General

The Real Truth About HIV/AIDS-A Request for a Communicative-Dialogue

It has been stated that the first reported case of HIV/AIDS in America was in 1981.  Yes, that’s just 33 years ago.  While as a medical student, I had seen several cases of HIV/AIDS and the complexity of illnesses that patients experience with this disease, it became personal to me when a dear friend, 29 years old just in the burgeoning period of his life, was admitted to the teaching hospital where I, as a fourth year medical student, was in school.  I visited him that day, Not as a medical student covering the service, but as a friend, as he was battling with pneumocystis carinii pneumonia (PCP), and subsequently died from the complicating diseases associated with the HIV/AIDS virus,  I felt hopeless not being able to share positive words with my friend about his ability to get better from this disease, knowing full well that he would subsequently die from this disease.  He was the best pianist that I had ever known, and his interpretation of harmonious cords on the piano keyboard was like none other that I had witnessed before, and I believe others would acknowledge the same.

Another encounter that was dear to me, is when a mother called me about her dying son of 33 years of age, when I started my general practice four years ago.  This mother was distraught and not knowing what to do as her son was battling the last stages of HIV with an encephalopathy  perhaps due to an opportunistic viral infection that destroys the white matter of the brain, and HIV neuropathy.  He was not getting better, having seizure activity and severe dementia as well as loss of motor activity, as I explained to her that she should begin to consider the end of life preparation for her son as she wondered about the continual decline of his health and what could be done.  Those are some of the worse times a physician can experience during a medical practice when there is nothing more that can be done.

I share the above two stories to say while we have come a long way with effective antiviral and other prophylatic treatment and even extending lives for those with HIV/AIDS over these past 30+ years, our efforts should be focused on PREVENTION of this devastating disease instead of promoting expensive HIV testing and Drug Treatment, and SICK CARE OF HIV/AIDS.  This country continues to spend billions of dollars on diagnostic testing and treatment as well as management of this disease.

But the real question is, ” Are we putting fear into patient to receive HIV testing inappropriately?” I would admit that the majority of patients who are initially infected with the HIV/AIDS virus early on do not have specific symptoms, and some may have “a viral syndrome for a few days”, i.e. enlarged and tender lymph nodes, fever chills, night sweats, skin rash, joint pain , etc, which passes on.  In general, when one is infected with a virus, the immune system kicks into gear, and it typically takes a few weeks, maybe even months before antibodies, for instance, against HIV viral particles are detected by clinical laboratory testing.  I don’t fully understand the futility of advising the general public or LOW-RISK patients to get tested for HIV viral antigens through an expensive P24-Antigen/PCR-DNA/RNA HIV test, instead of waiting until antibodies are detected three to six months down the line or longer. It goes without saying that those in high risk groups such as gay-men, multiple sex partners, IV-drug abusers, and those with history of blood transfusion/organ transplant, for instance, or those with partners known to be HIV positive and who would like to undergo post-exposure prophylactic HIV therapy should be tested early with the more highly sensitive tests such as P24 antigen testing and/or PCR-DNA/RNA HIV testing, as an epidemiological management of this disease.

I hope someday, the public can have a real discussion and proper, respectable COMMUNICATION among EXPERTS who are willing to SHARE THE SPECIFICS of their research to show WHY EARLY ANTIGENIC TESTING and/or PCR-DNA/RNA HIV TESTING (done usually to assess viral load) is necessary in HIV/AIDS in a screened HIV-NEGATIVE, LOW-RISK PATIENT-POPULATION, given the fact that apparently it does not influence the ultimate outcome of the disease. I would welcome the opportunity to broadcast this on my online network,CLICK HERE

I WELCOME comments through email correspondence to address this issue.

 

MDC-Atlanta remains committed to keeping patients informed for better quality and safe medical care. 


Plain Talk about A Blood Smear Review From the Pathologist’s Perspective

Did you know that reviewing a blood smear can determine a patient’s blood cell disease in many instances prior to a bone marrow biopsy?  A bone marrow biopsy can be extremely painful, and often times may not be necessary.  A bone marrow biopsy is typically indicated to either confirm the changes seen on blood smear such as various types of anemia/erythrocytosis, leukopenia/leukocytosis, thrombocytopenia/thrombocytosis, or to resolve fever of unknown origin, or to determine stages of certain cancer and confirm a diagnosis of leukemia, myeloma, and/or lymphoma.

Red blood cells, white blood cells, and platelets are blood cells that are principally produced in the bone marrow during adulthood.  Each one of these blood elements carries out a specific function in maintaining balance in human organ systems (homeostasis); and a simple review of an anatomy and physiology text book can point out the specific functions of these blood elements.

The purpose of a peripheral smear review is to assess the following:

1. Production of blood cell elements

2. Destruction and/or loss of blood cell elements

3. Blood cell tumor or atypical forms.

The above three levels of investigation examine specific numbers of blood cells, as well as specific types/forms, in addition to  their various shapes and sizes to determine the types of blood cell diseases.

Often times, simply reviewing a blood smear review coupled with a complete history and physical examination can determine specific types of anemia, or other blood cell diseases.  Blood cell smear review is coupled with an objective test known as Complete Blood Count Report (CBC).  Taken together, the CBC report and a blood cell smear review, may determine whether or not a bone marrow biopsy is necessary. A blood smear review only requires collecting a sample in a lavender-colored top test tube, and then taking an aliquot (droplet) of the sample to smear onto a glass slide, allowing the slide to dry, and then staining the slide with a simple blue-dye, which from start to finish takes about 10-15 minutes, and costs the patient around 65 dollars for a final diagnostic interpretation by Dr. Gates. This evaluation will also include a complete blood count report with a differential count-CBC with differential (generated by an automated laboratory analyzer at our reference clinical laboratory affiliate).

MDC-Atlanta remains committed to informing our patients for better quality and safe medical care.


Plain Talk About Prevention and Maintenance of GI Diseases-A Pathologist’s Perspective

Normal Stomach HistologyNormal Colon Histology

Histological Examination Remains the GOLD Standard in Diagnosing Gastro-intestinal GI Diseases

Choose an Abdominal CT-Scan to RULE OUT TUMOR after a complete medical evaluation/assessment, then proceed with Endoscope if Necessary CLICK HERE FOR REFERENCE

CLICK HERE FOR CONSIDERATION OF THE PILL-CAMERA OPTION FOR GI DISEASE SURVEILLANCE

CLICK HERE FOR READING REFERENCE

CLICK HERE FOR MORE REFERENCE

At MDC-Atlanta, we give our patient a still-picture copy or video-presentation of the diagnostic pathological image of the patient’s BIOPSY, as this allows patients to understand their disease processes as well as to be able to share images

with other like-minded Experts

CLICK HERE TO VIEW A DEMONSTRATION OF THE PATHOLOGIST’S INTERPRETATION OF A STOMACH BIOPSY

A common reason to seek the attention of a health-care provider is due to “stomach pain” associated with or without weight loss, decrease appetite, fever, chills, night-sweats, nausea, vomiting, diarrhea, and constipation, as these are symptoms that may suggest problems with the Gastrointestinal (GI) System. However, in general, GI symptoms essentially overlap with “constitutional symptoms” which means that other NON-GI diseases must be ruled out. This greatly depends on the patient’s age as well as other known medical or previous surgical conditions. The GI system is a central component for the operation of other human systems as it provides replenishing nourishment, water and electrolytes, as well as other trace elements. It is a system that is directly interactive with our external environment, and is therefore, predisposed to environmentally induced diseases. Because of its location from mouth to anus, neck, chest, abdomen, and pelvis, often times, the esophago-gastrointestinal tract is intimately apart of other systems, and may show overlapping signs of diseases that may NOT be directly linked.

Preventative and Maintenance Health Practices are key to solving many ailments that predispose the GI tract.

Most acute diseases involving the GI tract are typically self-limiting, which means they typically resolve within a few days, and really do not require the attention of a health care provider. We at MDC-Atlanta typically recommend those patients who are otherwise healthy that when experiencing acute GI symptoms, like acute diarrhea, nausea and vomiting without other symptoms, to “rest the intestinal tract” from solid foods, and only drink liquids which contain electrolytes and glucose, for instance, for one to two (1-2) days to allow healing of the lining of the intestinal tract to take place, as from acute viral infections for instance. Symptoms that do not show signs of resolution and/or become worsen WITHIN three (3) days should immediately require evaluation by a licensed health-care provider. Chronic diseases involving the GI tract typically last longer than three (3) months, and should always be evaluated by an appropriately qualified and licensed health-care provider.

Prevention and health maintenance measures regarding the GI tract start with an auspicious patient who monitors self for certain symptoms of GI diseases. Those who are predisposed to developing early GI diseases as related to congenital or inheritance pattern of diseases should always consult with the appropriate professionals regarding scheduled surveillance evaluation. But in general, surveillance of the GI tract by colonoscopy examination should be done by age 50 or sooner when certain symptoms are long lasting (chronic).  Specific symptoms  AT ANY AGE, such as sour taste in mouth after meal, or cramping/burning pain after meal, ongoing vomiting, or other symptoms related to gastro-esophageal reflux disease or gastric ulcers (bleeding), long-lasting diarrhea/rectal bleeding, etc, should ALWAYS be immediately evaluated by a gastrointestinal physician-specialist to rule out patterns of disease via biopsy and/or through microscopic evaluation. I hope someday patients will be able to do their own GI/Bowel prep (fasting for at least 12 hours), followed by swallowing a pill with a camera and small thin-tube with light attached to it to evaluate the upper GI tract (Esophagus, Stomach, and first part of the Duodenum-small intestine) as well as to gather images and even an automated safe biopsy apparatus-collector guided via secure-internet by their primary care physician to rule out diseases earlier before advanced stages.

Common Diseases of the GI TractBasic Functions of the GI TRACT

  There are many more diseases of the GI tract not listed in the above image for the sake of brevity.  These diseases include but are not limited to polyps with or without high-grade (precancerous) changes, ulcers, fungal infection, bacterial infections, etc. Diseases of the GI tract can be divided into TWO (2) main categories: REACTIVE VERSUS NEOPLASTIC (Benign or Cancerous).  Neoplastic diseases are first ruled out by examining a biopsy sample, for instance, under the microscope primarily looking for “PRESERVATION OF THE USUAL OR NORMAL MUCOSAL ARCHITECTURE“, also known as the normal histological pattern.  Neoplastic or tumoral diseases are common place in the GI tract, and generally do not pose significant diagnostic dilemma. However, when evaluating for INFLAMMATORY OR REACTIVE CONDITIONS of the GI tract, appropriate skills must be employed to communicate clinical relevance of the inflammatory lesions, so that appropriate medical therapy can ensue.

GI  inflammatory lesions are further divided into ACUTE versus CHRONIC:

HISTOLOGICAL  PATTERN FOR ACUTE INFLAMMATORY DISEASE OF GI TRACT:

The typical mucosal histological pattern is usually preserved.  However, there may be various forms of regenerative changes or ulceration of the lining surface epithelium.  In addition, acute inflammatory cells, neutrophils, permeate the lining surface epithelial cells, as well as the cells that form the crypt glands, or deeper glands, and may often be seen in clusters within the glandular lumen (neutrophilic abscess, also known as acute cryptitis/crypt abscess for intestinal disease for example).  The lamina propria shows accumulation of mixed inflammatory cells including neutrophils, lymphocytes, plasma cells, histiocytes, including lymphoid aggregates on occasion, and other inflammatory cells, with associated edema or fluid collection within the supporting connective tissue.  Acute GI diseases are caused by ischemia (changes in vascular flow to the mucosa), microorganisms, and/or other toxins.

HISTOLOGICAL PATTERN FOR CHRONIC INFLAMMATORY DISEASE OF THE GI TRACT:

The mucosa is usually distorted by branching glands, “glandular drop out”, irregular spacing of glands, atrophy, etc.  Activity of chronic inflammatory diseases of the intestine may again be highlighted by the presence of neutrophils within epithelium or glandular lumen, as with active inflammatory bowel diseases (Ulcerative Colitis and Crohn’s disease).  The lamina propria is typically expanded by a mixed inflammatory cell infiltrate as described above in the acute process, but also may or may not include various degrees of lymphoid aggregates and/or granuloma formation. There may be various degrees of increased collagen or fibrous tissue formation, as with collagenous colitis or lymphocytic colitis (which also shows the presence of increased numbers of lymphocytes within the epithelium, and nuclear dusting of the lining surface epithelium).   Chronic GI diseases are often caused by an immune mishap, and requires additional serological studies for instance, as well as other specific clinical findings to further define the abnormality.

Treatment of inflammatory diseases of the GI tract includes different types of antimicrobials, corticosteroids, as well as other forms of chemotherapy, and is influenced by the SPECIFIC TYPES OF INFLAMMATORY DISEASES. If you are diagnosed with one of these diseases, you should consider A SECOND OPINION by a different pathologist unaffiliated with the original pathologist, OR request EVIDENCE for the disease, by way of a picture or other clinical diagnostic evidence for disease.

MDC-Atlanta Remains Committed to Keeping Our Patients Informed for Better Quality and Safe Medical Care


TELEMEDICINE AND TELEPATHOLOGY BY DR. GATES

mobile-medicine_1    CLICK HERE FOR DETAILS

Dr Gates at the Microscope Desk Interpreting Diagnostic Pathology

Dr Gates at the Microscope Desk Interpreting Diagnostic Pathology

TELEPATHOLOGY

 Transparency at the Microscopic level

TELECONSULTATION

Digital Based Pathology and Laboratory Medicine.  This process allows Dr. Gates to share cases with other pathologists and physicians all around the WORLD for TRANSPARENCY IN ACCURACY of DIAGNOSIS


Plain Talk about Skin Rash from a Pathologist’s Perspective

Skin rash is a common reason why patients visit or consult with a health care practitioner. However, many skin rashes are self-limiting, i.e. Self-limiting rashes subsequently disappear without treatment within two (2) weeks.

There are several principle morphological components of the skin that one may evaluate when considering rashes and other lesions of the skin. They include: 1) Epidermis; 2) Papillary dermis; 3) Reticular dermis; and 4) Subcutis, or subcutaneous fatty tissue. One may readily define each of these components through referencing a basic, general Anatomy and Physiology textbook.

When examining skin tissue under a light microscope, the principle goal is to define the normal histological pattern of skin, and this is based on where the skin is located on the body. The normal histological pattern is assessed primarily to exclude benign and cancerous tumors of the skin, also known as skin neoplasms. Once skin neoplasm has been ruled out by examining the skin under a light microscope, the second step is to consider reactive or inflammatory lesions of the skin also known as skin rashes or dermatitides, and thus, the topic for this discussion.

Normal Skin as viewed under the Light Microscope

Reactive or Inflammatory Skin Diseases can be subdivided into acute, sub-acute, and chronic dermatitides, and this categorization of skin inflammatory diseases is based on changes in the epidermis, dermis, and subcutis. Often times, acute inflammatory skin diseases as related to allergy for instance, will disappear within days after contact with allergen or other toxins have been removed; or after appropriate treatment with antiviral, antibacterial, antifungal, etc., medications for another example; or still yet after resolving an acute vascular insult as still another example. Sub-acute and chronic dermatitides generally last longer, and often require expert evaluation by a dermatologist for further therapeutic and prognostic management, generally after a skin biopsy and histological diagnosis have been rendered by a pathologist.

Evaluating the Epidermis:

An acute and/or subacute insult of the epidermis may demonstrate a range of changes from as mild as intracellular edema, also known as spongiosis to as severe as evidence of dead (necrotic) epidermal cells and ulceration (disruption or absence of) lining epithelial cells.

A chronic or long lasting (greater than three months) insult of the epidermis may show similar changes as to the above, in addition to reactive overgrowth also known as hyperplasia (given the two classifications: pseudoepitheliomatous hyperplasia and psoriasiform hyperplasia).  The pattern of keratin (hyperkeratosis) may accompany overgrowth of the epidermis, or the presence of parakeratosis may give evidence for rapid or continuous keratin turnover as with pruritus or chronic itching/scratching. Degenerative changes of the basal cells (vacuolar ‘bubbly’ degenerative changes) may also define the dermatitides. Vesicles or bullae may be seen in both acute and chronic dermatitides and the pattern of the bullae, i.e. intra-epidermal and subepidermal, may shed light on specific types of rashes that often times require even specialized studies such as immunohistochemistry to define abnormal autoantibody complexes. The pattern of Intra-epithelial inflammatory cells found within the epidermis and adnexa (sweat glands, sebaceous glands, hair follicules, etc) may also shed light on specific diagnosis of acute and chronic dermatitides. And, finally, specific pathogens such as viruses (viral cytopathic effect, as with Herpetic or Zoster viruses, for example), or Fungi (candida, dermatophytes, etc), or bacteria such as staphylococcus for example, may also be demonstrated as the etiology of the rash.

 An Example of A Chronic Rash, JGATES (2)Prurigo, Chronica

 

Evaluating the Dermis:

The inflammatory pattern is one of the most important features when defining rashes, as well as the specific types of inflammatory cells that are present within the dermis. Six (6) patterns are commonly evaluated which include: 1) superficial and/or deep perivascular inflammatory infiltrate with or without eosinophils or mast cells; 2) Superficial and deep perivascular inflammatory infiltrate comprised predominantly of lymphocytes and plasma cells with or without a periadnexal component; 3) Diffuse, mixed inflammatory infiltrate of dermis and/or subcutis; 4) Lichenoid or interface (a linear pattern of inflammation at the junction between the epidermis and dermis);5) Bullous inflammatory infiltrate, and 6) Fibrinoid necrosis (evidence of dead endothelial cells involving cells which line blood vessels) and clots within small blood vessels.  Granulomatous inflammatory infiltrate is a specific pattern that may be attributed to deep fungal infection or mycobacterial infection, etc, of the skin or Non-infectious granulomatous infiltrate as seen in sarcoidosis.

Examples of Descriptive Inflammatory Diseases of Skin ( Dermatitides):

Most common, acute rash: Urticarial Reaction; Sub-acute Spongiotic Dermatitis (includes allergy, contact dermatitis, other self-limiting dermatitis); etc:

-Spongiosis with superficial  patchy perivascular  lymphoplasmacytic and histiocytic inflammatory cell infiltrate with eosinophils and/or mast cells

Acute/Sub-acute rash: Arthropod/Insect Bite; Scabies, fixed drug-eruption,  etc

-Spongiosis with superficial and deep lymphoplasmacytic and histiocytic inflammatory cell infiltrate with or without eosinophils.

Chronic rash: psoriasiform dermatitis (requires clinical correlation), includes: Psoriasis (various forms), Neurodermatitis, Superficial fungal infection, etc:

-pseudoepitheliomatous hyperplasia/psoriasiform hyperplasia, plus or minus intraepithelial inflammatory cell infiltrate,  with superficial and deep lymphoplasmacytic and histiocytic inflammatory cell infiltrate WITHOUT eosiniphils and/or mast cells

Chronic rash: Lichenoid dermatitis (requires clinical correlation), includes: Lichen Planus, Discoid Lupus, Drug-eruption, etc.:

- Linear, Interface inflammatory lymphoplasmacytic and histiocytic inflammatory cell infiltrate, vacuolar degeneration, with or without superficial and deep lymphoplasmacytic and histiocytic perivascular inflammatory cell infiltrate and/or lymphocytic periadnexal inflammatory cell infiltrate.

The above are just some examples, but there are many other inflammatory dermatitides, including rare and special types such as deep fungal infection, parasitic infection, Herpetic dermatitis, Lyme disease, Sweet’s syndrome, Bullous Dermatitis, Erythema Nodosum,  Toxic Epidermal Necrolysis (TEN), etc.

 

Evaluating the Subcutis:

This is typically a limited evaluation looking for specific diseases related to causes of septal and diffuse panniculitis which tend to be systemic as related to calcium metabolic deposits (saponification), pancreatic and/or kidney diseases for example.

In short, defining rashes can be routine for the general health-care pracitioner. AND, using the above diagnostic evaluation profiles by the laboratory medicine specialist can define many different types of acute, sub-acute and/or chronic rashes (dermatitides).  Patients in general can save on health care cost for common rashes by going to visit a general practitioner/laboratory medicine specialist like Dr. Gates  prior to consulting with a dermatologist.

TREATMENT:

Most acute rashes will be self-limiting and typically resolve without therapy once the allergen or toxin has been removed.  But in general, most inflammatory dermatitides (skin rashes) can be resolved through corticosteroids, antihistamines, antimicrobials, or other topical and/or systemic  chemotherapy agents as predicated by the specific etiology of the rash.

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


Second Opinion Requests for Dr. Gates

We are excited to expand our TELEMEDICINE and TELEPATHOLOGY Practice

throughout the State of Georgia .

Digital Based Pathology and Laboratory Medicine; Image can be shared with Experts ALL over the WorldTransparency at the Microscopic level ! We at MDC use the SmartPhone Technology to take Mobile Pathology Images

Breast Cancer! This Image was taken with an IPHONE camera allowing Rapid Second Opinion on the SPOT

Dr Gates at the Microscope Desk Interpreting Diagnostic Pathology

Dr Gates at the Microscope Desk Interpreting Diagnostic Pathology

CLICK HERE TO VIEW LIVE TELEPATHOLOGY

We would like to announce, Telepathology, Preparing a Video of Your Biopsy, Click Here

Here are the steps for patients to take in regards to having Dr. Gates generate a video presentation of your diagnostic biopsy from any source of the body:

1. Contact Dr. Gates with regards to your interest to have a Video Presentation of your diagnostic biopsy (Click here to Contact Dr. Gates)

2. A form will be provided to the patient by Dr. Gates for the patient to complete, and mail to the institution or laboratory that originally diagnosed your tissue or cellular biopsy:

                                                                                                                                  MEDICAL RELEASE FOR MEDICAL RECORDPATHOLOGY SLIDE REVIEW-MDC ATLANTA

Click on the above  image and print copy of this form to be completed by Patient

3. The Original Institution and/or Laboratory who diagnosed your biopsy will send appropriate slides, pathology report, and other clinical particulates to Dr. Gates. PATIENTS ARE EMPOWERED TO REVIEW THEIR LAB RESULTS

4. The diagnostic material will be transferred to medical custodianship of Dr. Gates’ medical practice temporarily, and then returned back to the original institution and/or laboratory.

5. A final Copy of Dr. Gates’ second opinion report will be sent to the patient and the original institution and/or laboratory.

6. Recommendation for additional therapy, diagnosis, and or management will be provided to the patient by Dr. Gates, along with references to support the final diagnosis.

Thanks for your continual support of Medical Diagnostic Choices, as MDC-Atlanta remains committed to keeping patients informed for better quality and safe medical care.

 


Chronic Diseases- A Candid Discussion Among Patients and Dr. Gates

 

Chronic diseases continue to plague and destroy communities.

 

I seek to enlist those of you who would like to have a broadcast candid discussion about Chronic Diseases with me, and what we can do about them to prevent many of the complications and even death from chronic diseases.

 

I plan to have a series of discussions about the following subsets of chronic diseases:

 

1) High blood pressure

2) Diabetes Type II

3) Chronic Pain Syndrome

4) Cancer of breast, prostate, colon, blood, and Lung

5) HIV/AIDS and other selective Infectious Diseases

6) Dementia (Hopefully to be Presented by Mental Health Expert and/or Neurologist)

7) Mental Health Disorders (Hopefully to be Presented by Enlisted Mental Health Expert)

8) Open Topics

 

I will provide  didactics of basic information about the different types of above listed chronic diseases with illustrations, video demonstrations, and other tools to make it understandable, as well as provide references for additional reading.

 

I have witnessed too many patients be victimized from substandard medical care and would like to join the fight to prevent early death from manageable Chronic Diseases!

 

Will You Join Me in this Figjht to Save Our Communities in Health?

 

SUMMATION FOR HIGH BLOOD PRESSURE

High Blood Pressure  is a disease that involves multiple systems with principle devastating effects on the following organs: Heart, Brain, Blood Vessels, and Kidney. Therefore, the principle goal of blood pressure management is to keep the blood pressure in the range of 160/80 and above 90/60. There are different classes of blood pressure medications to achieve this preventative level of blood pressure therapeutic management. The idea of which medications should be chosen must rest in the following: 1) Ability to lower blood pressure to acceptable range, and to provide added benefit to lower risks; 2) Minimal Side effects; 3) COST (cheaper equals better compliance; 4) NO complicated increase in end-organ damage, i.e. kidney, heart, and brain, etc, through medication use.

REFERENCE:

http://www.ncbi.nlm.nih.gov/pubmed/24882088?dopt=Citation

http://www.ncbi.nlm.nih.gov/pubmed/24861959?dopt=Citation

http://www.ncbi.nlm.nih.gov/pubmed/24859620?dopt=Citation


Updated CLIA Certificate of Compliance, MDC-Atlanta

Current CLIA CERTFICATE OF COMPLIANCE


The Simplicity of Studying a Cell

A Video Demonstration: Staining a Cell for Cytological Analysis

Click on the above link to view video

High Grade Dysplasia (HSIL) in a Pap, with associated Bacterial VaginitisA Microscope, Slides, and Stains to yield an Accurate Cellular Diagnosis

Urine Cytology Cancerous Cells Shed from a URINE SAMPLECytology, THIN PREP of LSIL

AND NOW, THE TISSUE

A Video Presentation: Second Opinion of a GI BIOPSY, For Transparency and Accountability of Accuracy

Click on above link to get a demonstration as to how the pathologist reviews/studies a tissue sample

Normal Stomach Histology

The above image represents normal Stomach Tissue

MDC-Atlanta remains committed to informing patients about Quality and Safe Medical Care!!


The Empowered Patient-Now Law Passed!

The Empowered Patient; Numbers do mean everything, and why it takes a trained laboratory medicine professional to understand lab methods. The example given in this article regarding 1 in 99, suggests a lack of understanding by that particular clinician with regards to how to interpret lab data.  We use two components to assure 100 % accuracy in lab methods: Sensitivity and Specificity which complement one the other. Take HIV test for example: We use a highly specific method to screen for this disease; then we use a highly sensitive method to confirm positive results. Also, lab test results can be compared with other labs to validate /verify accuracy of test results. Learn to be informed and not duped, it might just save your life.Consulting the Modern Laboratory Medicine Expert in 2014 yields Superior Accuracy, Substantially and Competively REDUCES Health-care COST,Enhances Quality and Safe Overall Medical Care/Management! 

The Empowered Patient Can Now Take Charge of His/Her Own Health-care:

1. The Doctor or Health-Care Provider becomes a “MEDICAL CONSULTANT FOR PATIENTS.”

2. The Patient can choose which laboratory tests to order as well as have direct-access to a physician or health care practitioner to assist with interpretation of those tests under appropriate prudence and medical standards.

3. More Convenience for Patients to Access Quality Care via online, mobile, etc

4. Patients can track and monitor their own care through direct access of  Laboratory Data

Personable Medical Care at its best. 

MDC-Atlanta remains committed to empowering patients for BETTER QUALITY AND SAFE MEDICAL CARE.