JAMES M. MOSS, M.D.
MOSS JM. The Complete Blood Count and Physician Payment. Ann Intern Med. 1987;106:642. doi: 10.7326/0003-4819-106-4-642_1
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Published: Ann Intern Med. 1987;106(4):642.
To the editor: As pointed out by Shapiro and Greenfield (1), a complete blood count and leukocyte differential count in an asymptomatic patient is usually normal, and when done as a routine procedure adds little to the diagnosis. The same can be said for routine urinalysis, automated blood chemistry profile, chest roentgenograms, and electrocardiograms. However, any physician can remember patients whose lives were saved because of an abnormality detected on one of these routine tests. All of us can recall patients in whom unsuspected anemia led to the diagnosis of gastrointestinal malignancy; an abnormal urinalysis that led to the diagnosis
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