I'd very much appreciate opinions on the following: A 60-year-old friend of mine feels sick and weak after being placed on a diuretic. His doctor orders BMP & CBC. Results show hyponatremia and a WBC of 14.2k with a left shift. The doctor holds the diuretic and orders a repeat BMP for a week later (but no CBC). The hyponatremia is resolved but the man still feels sick and now complains of more congestion and a cough. The doctor tell him that the hyponatremia is gone and he should feel better soon. The man presents in the ER 5 days later (12 days after first tests) with a white count of 39,000. He is given high doses of antibiotics but succombs to pneumonia and sepsis. (He did have a long history of smoking but quit a year ago.) Would you view the lack of follow-up on the initial WBC as a breach in the standard of care? Can it be regarded as the proximate cuase of death? Thanks for any insight!