[Histonet] DiffQuik Question again

[Richard Cartun]

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

***********************************************************************

This electronic transmission contains information from Methodist
Health

System and should be considered confidential and privileged.  The 
information contained in the above messages is intended only for the 
use of the individual(s) and entity(ies) named above.  If you are not 
the intended recipient, be aware that any disclosure, copying, 
distribution, or use of this information is prohibited. If you receive

this transmission in error, please notify the sender immediately by 
return e-mail.  Methodist Health System, its subsidiaries and 
affiliates hereby claim all applicable privileges related to the 
transmission of this communication.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet 

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet 

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet 


Confidentiality Notice ** The information contained in this message may
be privileged and is confidential information intended for the use of
the addressee listed above. If you are neither the intended recipient
nor the employee or agent responsible for delivering this message to the
intended recipient, you are hereby notified that any disclosure,
copying, distribution or the taking of any action in reliance on the
contents of this information is strictly prohibited. If you have
received this communication in error, please notify us immediately by
replying to the message and deleting it from your computer.
Thank you. Saint Josephs Health System, Inc.


_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet