General

Practicality and Efficency in Clinical Medicine

Often times, patients are subjected to inappropriate clinical laboratory testing. But the real purpose of clinical laboratory testing is to CONFIRM a clinical impression, and laboratory testing should not be the sole basis of FORMING a clinical impression.

Thus, appropriate clinical laboratory testing should be guided by the following:

1. A clinical impression after an interview with the patient

a. If patient doesn’t have symptoms, signs, or risk factors for illness or disease, then  clinical laboratory testing is NOT in order

b. If a patient has symptoms and signs of illness or disease, then the organ system (s) in disease should be determined and a selection of general labs to confirm the organ system (s) in disease should be carried out by consulting with a laboratory medicine specialist.  Specific or highly specialized laboratory testing should NOT be carried out.

c. If a patient has risk factors for illness or disease, then scheduled surveillance for select diseases or illnesses associated with those risk factors should be done, and select clinical laboratory testing may be in order. Such risk factors that may or may not be associated with symptoms include obesity, diabetes, high blood pressure, HIV, tobacco abuse, sexual promiscuity, age related disease/illness, etc.

2. Management of CONFIRMED diseases or illnesses should guide proper surveillance as determined by Guideline-Standards provided by National and International Health Authorities

Consulting the Laboratory Medicine Expert

References:

American Journal of Clinical Pathologists 2011;135:11-12

American Journal of Clinical Pathologists 2000; 113: 336-342

We at MDC Atlanta are committed to informing our patients for better quality and safe, as well as affordable health care.


An Investment Idea-MDC Atlanta; Going Into The Molecular Structure of Cell to Diagnose Disease

Nantechnology is rapidly becoming popular as the new trend in medical diagnosis and treatment. Why? Because, it essentially allows one to literally make diagnosis and even initiate targeted treatment sooner than by way of traditional forms of medical care.

LET’S EXAMINE THE CELL FOR TUMOR, CLICK HERE

We would like to announce our future project to engage primarily in early diagnosis of disease through nanotechnology.  This technology allows one to use nano-particles (such as gold or silver), which are really tiny matter that can label a particular tumor to be visualized IN-SITU (or simply in its native form in the body) without undergoing a surgical biopsy.  In other words, through the manipulation of atoms, we can label potential tumors, for example, as small as a few nanometers, which are smaller than a cell (for instance, a red blood cell is 7 micrometers in diameter which is 7,000 x larger than object measuring 1 nanometer).  Most tumors in the beginning stages of cancer make certain proteins which can be used as markers of tumor development and manifestation (oncogenesis)..  Since tumor cells aggregate in “MASSES,” the volume of protein expressed through digital imagery, i.e. ultrasound or CT-scan or via other more specialized imaging pathways, could be standardized to make diagnosis at the  molecular level, before a tumor becomes large enough that would eventually limit successful treatment outcome.  Thus, this would lead to destroying a potential tumor cell in its earliest molecular development.  This would be an objective basis for disease diagnosis, and may lead to curing many different types of aggressive cancer before reaching detectible size by current traditional medical means.

We plan to discuss the details with a legitimate, potential investment capital group.

We at MDC-Atlanta remain committed to keeping our patients informed for better quality and safe medical care.

 


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The Real Truth About Pap-smear From A Pathologist’s Perspective

Did you know that the Pap smear was discovered by a Pathologist?  George Papanicolaou discovered the Pap Smear.  It is a test that can determine if a patient is at risk for developing cervical cancer and other types of cancer by simply removing a few cells from the cervical/vaginal canal for instance.  In fact, for more than 60 years, it has been attributed to reducing the rate of cervical cancer by 70% or more.

AT MDC-WE GUARANTEE 100% ACCURACY IN THE PAP TEST

We are able to assure this level of accuracy because we examine, collect and interpret the sample at the patient’s bed side.  AND WE MAKE IT AFFORDABLE.

The Pap test can also determine if you have certain other types of genital infections such as trichomonas, bacterial vaginosis, yeast infections, active herpes, actinomycosis, and much more.

We, at MDC, suggest the following recommendations for females when deciding on a pelvic examination which in our clinic also includes a Pap smear test:

-First protected or unprotected sexual encounter  or age 18 and above after changing each sexual partner.

-With any symptom such as unusual discharge/visible lesion, or bleeding, and/or pain during sexual activity

-After being sexually exposed to high-risk person or a known individual with transmissible diseases.

-Previous history of abnormal Pap test of any type

The timing of your Pap test just might contribute to saving your life, and should always be discussed with your physician.

WE AT MDC ATLANTA REMAIN COMMITTED TO INFORMING OUR PATIENTS FOR BETTER QUALITY AND SAFE MEDICAL CARE


The Real Truth About Postmortem Examination

Postmortem examinations are often NOT necessary when one is able to review antecedent medical records after a NATURAL CAUSE of patient’s demise.  In fact, death investigation by removing all organs en-bloc, as it is often referred to, has become archaic, given the many advances in modern technology, particularly in respect to MRI, CT-scan, PET-scan, Echo cardiogram, and many others.  Moreover, even the advancement of modern medical laboratory procedures has created conditions for “proof of fact” about cellular, tissue, and organic functions by simply evaluating a small biopsy sample or collecting body fluids.  The dimensions as well as size and weight of organs are often in line as with what is estimated by ANTECEDENT IMAGING STUDIES, including ECHO-cardiogram for heart valves and chamber sizes, as well as size of ventricular/atrial myocardium (heart muscular wall) for instance when assessing cardiomyopathy, or weight of Liver, kidney, and Spleen as well as other organs when assessing organomegaly due to certain diseases, for another example.  When evaluated together with antecedent medical records, imaging studies, and clinical laboratory results, one is able to derive at a sound and reasonable cause of death without dispute.

So, the question becomes, why is it then necessary for the next of kin of a loved one to pay on average in excess of 3500 to 5000 dollars for a private autopsy (postmortem ) examination on the person’s loved one?  Well, the short answer to this question is that it is not necessary to pay that kind of money, when one can simply have medical records reviewed, and selectively sample cells, tissues, and organs at postmortem that may support the antecedent medical records of the deceased to accurately CONFIRM the cause of a loved one’s death.

Forensic Death Investigation, as with a death that has NOT been witnessed or to address legal concerns surrounding a death for homicide, suicide, and accidental death is a different ball game all-together, and is generally under REGIONAL legal authority.

I would advise THE NEXT OF KIN to ask questions prior to CONSENTING TO a postmortem examination: 1) What answer(s) will the postmortem investigation bring to new light? 2) What recommendation is advised in regards to  the least intrusion of the loved one’s body to derive at necessary information to resolve cause of death.

CLICK HERE TO VIEW OUR POLICY REGARDING POSTMORTEM EXAMINIATION  .