Three Cases...

This have been an awful week talking about patients....
First case... a young adolescent came as an outpatient....presence of myeloblast with "Auer Rods", high WBC count, and immature WBC's is a suggestion of a myelogenous leukemia.( I would not said acute since the blasts where only 6 but could be in a blast transformation)
Second case... a young man shoot four times in a party store here in Jackson...I went to handle the blood in an emergency release and I saw him...he was transferred to Univeristy of Michigan where he finally die.
Third case... a man in his 70's with a WBC count of 44,000....previous results where about 14,000. Presence of smudge cells and an 89% of lymphocytes suggest a chronic lymphocitic leukemia.
This kind of situation makes you reflect about life and make you thanks God for all the good things and learn from the bad ones. You just have one chance...