I had a tough night last night.
I had to tell a mother that her baby had cancer.
Certain things can mean a worse prognosis according to the attending I was working with. These include:
2) Less than 2 yrs old
3) White blood cell count greater than 100,000
And there I was - telling the mother of a 16 month old baby boy with a white count of 144,000 that the reason he had bruises all over his legs was because he had leukemia.
I will remember that patient for as long as I live.