Lab Medicine Rounds

Timestamps: 00:00 Intro 01:29 Why is it really important for leaders in our practice to really understand quality for clinical practice? 03:13 What are the latest developments in your area of clinical laboratory medicine? 06:01 In recent years, what have we learned about quality and how we do quality in the hospital? 11:19 How do we actually implement this in clinical practice for success, for sus...

00:00 Intro 00:40 Can you tell us how your roles in these different laboratories support testing for patient care? 03:13 What are the latest developments in your area of clinical laboratory medicine? 07:22 Can you elaborate a little bit about this new approach that you have developed is able to bring both sensitivity and specificity along? 10:55 Putting the interpretation on the form, you are prob...

Timestamps: 00:00 Intro 01:07 Why is transfusion support an especially important component of patient care for patients that are on ECMO support? 03:24 Are there some principles that we can think about that will help us better understand transfusion decisions in these patients? 05:52 Can you take us through some specific situations that might help our listeners get our hands around (DO2 and VO2) f...

Timestamps: 00:00 Intro 01:11 As a critical care physician, why is laboratory testing important for your practice? 04:09 What do you wish lab medicine folks understood better about critical care medicine? 08:19 What would be your advice to a laboratory medical professional that’s interested in developing a better understanding of critical care medicine? 14:51 What do you see for the future collabo...

00:00 Intro 01:15 From your perspective, why is cellular therapy an important topic for our listeners? 02:55 What is your origin story into this world of cellular therapy?  06:20 Working in such a fast-paced area, what has been a unique challenge you have had to navigate and how have you done that?   08:05 Keeping up with the literature can be a challenge, and once you are out of training you don’...

Timestamps: 00:00 Intro 00:58 How is cellular therapy contributing to the COVID effort? 04:42 Can you give us a little bit of an introduction about what’s so important about the cell (mesenchymal stem cell) or where it comes from? 08:19 What sort of work are you and your lab doing for patient care? 11:14 Once you figure out a successful cellular therapy, is there then opportunity for that to get b...

00:00 Intro 00:45 Can you let our listeners know what we know about the vaccines at this point (December 2020)? 02:00 With using the mRNA approach, do these vaccines have similar performance characteristics? 03:00 What does this mean for people after they get vaccinated? Hearing this high numbers of efficacy that is protecting me from the virus, what does this mean for how I should be behaving aft...

Timestamps: 00:00 Intro 01:00 As Pathologists, we have a lot of competing priorities. Why is mentoring residents and fellows consistently a high priority for you? 03:27 Often what we are trying to do as educators is not transparent to our learners, for a variety of reasons. What do you wish that all residents, fellows, and learners understood about the process of their training? 05:00 How do you a...

Timestamps: 00:00 Intro 01:00 What is HIT and why is it important for clinicians to correctly diagnose HIT?  03:30 What do we know about how laboratory testing may help clinicians get the diagnosis right?   07:25 How could the process of diagnosing HIT be updated or made better? 10:45 What does the future hold for HIT testing? In five years’ time what do you think HIT testing is going to look like...

Timestamps: 00:00 Intro 01:00 Why is it important for medical students to prepare for their residency interviews? 3:00 What do recommend that students do to prepare for those interviews? Is it looking at websites online or going to PubMed? 05:35 Assuming many interviews will be virtual, is it fair game for an applicant to reach out to the program interviewers ahead of time to ask them if they can...

Time Stamps 00:00 Podcast Intro 00:35 Now that the EAP is closed, how are doctors getting convalescent plasma for their patients?   08:50 What new information have we learned about convalescent plasma in recent months?   13:28 If we are in a period of shortage and there is only low titer available, is it ideal to transfer two units of convalescent plasma in that context? 15:30 What remaining quest...

Time Stamps 00:00 Podcast Intro 00:40 Why is it important for a laboratory to detect or quantify opioids? 02:00 What are the challenges you have had to navigate in the laboratory specific to opioids? 04:47 Is it like a pregnancy test or is it important to quantify as well? 05:19 Can you help us understand how you collaborate with other health care professionals?  07:07 In terms of new or illicit s...

Timestamps 00:00 Podcast Intro 00:45 Why is it important for laboratory medicine and pathology to be deliberate about diversity and inclusion?  03:11 How do you recommend we transform the question “will they fit?” or “do I fit?” so that it invites diversity? 05:33 So, it’s not so much of transforming the question but putting it ahead of the interview and thinking about what you are trying to recru...

Time Stamps 00:00 Podcast Intro 00:50 Why does this landscape of COVID testing seem so dynamic?  03:47 So it sounds like we have two sort of rapid tests that are on the market now. Can we dive into that so that we can appreciate a little bit of the compare and contrast between those two rapid assays? 07:17 What are these unique challenges with regards to sensitivity and specificity when it comes t...

Time Stamps 00:00 Podcast Intro 00:51 This is a nice time of year for the academic calendar with new trainees starting residency, and new faculty starting their jobs, and people still in their first couple of years of being an academic pathologist. Why is it important for these individuals to be deliberate about how they begin their career? 04:18 When somebody is in training, there is a lot that i...

Time Stamps 00:00 Podcast Intro 01:05 Why is it important to explain the laboratory to patients? How important it is to have open/honest communication with patients? 07:05 With your experience in talking with children and their families is your focus on the child and the parents picks up on your efforts? Or are you addressing the child separately from their parents?   11:10 What tips would you hav...

00:00 Podcast Intro 00:53 There seems to be a lot of buzz around the need for interprofessional education and interprofessional collaboration. Can you kind of take us through these concepts? How are they the same, or how are they different? 02:37 What’s the why here? Why should health care institutions, us as individuals, why should we prioritize this interprofessional education or collaboration i...

Time Stamps   00:00 Podcast Intro    03:19 How did you choose forensic pathology as a career?   04:30 Where did you train and where were you prior to Mayo?   05:08 Can you discuss in general the practice of forensic pathology, and the difference between hospital and medicolegal autopsies?   06:37 How often do forensic pathology and microbiology intersect?   07:57 What are the challenges of perform...

Time Stamps   00:00 Podcast Intro   00:40 What is COVID-associated coagulopathy and why is it important to recognize this?   02:45 How is this coagulopathy similar to or different from other coagulopathies that we commonly see in clinical practice?   04:30 Is there recommended testing for COVID-associated coagulopathy?   06:30 Can you explain what the soluble fibrin monomer test is?   08:09 How is...

Time Stamps   00:00 Podcast Intro   00:39 What is they ‘why’ behind starting up a convalescent plasma program?   04:00 If physicians are taking care of a patient and wanting to get this product how do they go about it?     11:23 With the Expanded Access Protocol and Emergency IND, how many products does that get for the given patient?   13:00 Where should we direct people who are interested in bei...

00:00 Podcast Intro  00:56  On a lot of T.V. shows that I’ve watched over the years, I see the surgeons and emergency medicine docs after they see the patient pop back in the lab and perform those critical tests. In reality, is that really what’s going on?  01:42 Myself as a pathologist, I understand for a lot of physicians I’m probably one degree removed from the bedside, so one degree outside of...

Time Stamps   00:00 Podcast Intro   00:50 Why is it important to have a serologic test for COVID-19 when there are already molecular PCR assays for diagnosis?   01:38 How are we going to b using the serologic test in clinical practice?    03:02 When should and when shouldn’t we be ordering the serologic assay?   04:34 Can you elaborate on some of the limitations of this test?   06:05 Should we be...

Time Stamps 00:00 Podcast Intro  00:52 Can you start off and give us kind of the status update on where we are on this COVID-19 pandemic? 02:13 When you talk about it has gone from an epidemic to a pandemic, can you highlight for our listeners what the difference between those two are? 03:22 Now to dive into laboratory testing. There have been a couple of tests talked about in the media and I know...

Time Stamps   00:00 Podcast Intro   01:26 Why is it important to consider how we're staffing our laboratory during this pandemic?    02:58 What are the different models or what are some different ways people have been talking about running a lab to mitigate this risk of the lab going down?    07:07 I like how you know, you're also talking about these challenges of space and some of the conversatio...

Time Stamps 00:00 Podcast Intro  02:20 For those of us that aren’t in the education technology movement can you give us a little bit of that 50,000 foot view and orientate us, and where we should think about starting? 03:15 Quick tips to consider as a starting place for Virtual Learning: 1.) Presence 2.) Communication 3.) Authenticity 05:25 Synchronous vs. asynchronous environments 07:21 What are...