[Histonet] Re: Floaters
In my previous post on floaters I think I stepped into a problem pathologists
commonly handle wrong.
In an ordinary morning's sign-out, I'll usually encounter a case or two where
the slide's horrible, the diagnosis is obvious, and on to the next case. When
I do this, I think I'm being part of the solution, but actually I'm part of
If I may invoke the sacred name of Edwards Deming - Deming emphasized the
importance of identifying and addressing small problems before they turn into big
problems. If the hematoxylin's a little on the light side today and it isn't
changed, the slides may be unreadable tomorrow. That placental villus in the
middle of a gastric biopsy - so obvious it may not even rise to my
consciousness - may be a floating chunk of squamous carcinoma in the middle of a benign
laryngeal biopsy tomorrow.
If a junior pathologist complains about an issue of quality or safety, he'll
probably get chewed out by the boss for his efforts. I suppose that
histotechnologists have the same problem. Shooting the bearer of bad news is a tried and
true management technique, probably taught in M.B.A. school right along with
Corporate Looting 101 and Advanced Necktie Wearing 203.
Using multiple sets of dissecting instruments with the just-used ones soaking
in water and washed off every few cases would be a technique worth trying,
but I've been ignored when I've brought it up.
As for compost, Kemlo, I have quite a large batch of it awaiting my garden
next spring. I want to try an Indore heap, but my wife doesn't want it in the
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