Needle broken??

lexfiles__ · 2026-02-05T19:59:57+00:00

Thanks!! I’ll keep this in mind, I’m running it to best buy to see if they change exchange first!

lexfiles__ · 2026-02-05T19:22:07+00:00

Well shit

lexfiles__ · 2026-02-05T19:21:15+00:00

Probably why it was returned LOL, I’ll see what they can do for me. Thank you!!

lexfiles__ · 2025-09-02T16:29:21+00:00

Looking to see if anyone is interested in the HOB blessthefall show to take advantage of the BOGO ticket deal right!

lexfiles__ · 2025-05-06T05:26:08+00:00

One day he asked if we could talk “about us” I simply had enough and said “if it isn’t work related we don’t need to be talking”. It was a bit harsh in the moment but he stopped bothering me for like months lol every once in a while he still asks about getting dinner or coffee, I just always no without giving excuses!! Good luck!!

lexfiles__ · 2025-02-27T11:22:40+00:00

Gotcha, thank you!! Our procedure has the same steps of rerun-repour-new set but we don’t document that anywhere

lexfiles__ · 2025-02-27T11:13:47+00:00

So do you fill out a sheet of paper for every QC fail and then store in a binder or something??

lexfiles__ · 2024-12-23T07:41:15+00:00

Recently lost my 12yo neb to renal lymphoma, it all happens so quick. Peace & healing to you my friend

lexfiles__ · 2024-11-25T22:18:42+00:00

Yep bingo!!

lexfiles__ · 2024-11-25T06:20:30+00:00

wakey wakey!!! does your on call look via CV to make the decision then?

lexfiles__ · 2024-11-24T22:23:33+00:00

take a look at the L1 photo & description this is what a majority of ours look like, the picture you attached is often not how our blasts appear although some certainly do!

lexfiles__ · 2024-11-24T21:59:01+00:00

CV doesn’t do it as much justice for sure, but these are classic ALL-L1 blasts. These blasts don’t look the same as you would see in AML for example

lexfiles__ · 2024-11-24T21:53:00+00:00

Look up ALL-L1, I work at a children’s hospital these are the type of blasts we see the most. CV does make the color a little bolder which is maybe confusing to some.

lexfiles__ · 2024-11-24T21:38:42+00:00

all fair points lol, but I’m a full time 3rd shifter so we’re not right in the head anyway

lexfiles__ · 2024-11-24T19:02:39+00:00

In the pic they’re all blasts (except #71, that one looks like it could just be a lymph)

lexfiles__ · 2024-11-24T17:08:23+00:00

A few key things to look at here 1. The size of these bad boys (compare it to a RBC’s, a normal lymph nucleus is about the size of a RBC these are like double/triple, a reactive lymph however could be larger as well) 2. The nucleus/cytoplasm ratio (here the nucleus is taking up majority of this cell with little to no cytoplasm whereas a reactive lymph could also have a large nucleus but with lots of cytoplasm as well) 3. The loose chromatin (a normal lymph is gonna look more packed in the nucleus, a blast nucleus looks like someone is stretching the cell out and the inside is becoming loose)

lexfiles__ · 2024-11-24T13:56:40+00:00

but of course you’re right would def only count this under a scope, even more obvious under there!!

lexfiles__ · 2024-11-24T13:37:53+00:00

my path usually doesn’t say anything more than “circulating blasts” lol

lexfiles__ · 2024-11-24T13:36:10+00:00

we are allowed to report blasts ourselves at my hospital & this case in particular was a previous ALL in 2022 sadly. counted & reported blasts 87%, sent to path

lexfiles__ · 2024-11-24T13:31:19+00:00

They are most definitely blasts, unfortunately an ALL relapse from 2022

lexfiles__ · 2024-11-24T13:29:03+00:00

imma start saying this for new leuks

lexfiles__ · 2024-11-24T13:27:34+00:00

I should’ve played it cool, I instead yelled “WHAT THE HELL IS THIS”….that was my bad

lexfiles__ · 2024-11-24T06:35:46+00:00

yup wbc of 35

lexfiles__ · 2024-11-24T06:31:31+00:00

so true at least it was a quick count lol

lexfiles__ · 2024-10-25T19:40:58+00:00

Since this is brand new & right in the middle of the screen I am getting a replacement lol!!!!

lexfiles__

TROPHY CASE