[Histonet] Exhaust Block

[Jackie.O'Connor <@t> abbott.com]

This sounds, at the least, unscrupulous.  I could see if he was asking to 
exhaust the block to ensure no pathology was missed in the entire sample - but  to keep someone else 
from requesting additional work on the block???   If this is the case, it 
sounds like CYA in case he missed something - destroy the block so no one 
can prove him wrong, or sue him over a missed lesion?   It's been known to 
happen.   I've 'heard of'  melanoma lesions appearing in deeper sections 
taken a few years after the initial diagnosis of "benign nevus".   Never 
take your job for granted.  Someone's life depends on your skills every 
single day.  No pressure.

Jackie O'





"Tague, Curtis" <CTague <@t> ahs.llumc.edu>
Sent by: histonet-admin <@t> lists.utsouthwestern.edu
11/14/2003 02:12 PM

 
        To:     "Cindy DuBois" <ccdub <@t> earthlink.net>
        cc:     "Histonet \(E-mail\)" <histonet <@t> pathology.swmed.edu>
        Subject:        RE: [Histonet] Exhaust Block


i hope you get paid by the hour, that's rediculous!

have fun,
curt
-----Original Message-----
From: histonet-admin <@t> lists.utsouthwestern.edu
[mailto:histonet-admin <@t> lists.utsouthwestern.edu]On Behalf Of Cindy
DuBois
Sent: Friday, November 14, 2003 11:51
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Exhaust Block


We have a pathologist who recently decided that if the specimen doesn't 
show
a disease process (ie, no pathological abnormality) we must "exhaust the
block".  This means (to him) to make 3 additional levels (H&E's), then cut
through the rest of the tissue leaving nothing in the block.  We are 
suppose
to do this to keep the patient or referring physician from requesting
further testing on the block.  So far we only have to do this with skin
biopsies, but I am afraid he will soon want it for everything else.  This 
is
extremely time consuming!

Do other labs out there do this?  I am just curious.

Cindy DuBois, HT ASCP
Delta Pathology Assoc.
Stockton, CA 


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