Case Presentation: A 68-year-old Jamaican woman presented with generalized fatigue of one-week duration. On presentation, she also had dizziness and constipation. She was tachycardic and lethargic on examination. Laboratory values were remarkable for hypercalcemia of 17.3 mg/dl. She had lymphocytosis as high as 77000 (ALC 42.6). Serum lactate dehydrogenase (LDH) was 7000 U/L. Peripheral flow [...]