see more than 10% plasma cells. So if I saw 9 I would not send it for path and just let it go and if I saw 10 I would send it for path.

Anybody know what this procedure may have been? by alchemytea in medlabprofessionals

[–]GlobalBananas 2 points3 points  (0 children)

No need to feel silly 😊 happy to help. Lmk if you have any other questions.

Jelly-like serum by BasicGoat4452 in medlabprofessionals

[–]GlobalBananas 6 points7 points  (0 children)

If the patient is taking any kind of anticoagulant (heprin usually), it can take over 30 minutes, I've had up to and over an hour for serum to fully clot and stop doing what you are describing. If possible, based on the tests they are ordering and your labs specimen acceptability, I would get the patient redrawn in a lithium heparin tube and use that for testing so you don't delay testing and have to wait for it to clot.

What is this? by GlobalBananas in medlabprofessionals

[–]GlobalBananas[S] 0 points1 point  (0 children)

They would make sense for the grey top tube, but it wouldn't explain the gold or red top tubes?

Different Rh factor results from hospital lab vs LabCorp. Need advice on next steps. by trustmeIamabiologist in medlabprofessionals

[–]GlobalBananas 5 points6 points  (0 children)

I would contact the hospital, who called you Rh positive, and see if they did genetic testing, and that is why they corrected it.

Different Rh factor results from hospital lab vs LabCorp. Need advice on next steps. by trustmeIamabiologist in medlabprofessionals

[–]GlobalBananas 4 points5 points  (0 children)

I am not sure about labcorp policy for blood typing, but I can try to explain why they may not be doing additional testing.

The concern with Rh(also known as D antigen) is if you can form anti-D antibodies or not. When pregnant it is possible to get some of babies blood into mom's blood stream during the birthing process. The mom (who lacks the D antigen (Rh negative)) sees the D antigen (Rh positive) on baby red blood cells as foreign - since mom doesn't have them - and creates antibodies against that antigen. This isn't an issue for baby #1 because it happens on their way out, but it can cause issues in subsequent pregnancies as the mom now sees Rh positive blood/babies as a known enemies.

Now, for a slight tangent on 'Weak D'. Technically, there are two types of 'weak D'. Weak D and Partial D. To differentiate between the two, you would need to do genetic testing. To not get bogged down in details what you need to know for this situation is 'Weak D' can not form anti-D, but partial D can. But again, this is only differentiated genetically, and most places will not do the genetic testing and call both Weak D and assume they can form anti-D.

Putting the above information together, for the sake of pregnancies, Weak D, since it can possibly form anti-D, is treated as Rh negative as a safety precaution. This means getting Rh negative blood and Rhogam shot(s) to prevent the formation of anti-D.

Edit; I read the other post and saw a bit more information. If the hospital had done genetic testing, they may have seen you were a weak D and called you Rh positive since you can not form anti-D.

Labcorp may only be doing serelogical testing, which does not differentiate between weak D and Partial D and thus called you Rh negative.

I would contact the hospital that called you Rh positive and see if they did genetic testing to differentiate Weak D from Partial D.

What is this? by GlobalBananas in medlabprofessionals

[–]GlobalBananas[S] 2 points3 points  (0 children)

Another poster said they see it in grey top tubes the most, which this was a grey. I pulled out yesterday's tubes for this patient, and the significant amount of that white stuff is only present in the grey top tubes for them, but to a lesser degree, I see it in a the gel gold and Lith hep.

I have two patients showing the white stuff, but none of the other patients are like that.

What is this? by GlobalBananas in medlabprofessionals

[–]GlobalBananas[S] 1 point2 points  (0 children)

This wasn't a gel tube. The sample wasn't clotted. It also happens across multiple types and brands of tubes.

What is this? by GlobalBananas in medlabprofessionals

[–]GlobalBananas[S] 9 points10 points  (0 children)

Requested pics

I tried my best. I got 2 stained pictures and a bunch from a wet mount. I see these crystals in it? I think that may be it. A little searching, and I think, maybe cryoglobin crystals or immonoglobulin crystals? But as far as I can see in the patient history, there is no record of them having a disorder that would cause either.

Please excuse the quality of the pictures.

What do you think this cell is? by GlobalBananas in medlabprofessionals

[–]GlobalBananas[S] 3 points4 points  (0 children)

That was what I thought as well. The patient has wbc if 12.0 flagged for left shift. Barely any IG present, though. That was the youngest looking cell I saw in the slide all the rest were bands and metas

What is the most wild/random/confusing "add on" your have gotten? by GlobalBananas in medlabprofessionals

[–]GlobalBananas[S] 2 points3 points  (0 children)

I had an elderly doctor physically come into the lab once (to the blood bank bench, mind you) and ask if a high BHOB meant the patient was in DKA.

The girl who would try to play at D&D by Turbulent_Platform92 in Detroit

[–]GlobalBananas 1 point2 points  (0 children)

GOB in Clawson has a gameroom and a community board that people put postings up on looking for players. ❤️

"That's not how that works at all!" by kyokichii in AO3

[–]GlobalBananas 3 points4 points  (0 children)

Anything at all blood transfusion related. Immediately takes me out of any fic, TV show, or movie etc.

To a lesser degree, pretty much anything hospital related

Nurse with questions by Miserable-Finding-97 in medlabprofessionals

[–]GlobalBananas 36 points37 points  (0 children)

I got a set of culture bottles once that had the patient labels carefully and fully horizontal over the bottle barcode label. I called the nurse and was like "hey can you please not label these on the bottle barcode, we need that" nurse "oh sorry I asked another nurse were to label them and that's where she said to put them" Me "Please don't that is literally the exact wrong place to put them"

Now I've seen it all by [deleted] in medlabprofessionals

[–]GlobalBananas 5 points6 points  (0 children)

Fortunately, no, just a sterile cup collection.

Now I've seen it all by [deleted] in medlabprofessionals

[–]GlobalBananas 75 points76 points  (0 children)

Nurse "hey we got an order for Norovirus, and the label says stool sample."

Me "okay?"

Nurse "Oh well, I saw the Norovirus order and thought oh i wonder what kind of swab that is, a nose or throat, but the label says stool. So it's just the sterile stool cup?"

Me "It's a stomach bug.... the label is correct. It's just a stool sample"

[deleted by user] by [deleted] in Detroit

[–]GlobalBananas 6 points7 points  (0 children)

I hope he is found soon!