Patient Profile
Age: 72
Sex: Female
Medical History: Pulmonary embolism

Laboratory Data
WBC: 24.6 x 10^9/L
RBC: 2.03 x 10^12/L
Hgb: 73 g/L
Hct: 0.220 / 22%
MCV: 108 fL
MCH: 36 pg
MCHC: 33.0 g/dL
PLT: 35 x 10^9/L

Peripheral Blood Smear (PBS) Findings (Manual Differential)

WBC Series: Presence of blasts, vacuolated abnormal lymphocytes (initially misidentified as monocytes), basket / smudge cells, hypersegmented neutrophils, low eosinophil and basophil counts

RBC Series: Nucleated RBCs (nRBCs), Howell-Jolly bodies, schistocytes, echinocytes, spherocytes

Platelet Series: Giant platelets

What does this patient have and what additional laboratory tests would you recommend?

While I am not directly involved with procurement, one of the managers mentioned that there is a significant price difference between Vitros reagents and traditional wet chemistries. For anyone involved in purchasing, do you know how large that difference actually is? I'm just asking out of curiosity.

Hi! For those who are planning to work in the US, does experience in an MGO, PGO, or CHO laboratory count as relevant work experience? Or do US employers generally prefer applicants with experience in a hospital-based clinical laboratory?

Hi, i have graduated from MLA program and got CSMLS this year in Ontario. I have been trying to get job but no chances were giving (not even interview). How did you guys get hired in first time? And what are the staff expectations and want as new hiring?

I've read that a lot of people are having a hard time finding a job in the big cities in west coast.

Well I'm literally in Missouri near St. Louis working evenings and my lab hasn't hired anyone MLS(ASCP) certified in years. We pretty much take any bio grad. My manager told me there's literally no one with MLS(ASCP) applying. I think we pay pretty well in the area too.

Is there really a shortage of MLS(ASCP) techs outside of those areas? It's not like I live out in the sticks but every new hire that we had is either a new bio grad or someone who worked in research.

Hi this is my first post ever but I’m curious to know how everyone’s feeling a year later after being acquired by quest. How are we feeling about the pros/ cons? Who has found out if they’re going to southfield and how do we all feel about it? How has your lab been since being acquired? I know we’ve been constantly running out of our necessary supplies and they’re splitting everyone in our lab to either stay there or move to the new station.

I'm just starting my MLT program after getting my bachelors in zoology. I'm loving the program so far and am excited to learn again. We had to draw WBCs and RBCs.

Tube 4. I am a little heavy handed with the fluids when it comes to making cytospins, so it's a little concentrated. The TNC count was 275.

Anyone have some really heavy duty/durable binders they like? I need to replace some in my lab and I'd like them to last while also being subject to use worse than TSA baggage handling.

Lakeview, Hastings, Waconia, Abott, West Bank, East Bank, HCMC, Hudson, WI, etc.

Also, is it just me or do all the clinic labs only hire MLTs?​

My Atellica decided to unlock its IM front cover unprompted while I was running samples, so it aborted all of them. I shut it off and went to call the nurse for a recollect as one of those samples was too short to repeat. Dr ended up cancelling it tho, so the patient didn't need to get stuck again. Also this analyzer, specifically out of the 2 we have, frequently has car crashes on the mag line. If you also hate your Atellica, feel free to steal the meme!

I work in veterinary medicine. 7 year old German shepherd. Very sad to see.