Dacrocyte or Dacryocyte is a pear-shaped or tear-shaped red blood cell that is usually seen in a broad spectrum of infiltrative disorders that disrupt the bone marrow architecture and also in extramedullary hematopoiesis.

The abnormality is thought to be due to membrane damage to the red cell during maturation in a crowded bone marrow environment, damage at the time of exit from the bone marrow and subsequent circulation through the spleen.

These cells are usually seen in disorders such as myelofibrosis, metastatic tumor in the bone marrow, extramedullary hematopoiesis, dyserythropoiesis, megaloblastic anemias, thalassemia especially in thalassemia major, acute leukemias, and in multiple myelomas.

I don't have Dacrocyte cells in my peripheral blood smear more so the diseases stated above.

A friend of mine used to call me Dacrocyte during our MedTech years hence used in the advent of this blog.

CC: Progressive dysmenorrhea

To be totally honest? I think this is one of the happiest hospital stay in my life. Would you believe that a charity patient treated me to Jollibee right after she was discharged? Exactly.

I was like,

Naku po… Nakakahiya naman po. Sana tinago ninyo na lang po yung pera. Nag-abala pa po kayo.

Then she said,

E diba promise ko sayo, i-tretreat kita pagkatapos ng aking operasyon? Natutuwa kasi ako sayo, ang bait-bait mo. Naiingit nga yung ibang pasyente sana daw pasyente mo din sila.

I was so touched. Really. I don't even knoe I am that kind to be treated to Jollibee. All I knoe is that I am taking good care of her. That’s all!

Actually, the first time we met, I already knew patient IA and I will be spending a happy time in gynecology together. Seriously. She was endorsed to me right before I officially moved in to gynecology department. I can still remember that very first day, Friday, in the out patient department, she was scheduled to be admitted for a total abdominal hysterectomy due to intractable dysmenorrhea, excessive menstruation and an enlarging uterus caused by adenomyosis.

She’s so cooperative… She’s such an easy patient. Taking her medical history is such an easy one cos she is so chatty and fun. In gynecology, we are very particular about asking the patient’s sexual history like the first time they had had sex and how many sexual partners they had. IA is very straight to the point when I asked her about these sensitive stuff, she answered them all without any ado and hesitations, and sometimes even jokes about it. Would you believe that her obstetric score is G7P7? Meaning, she had 7 pregnancies and 7 deliveries, so she has 7 children.

I was like,

Naku, dami mo nang anak hah. Gusto mo pa ba magka-anak? Kayo talaga! Active pa ba kayo?

The lanky 42-year old patient replied,

Oo naman! Life begins at 40!

Wow! C’mon! She’s uber fun! She’s always smiling and laughing, I swear she’s the funniest patient I had so far.

But I knew behind all the jokes and smiles and laughter, she’s sooo scared of the operation. She never had any surgeries. All her pregnancies were delivered via NSD. She wanted her current surgery to be her last.

Hindi ba pwedeng tanggalin ninyo na din ang aking mga obaryo? Baka kasi ma-operahan nanaman ako dahil sa obaryo.

I replied,

Mommy, wala naman po kasing indikasyon para alisin ang obaryo ninyo… at hindi pa po kayo menopause, gusto ninyo po bang mag-menopause na? May silbi pa po ang mga obaryo ninyo e.

DSC05427 
This is the only picture I have with IA. Apparently, she’s under those drapes. With Drs Galang, Chu and Masangcay before the hysterectomy.

Before I left the wards today, I was handed with 2 bags of Jollibee. I approached her and shyly thanked her, she thanked me as well for taking good care of her while in the hospital then laughed hard and said,

Aray!

I said,

Mommy, huwag ka kasi tatawa, masakit pa yang sugat ninyo diba?

1 remark(s):

Angelo said...

nakakatuwa naman ang patient mo. ang bait niya.

on the side: nakaka-miss makita ang loob ng OR.

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