case 2

person with shortness of breath

clinical picture is clear, he’s having cancer

• it was delivered to pathology lab to perform biopsy
  • this is done to be 100% sure it is cancer
  • CT will tell us that it is positive
    • biopsy will say how positive it is (waht stage?)

on re-examination, misdiagnosis (positive)

1. d
   • patient, got biopsy negative, which was disproven later with another hospital
   • causes:
     • the cause of the ethical dilemma is on the analytical phase technician, because the clinical history is very clear that it is a cancer patient. the technician didn’t doubt himself when he got a negative and reported. also, he should’ve taken another slide and repeated the test to further confirm, additionally call the senior.
     • clinical history is suggestive of cancer, but biopsy says not” → doctors thencome help confirm
     • negligence of technical staff + negligence of doctor concerned of the patient

eaxample:

• person who had cancer, came to pathology, they did everything, nand then had to wait for results
  • … she want to texas hospital in afternoon, got the reuslts in america that she’s negative as a canceer patient
  • texas to oman is 9 hour differenence
    • afternoon next day → she gets a call from the oman hosp asking where she is in texas, they told her that she’s positive. she said that the texas hospital said it’s negative
    • she want back to the texas hospital, and told them it’s +, texas hospital asked the other hospital to bring the slides
    • she called back to oman hospital
      • arrangement was done
      • slide was sent (SQUH pathology)
        • texas looks at slides → positive
        • they look at their slides, it’s negative
          • they repeat test → positive

confidence is important,

another case

• someone went to india, dr (our dr yeah) was totally against but went with him instead
  • he said that this is the best doctor and he had a special machine etc etc
  • dr went because
    • he got cancer
    • he had to be sympathetic with him
  • test came as 1+ positive
    • dr took slides and sent it to colleagues in squh → turns out it’s 2+ positive
    • did operation → negative → clear