.webp?x=8 "P-Hat (pink) - It's pink.")
This is a dead giveaway so it doesn’t get a whole number and there’s no reward because I’ve been bitching about it.
Patient presents with leukocytosis. Bone marrow is pretty shit but slightly readable. Outside clinic is consulted do you
A: keep being a b-word and claiming an incorrect Dx even with proof and CMML leaving the differential after PDGFRB is ruled out and half the CLL panel testing positive
Or
B: it’s CLL and you argue nonstop with the consulting team despite paying $19000 specifically for a Dx and treatment.
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We’re now up to $24000 because they keep calling me and the pathologist and requiring that we test again for PDGFRA despite both bone marrow and blood being negative. That’s a $300 test because it’s part of a panel, alongside interpretation and we charge $600 per phone call on average.
I don’t care if his clinical appears to be CMML because of unrelated monocytosis. We have absolute evidence and I don’t need random calls. Just increasing the cost of our consultation.
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Now somehow up to about $30.4K since he wants even more testing and pathology review with oncology interpreting. I hope to god the patient isn’t being billed for this useless testing.
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