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.

Doctor meets Doctor

Yesterday was my first day in the department of surgery… you knoe… like Grey’s Anatomy kind of atmosphere. But since the other day, every swallow that I take made me cry in pain and despair, accompanied with fever and generalized body weakness, I detested submitting myself to the ward and work.

I instead visited a doctor in the University’s health service.

DOC: What’s the problem?
(his eyes on what the nurse wrote on my record:
Pain on swallowing, hyperemic tonsils, with febrile episodes, Rx Orofar L, Tylenol, Amox 1 cap q8 hrs completed 2 doses, Temp: 36.7)
DAK: Doc, it’s painful to swallow.
DOC: You’re a medical student, right?
DAK:
(Oh-oh, how did you knoe?!) Ahm, yes doc. (I wore a jacket due to several reasons, first as a prop cos t’was raining, second as a protection cos I felt cold cos and was too sick to function well and most importantly so as to not recognize my uniform as a medical student.) I am a medical clerk.
DOC: So, what do you think is your condition?
DAK:
(Are you kidding me?! I am here cos I need your help and not because I want you to evaluate me! Duh.) I think it’s tonsillitis.
DOC: Why did you say so?
DAK:
(Pft!) Cos I had tonsillitis before, and it felt the same. But this time, it’s a lot more painful. I think I woke up every hour last night due to severe pain everytime I swallow. I also have palpable and tender cervical lymph nodes. Doc, the left is more painful. However, I haven’t checked and seen my tonsils yet.
DOC: How come you didn’t inspect your tonsils?
DAK: I can’t find my penlight.
(My penlight’s actually not missing, the batteries were drained. LOL)
(Doc took out his penlight, a tongue depressor and checked my tonsils)
DOC: Say ah………
DAK: Ahhhh…………
(Alck! Ack!)
DOC: You have tonsillopharyngitis. The left if very red.
DAK: Oh ok. I already took 2 doses of amoxicillin. 8PM last night and 4AM a while ago.
DOC: I’ll shift your antibiotics to co-amoxiclav. Twice a day for 7 days.
(Which is a lot more expensive!)
DAK: Ok. Ahm, can I ask for a medical certificate?
DOC: For what?! What will I write in your medical certificate? You don’t even have a fever. Your temperature is 36.7.
DAK: Doc, I already took Tylenol.
(Duh!)
DOC: That’s the point, I don’t have a reason to excuse you from duty.
DAK: Doc, it’s my first day in surgery today. I was absent in our orientation this morning.

DOC: So tell me, what should I write in you medical certificate?
DAK: That I was too weak to get up from bed?
DOC: Just show them this prescription.
DAK: Oh ok. Thanks.

Luckily, there never was an orientation. And I am a lot better nao, better than your lazy dog. It’s not H1N1, freaks! ROFL.

So far, so good in surgery. First stop? Urology-pediatrics surgery. Let’s see… Let’s see…

3 remark(s):

wanderingcommuter said...

buti naman okay ka na....

yenrules said...

Haha! Brilliant. Get well soon, and drink vitamins! :D

Anonymous said...

Haha. Sorry natuwa ako sa scenario nyo nung duktor.

Yeah, buti ok kana. :)

jeffy G.
(toiletots)

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