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Band counts rouse passions.

I enjoyed Carol Houde's passionate defense of band forms in your May [2004] issue ["Letters to the editor," p. 6], but also have strong feelings toward a dangerous assumption here that I doubt has changed in the last 25 years. Rumke's study in 1977 [cites] the accuracy, reproducibility, and statistical variation from tech to tech and lab to lab in counting band forms as a major problem, which leaves little dependability to the band count.

[ILLUSTRATION OMITTED]

In addition, staffing in the lab currently almost prohibits "comprehensive" slide reviews for routine CBC testing that pass flagging criteria. This is not a justification for band count elimination, but a respectful cry for further integration of physician and hematologist to catch these cases that can fall through the new technological "cracks." This kind of communication between physicians and the hematologists also enhances the accurate performance of critical differentials.

--James Hadley, CLS III

San Clemente Hospital and Medical Center

San Clemente, CA

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Title Annotation:Readers Respond
Author:Hadley, James
Publication:Medical Laboratory Observer
Article Type:Letter to the Editor
Date:Aug 1, 2004
Words:218
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