[Histonet] Re: Number of blocks

[Podawiltz, Thomas]

Yes, they would prefer quality cut sections over speed. They would rather wait for the slides than get junk. I do most of the final QA on the slides and will order any recuts for quality. It's a team approach to quality and when an issue does rise up, it's a group discussion on how to avoid it in the future instead of some of the finger pointing I have seen happen at other places. We are not perfect, but we are a good team. 

 
Tom Podawiltz HT (ASCP)
Histology Section Head/Laboratory Safety Officer. 
LRGHealthcare


  


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Bob Richmond
Sent: Friday, October 26, 2012 12:01 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Re: Number of blocks

As I asked before, do your pathologists have any input into any of this?

About embedding: I heard of a recently trained pathologist who, asked about an embedding problem, replied, "What's embedding?"

We spend thousands of dollars on a bronchoscopy or an EGD to get a tiny bit of tissue that contains a life-changing diagnosis. The specimen comes to the pathology lab and is grossed by a prosector who isn't allowed an embedding sheet. The embedder has no idea how many bits of tissue to look for. Then the microtomist is expected to cut 50 blocks an hour. Then the pathologist has to make a diagnosis on a venetian-blind section.

Good Management I'm sure. Bad medicine.

Bob Richmond
Samurai Pathologist
Maryville TN

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