Wednesday, August 27, 2014

Urgent

Some of you may notice there's a loophole in my discussion yesterday:

You see? Although a delay of a few days may not be important for most of the pathological specimens, a few hours would already be critical in the scenario of urgent specimens sent during an operation. (For those with a medical background, I am talking about the intra-operative specimens sent for frozen section.) First, the longer you have to wait for the result, the higher the risk of anesthesia. More importantly, when operating theatres would be occupied longer, fewer patients could be treated - cases will be cancelled and treatment delayed.

I must say this is a major scientific reason against routine double-checking of all pathological specimens. However, this problem is not insurmountable - we can do away with double-checking for all frozen section specimens if only senior pathologists are entitled to take care of them.

PS. Visitors with some background knowledge on logic would notice the fallacy of moving goalpost in the above discussion, but that's not an important problem in this context.

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