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- 外科医生和病理医生关于术中冰冻的对话-有时太真实了，强烈推荐
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huisheng97 离线
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No, we never had this kind of conversation with surgeons! Lucky or not, i don't know. I feel we have a very good relationship with our surgeons: they ask for a service, like a frozen section (we can do touch prep of core biopsy so the precious tissue wouldb't be consumed for FS) or rapid interpretation of FNA, we do it, to provide adequacy of specimens and maybe a quick diagnosis. It eases the anxiety of patients and surgeons. And, yes, we bill for the service we provided!
When they ask for a case not in my hands, i take down the patients name, pass the message to the managing pathologist who will handle it properly.
This scenario happens all the time, but conversation never goes like this.
I have witnessed a very competent yet arrogant neuropathologist talking to a neurosurgeon regarding a frozen section interpretation. The neuropathologist yelled out to the neurosurgeon: you don't argue with a pathologist! This became the joke of the year for our residency place!
| 以下是引用mingfuyu在2010-8-27 8:05:00的发言：
No, we never had this kind of conversation with surgeons! Lucky or not, i don't know. I feel we have a very good relationship with our surgeons: they ask for a service, like a frozen section (we can do touch prep of core biopsy so the precious tissue wouldb't be consumed for FS) or rapid interpretation of FNA, we do it, to provide adequacy of specimens and maybe a quick diagnosis. It eases the anxiety of patients and surgeons. And, yes, we bill for the service we provided! When they ask for a case not in my hands, i take down the patients name, pass the message to the managing pathologist who will handle it properly. This scenario happens all the time, but conversation never goes like this. I have witnessed a very competent yet arrogant neuropathologist talking to a neurosurgeon regarding a frozen section interpretation. The neuropathologist yelled out to the neurosurgeon: you don't argue with a pathologist! This became the joke of the year for our residency place! |
You are lucky. A gynecologist at our hospital often said I knew it after we told him the frozen result.
Ha
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本帖最后由 于 2010-08-27 23:14:00 编辑
只能听懂一部分（如果错了请提醒更正，谢谢！），整理如下：
外科医生和病理医生关于术中冰冻的对话
外科医生：您好，病理医生，我是乳腺外科医生。我需要冰冻切片。
病理医生：OK。告诉我什么情况。
外科医生：肺上有个恶性肿瘤（cancer）。
病理医生：患者以前做过活检吗？
外科医生：没有。但我确信它是恶性肿瘤。患者吸烟，而吸烟致癌。
病理医生：OK。安全的处理程序是什么？
外科医生：我不知道，但我想知道它到底是什么？
病理医生：但它不会改变对患者的处理方式。你真的不需要冰冻切片，这是滥用我们的资源。为什么不等待最终报告？
外科医生：我现在就要知道答案。
病理医生：为什么？它不会改变任何事。
外科医生：不，它是必须的。我要立即知道结果。患者和家人都急需知道结果。等15分钟我就要知道你的诊断。如果我告诉他们是什么病他们会更喜欢我，并且我会上网回顾，我自己会觉得很好。
病理医生：这不是一个好理由。
外科医生：我要立即知道，你在教育我。
病理医生（无语）：我想我还是不得不为你做冰冻，因为我们谈不到一起去。
外科医生：好。我想你会理解的。你们很了不起。你知道，我经常告诉我们的住院医生怎样发病理报告。顺便问一下，我上周送了一个有趣的……标本，名叫Johnson，你们认为是什么？
病理医生：我不知道。我是消化病理医生。标本分别由不同的病理组处理。
外科医生：但我送给你们了，病史上……，这是个好病例。
病理医生：OK。不管怎样，冰冻切片做好了。这是……，难以评估。……但我认为不是致命的癌。
外科医生：这可能是结肠转移来的吗？
病理医生：也许可能，为什么？
外科医生：患者有结肠腺癌。
病理医生：哇！你为什么一开始不告诉我？
外科医生：我不想麻烦你。
病理医生：那没有什么。你有责任给我们提供全部信息。
外科医生：不管怎样，谢谢您的帮助。
病理医生：你准备怎样手术？
外科医生：什么也不做。患者不……
病理医生：哇！……
外科医生：如果我需要你，我会打电话。……谢谢，你们做得很好！
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