Tuesday, August 26, 2014

Delay

What’s the problem of double-checking all pathology specimens if we have enough pathologist?

You see? The efficiency of colon cancer screening is limited by manpower and hardware. Provided that there are enough gastroenterologists and endoscopy centers, all people could be screening in parallel and there’s no delay in provision what-so-ever.

On the other hand, double-checking of pathology specimens always means going through the process twice in series and, however many pathologists there are, it would always take longer to prepare the report. In real life terms, if we used to take 7 days to get the formal result, it will take 10 days in the future. (It is not exactly twice as long because we do not need to process the specimen twice.)

You may think you understand what I'm trying to get at: A delay in the report would delay the treatment. For example, a curable cancer may become incurable.

Well, that is true, but, I consider that a minor issue. In general, a few days of delay does not make such a big difference in almost all clinical scenario.

However, there are other problems that we have to consider.

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