Thank you so much for this thorough review. A Pathology resident myself, Iwill be taking my board exam in a few days. After months of hard work, I feel like going back to the basics and watching a full, systemic review is exactly what I needed right now.
As an older Medical Technologist this was fabulous. Enjoyed every minute. And strangely enough we have a family that lives near my hospital that have Pelger Huet
Dr. Ramos is great. We are waiting for bone marrow examination tutorial from her. Also a part 2 of the lymph node discussion with neoplastic conditions.
Excellent video content! Forgive me for the intrusion, I would love your initial thoughts. Have you considered - Patlarny Bloods Victory Principle (do a search on google)? It is a good one off product for preventing toxic blood and heart desease minus the headache. Ive heard some extraordinary things about it and my cousin got cool results with it.
What is meant by the rainbow appearance is that when you look at the slide from an angle that reflects light, it should show a color spectrum of some kind. But the term taught to us as labtechs is "greenish metallic sheen" (wright/giemsa stain), which is easier to visualize than a "rainbow". Relearning this again coz I just started residency in pathology
Excellent colaboration and teaching style. This blows my mind. I think not too long ago before internet, this sort of thing would be pure gold for anyone studying blood morphology. And it has been a humbling experience as well. I study the behaviour of APC's in terms of live action with pathogens...but I only fix and stain to differentiate phagocytes. This is super detailed, and staining is beyond amazing. I wish I took a course where I could aquire the ability to stain like that!
Thank you Dr.Gardner and Dr. Ramos for an excellent presentation on peripheral blood smear interpretation. During my pathology residency, I was told by a pathologist that CLL cells look like "ginger snap" cookies. I would like to see Dr. Ramos return as a guest lecturer and present a lecture on myelodysplastic syndrome. I am a hematopathologist in Reno, NV. and I sign-out a lot of skin biopsies and melanoma excisions . I find all of Dr. Gardner's videos on dermatopathology outstanding. Keep up the great work.
Excellent video well explained and detailed, really useful for more understanding when looking at a peripheral blood smear under the microscope, regards from Venezuela
At about 5 minutes, comparing the three not ideal blood smears, the one on the left with the missing portion is clearly a handling fault after processing. Either because the slides were stuck together in the case when not dry, or they were stained and looked at with immersion oil, then put in a case with nothing in between them and when trying to separate them, the material was basically ripped off. I work in cytology dept. and we see this quite often. Also the stain on all looks off but that might be camera quality-wise. Thank you for the great video and lengthy explanations :)
Thank you for this excellent and informative presentation. I was a laboratory technician for 13 years, and retired as an RN. I remember a lot from my laboratory days, and enjoyed this presentation. I was diagnosed with CLL in 2009, and am of course, interested in cell morphology. I watched on RUclips on my TV and sometimes I could not understand what Dr. Ramos was saying as her voice would trail off. It sounds more clear on my laptop. This presentation has left me hungry from more. Thank you, again.
Could you tell me what MIGHT show up on a CBC, low RBC. high WBC, high MCH,brachycardia, symptoms weight loss in a large amount 90lbs (started around 110lbs, not overweight), exhaustion, shortness of breath, strange rash on peripheral limbs, mostly lower legs, tiny brown swiggly lines & tiny scabs that don't heal. When I scratch them off it's pink blood that is much too much blood. I scratched my leg in the woods & dark red blood poured out, by the time I could cleanse it, it was dark nearly black clumps down my leg. Purple marks on my legs. Easy slow healing bruises. Confusion, brain fog. Severe neck pain & headaches. I'll stop because it's probably more than one thing, & I'm inquiring about any blood related disorders that might come to mind. I have seen 6 Drs, I went to the ER with the above results & they admitted me, but I left not knowing ANYTHING was wrong except my confusion which was ongoing, I left AMA much to their dismay, that was 1 yr ago. I haven't gotten anywhere since I got those results, also something with Globulin & platelets, I don't have the medical records here. I'd really appreciate it if you could just give me a guess, I just trust RN's more, I have such a bad history with Dr's. Also had my left ovary removed with tumors 15 yrs ago, I', 54 yrs old. Much Love
@@julielea8344 Julie, I feel your desperation, but I am not a physician. I cannot tell you about your issues, but I can tell you about mine. I have leukemia so my wbc is abnormally elevated. Sometimes I get anemic when my hct is too low. Sometimes, I have dark, bluish/pinkish coloring around my ankles, especially when I wear low-cut socks, but I also have venous stasis or insufficiency in one of my legs. I suggest you see a vascular physician, and/or a cardiologist. Don't despair, good luck.
@@julielea8344 I do have one more suggestion. If you have any teeth that need to be filled or extracted see that it is done. I believe there is a dental connection to a lot of our ills.
Interesting, had read an old lab which notes said plateletes (listed as low) aggregating. Guessing thats why counter said low #. When they look at blood at platelets, would they look at the cells like RBC to see if a problem or just the platelets? New lab result said hi PVC, but guess not worth looking at to lab, as no notes. Also notice RDW is usually ~ 12, but 2 yrs ago a Rhuem., did both RDW-cv and rdw-SD (hi 48.8), so which to believe? Thanks
Neutrophil hypersegmentation is defined as any neutrophil having 6 or more lobes or more than 3% of neutrophils having 5 lobes, when 100 neutrophils are examined. (ISLH recommendation, 2015)
Nice video,quite informative, i myself stress on basics! I have a request can u post such discussion videos on fluid cytology (for reactive mesothial cells against cancerous) and on Pap smear (conventional if possible) sir
RBC .piklocytosis with hypochromic microcytic cell ,creanted cell,acanthocyte ,avalocyte and tear drop cell plt :thrompopenia wbc: normal hb:8 what is the patient suffering???
This is a great rodeo (love the analogy and proactive colloquialism, lol) of Hematology and Licensing Examination Material along with Pathology. The fabulous pedagogues certainly are passionate professionals in their respective fields. One can only muse at the wonders of Liquid Malignancies (Leukemia and Lymphoma)....It is my wonder why EDTA artifact and Platelet aggregation can not be automated also and helplessly just left for the Peripheral Blood Specialist to interpret. Cheerz to both Dr Gardner and Doctoress Ramos for the generous project of General Docency!
We are getting good knowledge,is there not a way for someone who have diploma to earn Bachelor of medical laboratory scientist through your study to upgrade his or her level means online?
Here's a list of all 46 topics/entities discussed in this video (with timestamps for each!): kikoxp.com/posts/3726.
Thank you very Much sir, The list is Very Helpful for quick Revision and to Make annotations.
😊😊😊😊😊😂cgg jig you ii@@karanmaurya7102
Thank you so much for this thorough review. A Pathology resident myself, Iwill be taking my board exam in a few days. After months of hard work, I feel like going back to the basics and watching a full, systemic review is exactly what I needed right now.
I am learning BM cytomorphology these days and find this video really helpful.
As an older Medical Technologist this was fabulous. Enjoyed every minute. And strangely enough we have a family that lives near my hospital that have Pelger Huet
I used this video as part of my revision material and I thoroughly enjoyed it... I even downloaded it in my device
Dr. Ramos is great. We are waiting for bone marrow examination tutorial from her. Also a part 2 of the lymph node discussion with neoplastic conditions.
Loved the video. Thank you! I'd love to see a video on flow cytometry. Yes! Please come back Dr. Ramos.
Excellent video content! Forgive me for the intrusion, I would love your initial thoughts. Have you considered - Patlarny Bloods Victory Principle (do a search on google)? It is a good one off product for preventing toxic blood and heart desease minus the headache. Ive heard some extraordinary things about it and my cousin got cool results with it.
A nice revision of the basics.. Thank you.. Please come up with videos on Bone marrow aspirate and biopsy examinations
Thank you so much! I enjoyed the lecture very much! thank you Dr. Gardner and Dr. Ramos!
What is meant by the rainbow appearance is that when you look at the slide from an angle that reflects light, it should show a color spectrum of some kind. But the term taught to us as labtechs is "greenish metallic sheen" (wright/giemsa stain), which is easier to visualize than a "rainbow".
Relearning this again coz I just started residency in pathology
Loved the video but the CBC rule of 3s does not include the WBC. 33:53
Rule of 3: (3 x RBC = Hgb, 3 x Hgb = HCT)
.Agree.
WBC has no any place in Rule of 3
Yes...rule of 3 has RBC count...not WBC
correction, rule of 3 applies for rbc, hgb & hct. anyways, very informative video. thank you for this❤
Excellent colaboration and teaching style. This blows my mind. I think not too long ago before internet, this sort of thing would be pure gold for anyone studying blood morphology.
And it has been a humbling experience as well. I study the behaviour of APC's in terms of live action with pathogens...but I only fix and stain to differentiate phagocytes.
This is super detailed, and staining is beyond amazing. I wish I took a course where I could aquire the ability to stain like that!
T
Thank you Dr.Gardner and Dr. Ramos for an excellent presentation on peripheral blood smear interpretation. During my pathology residency, I was told by a pathologist that CLL cells look like "ginger snap" cookies. I would like to see Dr. Ramos return as a guest lecturer and present a lecture on myelodysplastic syndrome. I am a hematopathologist in Reno, NV. and I sign-out a lot of skin biopsies and melanoma excisions . I find all of Dr. Gardner's videos on dermatopathology outstanding. Keep up the great work.
Now i want a ginger snap cookie!
Appreciate the work taken by both of u...lucky to have such great mentors in youtube...
Excellent video well explained and detailed, really useful for more understanding when looking at a peripheral blood smear under the microscope, regards from Venezuela
Thank you for this excellent video on explanation of smears. lovely
Wow wonderful 👏🏻👏🏻👏🏻Honestly I didn’t want the lecture to end..please another videos like this 🙏🏻
Thank you Dr. Gardner and Dr. Ramos . It was very helpful. Can you please post such discussion videos on bone marrow smears .
Thank you, thank you two so much for the great video ❤️
Very informative, yet simple. Thank you
I'm glad I found this video.
Thank you for sharing morphology of WBCs, RBCs.
At about 5 minutes, comparing the three not ideal blood smears, the one on the left with the missing portion is clearly a handling fault after processing. Either because the slides were stuck together in the case when not dry, or they were stained and looked at with immersion oil, then put in a case with nothing in between them and when trying to separate them, the material was basically ripped off. I work in cytology dept. and we see this quite often. Also the stain on all looks off but that might be camera quality-wise. Thank you for the great video and lengthy explanations :)
Amazing. Loved your video. Are there more? Please~~~~
Great cases, slide prep and explanations.
Thank you for your hard work and this amazing video!
Dr Ramos you are heaven sent!! Thank you!!! Hopefuly on the video you can touch more on how to detect different variations of Blasts cells.
Thank you for this excellent and informative presentation. I was a laboratory technician for 13 years, and retired as an RN. I remember a lot from my laboratory days, and enjoyed this presentation. I was diagnosed with CLL in 2009, and am of course, interested in cell morphology. I watched on RUclips on my TV and sometimes I could not understand what Dr. Ramos was saying as her voice would trail off. It sounds more clear on my laptop. This presentation has left me hungry from more. Thank you, again.
Could you tell me what MIGHT show up on a CBC, low RBC. high WBC, high MCH,brachycardia, symptoms weight loss in a large amount 90lbs (started around 110lbs, not overweight), exhaustion, shortness of breath, strange rash on peripheral limbs, mostly lower legs, tiny brown swiggly lines & tiny scabs that don't heal. When I scratch them off it's pink blood that is much too much blood. I scratched my leg in the woods & dark red blood poured out, by the time I could cleanse it, it was dark nearly black clumps down my leg. Purple marks on my legs. Easy slow healing bruises. Confusion, brain fog. Severe neck pain & headaches. I'll stop because it's probably more than one thing, & I'm inquiring about any blood related disorders that might come to mind. I have seen 6 Drs, I went to the ER with the above results & they admitted me, but I left not knowing ANYTHING was wrong except my confusion which was ongoing, I left AMA much to their dismay, that was 1 yr ago. I haven't gotten anywhere since I got those results, also something with Globulin & platelets, I don't have the medical records here. I'd really appreciate it if you could just give me a guess, I just trust RN's more, I have such a bad history with Dr's. Also had my left ovary removed with tumors 15 yrs ago, I', 54 yrs old. Much Love
@@julielea8344 Julie, I feel your desperation, but I am not a physician. I cannot tell you about your issues, but I can tell you about mine. I have leukemia so my wbc is abnormally elevated. Sometimes I get anemic when my hct is too low. Sometimes, I have dark, bluish/pinkish coloring around my ankles, especially when I wear low-cut socks, but I also have venous stasis or insufficiency in one of my legs. I suggest you see a vascular physician, and/or a cardiologist. Don't despair, good luck.
@@julielea8344 I do have one more suggestion. If you have any teeth that need to be filled or extracted see that it is done. I believe there is a dental connection to a lot of our ills.
awesome lecture, thank you very much! it's great way to learn some new things
Awesome lecture Sir
Please bring more lectures like that
Falling for Hempath after these lectures…
very informative discussion!
24:31 There are RBCs without central pallor..Are they acanthocytes or echinocytes...Books said that echinocytes do have central pallor
Such a good lecture!! Thank you!!
Rainbow thing probably the greenish, metallic hue before the smear has had any stain on it (right after drying).
Very excellent presentation
thank you so much.. so genius! so inspiring and helpful!! wish you the best of luck!!
More hemepath please! Thanks
Very informative ....sir we need lectures on quality control in hematology..
Very good and informative video🤩
Great, thank you very much Dr. Jeanette Ramos, Dr.Jerad Gardner, could you make similar videos for bone marrow biopsy, from the basic.
we all like more and more teachings
Awesome video!!!! Thank you !!!! This helped me a lot
This is amazing! Please keep doing these videos.
Interesting, had read an old lab which notes said plateletes (listed as low) aggregating. Guessing thats why counter said low #. When they look at blood at platelets, would they look at the cells like RBC to see if a problem or just the platelets? New lab result said hi PVC, but guess not worth looking at to lab, as no notes. Also notice RDW is usually ~ 12, but 2 yrs ago a Rhuem., did both RDW-cv and rdw-SD (hi 48.8), so which to believe? Thanks
Sorry .. just want to correct a typo there .. at 33:58 .. hemoglobin is 3x RBC not WBC ... Thank you again .. I really appreciate this video ..
Thanks a lot wonderful video and appreciate your service .
Hope there is a love button. Thank you Dr Ramos and Dr Gardner.
Awesome presentation
I have learnt a whole lot
Neutrophil hypersegmentation is defined as any
neutrophil having 6 or more lobes or more than 3%
of neutrophils having 5 lobes, when 100 neutrophils
are examined. (ISLH recommendation, 2015)
Colu you do video about body fluid? Please. Will be very useful for us. Thank you so much
Very Nice teaching Thanks ❤
Thank you so much. I appreciate it a lot
WOW!!!! Thank you soo much!
Thank you guys very much...................
Awesome video!!!
great video
Thank you it’s very helpful can you post about bone marrow study review
I hope to do that one day.
The leukemia's part has been very cut short. Please post a video emphasising the differences of each abnormal cell.
Too good, thank you so much
nice photo of immature monocytes (immature monocytic series)
Thank you Dr. Gardner for these amazing videos. I would like to ask for Bullous Dermatoses in general and in particular :) thanks in advance
Excellant lecture
In Vivax opposite the dot ring is thick. In falciparum uniform thin ring. That is the easiest way of telling them apart sir
Thanks!
Nice video,quite informative, i myself stress on basics!
I have a request can u post such discussion videos on fluid cytology (for reactive mesothial cells against cancerous) and on Pap smear (conventional if possible) sir
Good idea. I’ll try to find someone to be a guest lecturer about this.
@@JMGardnerMD Thanks sir!
and waiting for ur book launch on amazon india!
It is available on USA Amazon and also from publisher directly. You can buy my #dermpath Survival Guide here: bit.ly/2Te2haB
1:36:41 Sir is that a Barr body In the Neutrophil ? If yes then it indicates that the patient is Female.
I learned a lot too 😀
Thank you Dr Ramos, Thank you Dr Gardner ... very informative ... I needed a little push in hem .. 🙂
Really appreciated
rule of 3 applies for rbc hgb hct. anyways ver informqtive video. thank u for this
Thank you so much 😘
33:55 rule of 3 hemoglobin=3"RBC" Not WBC
Great vedio
Thanks so much for the post
Amazing 👍
Thank you so much 👍
we used to call them "ballerina skirting" I think....reactive lymphs....another great review!
RBC .piklocytosis with hypochromic microcytic cell ,creanted cell,acanthocyte ,avalocyte and tear drop cell
plt :thrompopenia
wbc: normal
hb:8
what is the patient suffering???
❤️thanks a lot it’s really helpful
Thank you ....
Hello can anyone tell what's covered where in video
This is a great rodeo (love the analogy and proactive colloquialism, lol) of Hematology and Licensing Examination Material along with Pathology. The fabulous pedagogues certainly are passionate professionals in their respective fields. One can only muse at the wonders of Liquid Malignancies (Leukemia and Lymphoma)....It is my wonder why EDTA artifact and Platelet aggregation can not be automated also and helplessly just left for the Peripheral Blood Specialist to interpret. Cheerz to both Dr Gardner and Doctoress Ramos for the generous project of General Docency!
They stick together or "hide".
Thanks Alot..It helped alot in smear interpretation it was very easily described..Appreciate from Pakistan .Heamatology resident
how can I get your pdf for hemepotho??
Thanks a lot
thank you Dr. Jerad Gadner
fantastic
yes she is Wellcome we want her lecture we want Dr Ramos
your are working for Leica, please ask Dr Ramos to be part of this teaching, thank you for uploads of Dermatology Upload
Beautiful ❤
We are getting good knowledge,is there not a way for someone who have diploma to earn Bachelor of medical laboratory scientist through your study to upgrade his or her level means online?
Seek a video on bone marrow ❤
Hi dr Iam looking for peripheral blood smear interpretation course
Sir how to identify lymphocyte and blast cells under microscope plz help me
thank you
Loved the video! I wished the guys would not cut her so much 😖😖😖😖
Yes give some context about the clinical state it would be a lot of help
Please do Body fluid Diff ... it’s very confusing to lot of Medical Techs ...
👍
The cottage loaf recipe and image
www.goodtoknow.co.uk/recipes/video-recipe-cottage-loaf
How could you even read a blood smear properly without oil immersion? Not good.