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I once knew a hematologist who could recognize a patient from the blood smear the teardrop cells, giant platelets, and nucleated red cells signaled the presence in the waiting room of the woman with myelofibrosis. Back then, hematologists examined the blood smear of virtually every patient they saw in consultation. Looking at the blood smear and bone marrow aspirate gave them a vivid connection to the patient and was as essential as the physical examination. Today, regrettably, many hematologists have little time to practice the art of examining the blood smear. Instead, they look at a ticket printed by
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