General

The Real Truth about Telemedicine

 Wow, its been about Fourteen (14) Years since I, as a solo practitioner in Wyoming, first addressed how Telemedicine can work for modern medical care. Now, telemedicine is mainstream medical care where patients can truly take charge of their health, as demonstrated on ABC News CHECK THE VIDEO OUT HERE

Let’s talk Telepathology given the common diagnostic errors in the clinical laboratory due to lack of accountability and transparency. CLICK HERE FOR LAB ERROR STATISTICS

A VIDEO DEMONSTRATION OF THE SIMPLICITY OF TELEPATHOLOGY

Examples of Previous Telemedicine/Telepathology Postings By MDC-Atlanta:

TELEMEDICINE/TELEPATHOLOGY AN OPPORTUNITY FOR DIALOGUE

TELEMEDICINE AND PREVENTATIVE CARE

PRACTICALITY OF TELEMEDICINE

CONVENIENCE OF TELEMEDICINE

AT MDC-Atlanta, we make telepathology simpler and less expensive as compared to the above video demonstration.

HERE IS HOW TELEPATHOLOGY WORKS At MDC-Atlanta:

1. Patients have a cellular or tissue biopsy done by their primary or specialist physician, and authorize sample to be submitted to MDC-Atlanta; or permanent pathology slides prepared by a CLIA licensed laboratory anywhere in USA can be simply mailed along with the Final Pathology Report to MDC-Atlanta

2. The cellular or tissue sample is transported in the appropriate transport medium via certified express mail at the expense of MDC-Atlanta to our practice address in Atlanta, Georgia. CONTACT DR. GATES FOR INSTRUCTIONS ON SPECIMEN HANDLING/TRANSPORT

3. At receipt of cellular or tissue sample or  prepared permanent pathology slide(s) by MDC-Atlanta, the patient and the physician will be personally notified by Dr. Gates, as well as direct communication about specific questions and/or other concerns to be addressed will take place at that time.

4. The cellular or tissue sample will be processed for macroscopic and microscopic description/identification regarding any pathological changes; or, the prepared permanent pathology slide(s) will be reviewed by Dr. Gates

5. A Final Complete Pathology Report will be issued to patient and/or physician with appropriate documentation via email, fax, or other forms of transmission upon request.

6. A video and/or picture of the salient diagnostic features may be presented to patient and/or physician with appropriate request. AN EXAMPLE OF TELEPATHOLOGY VIA VIDEO PRESENTATION

7. Second Opinion by other Nationally Renown Experts may also be provided at the specific requests of patient and/or physician, or as deemed necessary by Dr. Gates for Quality Control/Quality Assurance Policy at MDC-Atlanta

WE, AT MDC-ATLANTA, remain committed to keeping patients informed for better quality, safe, and affordable medical care!!


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.

 


Transparency through Video Assures Accuracy of Your Biopsy


Simple Communication Yields Fast Accurate Diagnosis


Early Detection of Disease Prevents Premature Demise of Patients


Assurance in Diagnostic Accuracy-100% Guaranteed


Assisting Patients with the Prevention of Advanced Diseases


Inside the Mind, Training, and Skills of a Good Doctor


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