[Histonet] DiffQuik Question again

Wed Nov 10 09:30:46 CST 2004

Really?
You don't do specials on kidney or liver until the H&E is examined?

Dr Terry L Marshall, B.A.(Law), M.B.,Ch.B.,F.R.C.Path
 Consultant Pathologist
 Rotherham General Hospital
 South Yorkshire
 England
        terry.marshall <@t> rothgen.nhs.uk

-----Original Message-----
From: Horn, Hazel V [mailto:HornHV <@t> archildrens.org]
Sent: 10 November 2004 15:11
To: Richard Cartun; juan.gutierrez <@t> christushealth.org;
histonet <@t> lists.utsouthwestern.edu; PatPatterson <@t> mhd.com; JWEEMS <@t> sjha.org
Subject: RE: [Histonet] DiffQuik Question again

There has to be a medical indication for ordering any tests.    You
can't just do a stain because it is a gastric biopsy.    Our hospital
does not allow that.    We wait on all stains until the pathologist has
looked at the H&E.    

Hazel Horn, HT/HTL (ASCP)
Histology Supervisor
Arkansas Children's Hospital

Phone - 501.364.4240
Fax - 501.364.3912 

-----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 3:52 PM
To: juan.gutierrez <@t> christushealth.org;
histonet <@t> lists.utsouthwestern.edu; PatPatterson <@t> mhd.com; JWEEMS <@t> sjha.org
Subject: RE: [Histonet] DiffQuik Question again

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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