I think I just diagnosed leukemia tonight, in a 42 year old guy with two kids.
I’m desperately hoping that I’m just too inexperienced and misinterpreted the peripheral smear….but I don’t think I did.
I liked it better when I thought his fevers were from malaria from his vacation in Puerto Rico.
I love excuses to go down to the lab and do actual microscope work (especially if I have time to do it), but sometimes looking into those eyepieces results in an unmerciful stab to the gut.
Paging hematology/oncology….second opinion, please!
I really want an attending to show up and tell me I’m an idiot. But I have to wait until morning; right now I’m the senior medicine doctor in house. So at least for a couple of hours, this guy has leukemia.
I hope not longer…..though I have a gnawing suspicion in my heart.
I’m going to go watch the sun rise.