let’s take a cellfie · let’s take a cellfie the digital microscopy dilemma. rebecca warwick...

Let’s take a CellfieThe digital microscopy dilemma.

Rebecca Warwick

Chris Greenwood

rebecca.warwick@hawkesbaydhb.govt.nz

chris.greenwood@hawkesbaydhb.govt.nz

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What is cellavision anyway?

Differential?

Barriers

▹ Genuine problems▸ Gold standard of microscopy▸ Optical microscopy is all we knew

▹ Resistance to change▸ Human nature to resist change▸ Low average age in our diff room

What are the benefits?

Time – CellaVision has done the hard work

Reduced costs – less FTE required

Quality remains high

Remote access

Job loss?

Job loss?

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Facebook Poll

There are drawbacks

▹ Film quality

▹ Can’t “go looking”

▹ Platelet clumps

▹ Depth of field

▹ Extreme WBC’s

😒

Other niggly differences

▹ Toxic gran

▹ Blasts

▹ Rouleaux

😒

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HSIG Poll

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Platelet clumps

Microscope image!

XN’s platelet clumping

flag has room for

improvement

EDTA-mediated platelet

clumping

IT3000 rules and

platelet clumping flag

Diagnosis analyte

Not a perfect system

Recommendations

▹ Yes it is safe!

▹ If in doubt – go back to the film!

▹ Most Haematology patients.

▹ Manually made slides

When CellaVision goes right19

Experience counts20

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THANKS!Any questions?You can find me at▹ rebecca.warwick@hawkesbaydhb.govt.nz