[Histonet] DiffQuik Question again

Richard Cartun Rcartun <@t> harthosp.org
Tue Nov 9 15:52:12 CST 2004


Some pathologists would argue that if inflammation is not present, there
is no reason to look for H. pylori.  Also, third party payors may
question the policy of doing a histochemical stain for bugs without
first examining the H&E-stained slide.

Richard

Richard W. Cartun, Ph.D.
Director, Immunopathology & Histology
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-0174 Fax

>>> "GUTIERREZ, JUAN" <juan.gutierrez <@t> christushealth.org> 11/09/04
02:56PM >>>
Who determines when it's not necessary?  If a stain is negative it does
not necessarily mean it was not warranted.  The stain is done to figure
out if the bugs are there or not.  The clinician needs to know either
way.  Because even if it's a tumor, did the bugs have a role in the
process?  

Juan C. Gutierrez, HT(ASCP)
Histology Laboratory Supervisor
(210)704-2533

My opinions are my own and do not reflect those of my employer.  Long
live free speech!


-----Original Message-----
From: Weems, Joyce [mailto:JWEEMS <@t> sjha.org] 
Sent: Tuesday, November 09, 2004 1:38 PM
To: Richard Cartun; GUTIERREZ, JUAN; histonet <@t> lists.utsouthwestern.edu;
PatPatterson <@t> mhd.com 
Subject: RE: [Histonet] DiffQuik Question again

We do Genta on all gastric bxs and then if they are not necessary we
credit the charge. 
Joyce 

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Richard
Cartun
Sent: Tuesday, November 09, 2004 2:17 PM
To: juan.gutierrez <@t> christushealth.org;
histonet <@t> lists.utsouthwestern.edu; PatPatterson <@t> mhd.com 
Subject: RE: [Histonet] DiffQuik Question again


Dear Juan:

Do all these patients get billed for the Giemsa histochemical stain?

Richard

Richard W. Cartun, Ph.D.
Director, Immunopathology & Histology
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-0174 Fax

>>> "GUTIERREZ, JUAN" <juan.gutierrez <@t> christushealth.org> 11/09/04
01:29PM >>>
We do a Giemsa on all gastric bx. And never get questioned.  The
pathologist does not have to review the H&E before it's done.  We
usually turn it in with the H&E.

Juan C. Gutierrez, HT(ASCP)
Histology Laboratory Supervisor
(210)704-2533

My opinions are my own and do not reflect those of my employer.  Long
live free speech!


-----Original Message-----
From: Patterson, Pat [mailto:PatPatterson <@t> mhd.com] 
Sent: Tuesday, November 09, 2004 10:01 AM
To: 'histonet <@t> lists.utsouthwestern.edu' 
Subject: [Histonet] DiffQuik Question again


Hi all -
Thanks for response previously for request for DiffQuik stain
protocols.

I'm trying to get a sense from all about prodecure/policy -- do the
clinical
sites routinely perform a DiffQuik on all Gastric Bxs?
Or do your Pathologists order after initial review of H&E?  And if
done
on
all Bxs - have there been any questions from your Billing offices
about
necessity?

Thanks for any information.

Pat Patterson
Methodist Dallas Medical Center

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