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54 y/o African American male had abnormal blood work and was referred to a hematologist who ordered a path smear. Abnormal follow up gets a referral to hematology oncology where labs get repeated and a path smear is sent for consultation at a different pathology lab. Looking through records, he declined to let us look at medical records since every doctor he saw was at separate hospitals that requires patient approval to release access to previous medical records so we just went in a circle of everybody knowing nothing and just ‘Hey, he's your patient now.'
What was the most likely cause for this. There are two answers, reason why this happened and the actual Dx.
Hint: he was given assistance on filling out paperwork correctly and the patient info gives away the most likely hematological issue.
Early answer since we got to sickle cell anemia which is half of the answer and I realized I have to go to my orthopedic appointment in a few hours and get ready for Easter.
The answer obviously sickle cell anemia, hence including the racial background of being African since it's rare in other races.
Second part of the question was due to confusion in referrals. Second part was because patients do dumb shit like not checking the box that approves us to review their previous medical history and stating the name of the hospital they were previously treated at even if it has the same name and just a different department. We can look up the EMR when requested because it's in our system but we can't legally look up before signed confirmation unless we have a darn good reason which is why we offered them assistance since people don't know this. We are not mind readers, we go off of the referring physician and basic non-identifying info.
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i knew it was sickle cell anemia i just didnt post it
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Of course you knew the answer to a high school anatomy question. Good job not posting a half answer
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Yeap, now whenever i look at a woman in armour or even in stylized clothes, i look first at their feet to check for heels, their chest to see if there is boobplate or something more substiantial than a few strings of cloth that wont come off if the character stands still and than their waist, again to see of there are any pointy bits that will stab them if they so much twist their bodies.
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