RE: [Histonet] Exhaust Block


This sounds, at the least, unscrupulous.  I could see if he was asking to exhaust the block to ensure no pathology was missed in the entire sample - but  to keep someone else from requesting additional work on the block???   If this is the case, it sounds like CYA in case he missed something - destroy the block so no one can prove him wrong, or sue him over a missed lesion?   It's been known to happen.   I've 'heard of'  melanoma lesions appearing in deeper sections taken a few years after the initial diagnosis of "benign nevus".   Never take your job for granted.  Someone's life depends on your skills every single day.  No pressure.

Jackie O'

"Tague, Curtis" <>
Sent by:

11/14/2003 02:12 PM

        To:        "Cindy DuBois" <>
        cc:        "Histonet \(E-mail\)" <>
        Subject:        RE: [Histonet] Exhaust Block

i hope you get paid by the hour, that's rediculous!

have fun,
-----Original Message-----
[]On Behalf Of Cindy
Sent: Friday, November 14, 2003 11:51
Subject: [Histonet] Exhaust Block

We have a pathologist who recently decided that if the specimen doesn't show
a disease process (ie, no pathological abnormality) we must "exhaust the
block".  This means (to him) to make 3 additional levels (H&E's), then cut
through the rest of the tissue leaving nothing in the block.  We are suppose
to do this to keep the patient or referring physician from requesting
further testing on the block.  So far we only have to do this with skin
biopsies, but I am afraid he will soon want it for everything else.  This is
extremely time consuming!

Do other labs out there do this?  I am just curious.

Cindy DuBois, HT ASCP
Delta Pathology Assoc.
Stockton, CA

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