Red blood cells (RBCs) suspended in a high-viscosity medium were filmed while flowing through a microchannel using an automated rheoscope. Under these conditions, erythrocytes take different orientations and undergo varying deformation according to their location in the velocity profile. Measurements of the mean deformation at several distances from the center of the microchannel at a constant flow rate were acquired for normal and thalassemia erythrocytes. The measurements demonstrate how diagnosis can be made based on a single flow rate in contrast to conventional methods where shear is mechanically controlled. The spatial distribution and velocity of RBCs and rigid microspheres (1 mu m) were measured. The maximum slip velocity was found to be linearly correlated to the flow rate for both cells and microspheres. RBCs showed enhanced inward lateral migration compared to the rigid spheres, which is attributed to RBC deformation. The results demonstrate the coupling between RBC mechanical properties and their motion in microvessels.