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Old 11th July 2009, 01:28 AM   #1
dudalb
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Nancy Grace:When Did She Become a Doctor?

Tonight, I was channel surfing, and saw Nancy Grace, ex (ie,failed prosecutor turned talk show host) grilling two doctors over the taking of a portion of Michael Jackson's brain for the autopsy . I have no medical background, but every news program and every article I have read on this say this is very much a standard procedure in autopsies. But this did not stop Grace, who has NO medical background from attacking the doctors, who were trying to explain it was SOP, over this , on the very scientific grounds that "She had problems with ripping the brain from Michael Jackson's body".
God, how stupid.
And unless she was a complete idiot as a prosecutor, which I admit is a possibility, she had to know that taking a sample of the brain is SOP in autopsies. In other words, she was just grandstanding. And then she accuses others of exploiting Jackson's death,
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Old 11th July 2009, 04:45 AM   #2
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Someone should tell Grace that the brain tends to rot and liquefy quickly. If anything, the pathologists are saving the trouble of the coroner who would have to wipe off the frothy purge - what would have remained of Mr. Jackson's brain - from his nose.
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Old 11th July 2009, 04:59 AM   #3
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SOP. The woman is an idiot.

Reminds me of the Alder Hay scandal though. A large number of babies really did have unacceptably large quantities of internal organs removed and retained by a rogue pathologist. This led to an awful lot of screeching about perfectly normal sample retention, and pathologists being constrained from keeping even small samples without permission.

(Sorry, typing with difficult 'cos I just spent 2 hours trimming fixed tissue samples and I pickled my fingertips!)

I saw a ridiculous clip of a woman saying she thought she'd got all of her child, then discovered "there were paraffin blocks and slides still retained". Uh, yes. That's the bits that have been processed. They're tiny, and they're usually filed indefinitely for future reverence. She was given them though, and went off down the street with a Tesco carrier bag containing histo blocks and H&E slides to give them a proper burial. I was wondering if she was going into clin path to ask for all the stored blood samples that had been collected in the hospital so that these could be added too....

I think a bit of public education is needed in normal practice of what's kept from post mortems. Usually 1cm cubes (or maybe 1x1x2) of most tissues, which doesn't add up to a lot. And yes, the brain should be kept if the cause of death has not been ascertained. A standard consent form would save a lot of grief, and if people particularly wanted e.g. a brain returned for burial then they could request it.

Crikey, didn't someone save Einstein's brain? I'm sure I saw a TV programme where they examined that. Storage of normal brains for reference purposes is also extremely useful, and I believe there's a "donor list" that you can sign up for to have your brain added to the reference collection after you die.

There's a lot of public ignorance around.

Rolfe.
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"To give Rolfe his due, I think this is a good example to everyone of what can happen if we fail to get a proper diagnosis and begin treating on symptoms alone--a big mistake, as shown here."
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Last edited by Rolfe; 11th July 2009 at 05:01 AM.
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Old 11th July 2009, 12:26 PM   #4
dudalb
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Originally Posted by Rolfe View Post
SOP. The woman is an idiot.

Reminds me of the Alder Hay scandal though. A large number of babies really did have unacceptably large quantities of internal organs removed and retained by a rogue pathologist. This led to an awful lot of screeching about perfectly normal sample retention, and pathologists being constrained from keeping even small samples without permission.

(Sorry, typing with difficult 'cos I just spent 2 hours trimming fixed tissue samples and I pickled my fingertips!)

I saw a ridiculous clip of a woman saying she thought she'd got all of her child, then discovered "there were paraffin blocks and slides still retained". Uh, yes. That's the bits that have been processed. They're tiny, and they're usually filed indefinitely for future reverence. She was given them though, and went off down the street with a Tesco carrier bag containing histo blocks and H&E slides to give them a proper burial. I was wondering if she was going into clin path to ask for all the stored blood samples that had been collected in the hospital so that these could be added too....

I think a bit of public education is needed in normal practice of what's kept from post mortems. Usually 1cm cubes (or maybe 1x1x2) of most tissues, which doesn't add up to a lot. And yes, the brain should be kept if the cause of death has not been ascertained. A standard consent form would save a lot of grief, and if people particularly wanted e.g. a brain returned for burial then they could request it.

Crikey, didn't someone save Einstein's brain? I'm sure I saw a TV programme where they examined that. Storage of normal brains for reference purposes is also extremely useful, and I believe there's a "donor list" that you can sign up for to have your brain added to the reference collection after you die.

There's a lot of public ignorance around.

Rolfe.
Agreed, although in Nancy Grace's case, I fight it hard to believe that somebody who was an assitant Prosecutor in a major city (Atlanta) was not familiar with the SOP in autopsies. This means she was just showboating and preying on people's sympathies...which in my opinion is worse then ignorance.
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Old 11th July 2009, 03:35 PM   #5
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People are really protective of corpses, I've noticed.
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Old 11th July 2009, 03:41 PM   #6
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Nancy Grace knows all. Do not question but comply with her wisdom.
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Old 11th July 2009, 04:04 PM   #7
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Originally Posted by Rolfe View Post
A large number of babies really did have unacceptably large quantities of internal organs removed and retained by a rogue pathologist.
Speaking of which ...


Originally Posted by Rolfe View Post
They're tiny, and they're usually filed indefinitely for future reverence.
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Old 11th July 2009, 04:28 PM   #8
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She's a rogue pathologist?? Rolfe!!!!




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Old 11th July 2009, 05:28 PM   #9
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Originally Posted by Rolfe View Post
(Sorry, typing with difficult 'cos I just spent 2 hours trimming fixed tissue samples and I pickled my fingertips!)

....
they're usually filed indefinitely for future reverence.
i am so glad you pickled your fingers. Without that we might not have been given such a brilliant typo.
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Old 12th July 2009, 03:01 PM   #10
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Originally Posted by Harpyja View Post
Someone should tell Grace that the brain tends to rot and liquefy quickly.
Too late. Hers already did.
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Old 12th July 2009, 03:12 PM   #11
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Oh, fat fingers again! Why do I never notice typos until someone quotes them?

That one was rather good though - nearly as good as the guy who posted about the second coming being "immanent".

Rolfe.
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- "Snoopy" on H'pathy Forums, apparently abjuring the very fundamentals of homoeopathy after she'd just allowed a young mother with Addison's disease to die.
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Old 13th July 2009, 03:50 PM   #12
jli
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Originally Posted by Rolfe View Post

.... I just spent 2 hours trimming fixed tissue samples and I pickled my fingertips!)
Just out of curiosity - Why didnīt you let the pathologist do that? It is part of his/her job description
Originally Posted by Rolfe View Post
I think a bit of public education is needed in normal practice of what's kept from post mortems.
Rolfe.
True - but it is not an easy task. I remember a news article, where a journalist had been invited into a pathology department. The journalist was shown the stored paraffin blocks/slides and explained the purpose of this storage. The story that was written depicted pathologists as unethical rogue guys keeping parts of people (living and dead) for their own pleasure
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Old 13th July 2009, 05:35 PM   #13
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Originally Posted by Rolfe View Post
SOP. The woman is an idiot.

Reminds me of the Alder Hay scandal though. A large number of babies really did have unacceptably large quantities of internal organs removed and retained by a rogue pathologist. This led to an awful lot of screeching about perfectly normal sample retention, and pathologists being constrained from keeping even small samples without permission.

(Sorry, typing with difficult 'cos I just spent 2 hours trimming fixed tissue samples and I pickled my fingertips!)
Rolfe.
Good grief, I haven't had that feeling since '70 in Vietnam (in the Path Lab at 9th Med Lab).
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Old 14th July 2009, 07:09 AM   #14
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I remember seeing a documentary on some doctors who were studying the spanish flu pandemic. They managed to find a sample of the disease hidden in a sample of lung tissue in one of the paraffin blocks, from a soldier who had died of it. Without the archiving that sample, they never would have been able to get ahold of a sample of the disease.

Further, as I recall the National Archives in the US has actually lost Kennedy's brain.
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Old 14th July 2009, 07:32 AM   #15
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Originally Posted by jli View Post
Just out of curiosity - Why didnīt you let the pathologist do that? It is part of his/her job description

I'm the pathologist.

Originally Posted by jli View Post
True - but it is not an easy task. I remember a news article, where a journalist had been invited into a pathology department. The journalist was shown the stored paraffin blocks/slides and explained the purpose of this storage. The story that was written depicted pathologists as unethical rogue guys keeping parts of people (living and dead) for their own pleasure

Yes, I remember an occasion where a primary teacher organised a trip for her little class to see round the animal hospital at the vet school where I was studying. She was horrified, and went to the press with lurid descriptions of what had been shown to her darling kiddiwinks.

Rolfe.
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"To give Rolfe his due, I think this is a good example to everyone of what can happen if we fail to get a proper diagnosis and begin treating on symptoms alone--a big mistake, as shown here."
- "Snoopy" on H'pathy Forums, apparently abjuring the very fundamentals of homoeopathy after she'd just allowed a young mother with Addison's disease to die.
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Old 14th July 2009, 09:00 AM   #16
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Originally Posted by Rolfe View Post
I'm the pathologist.
Should have thought of that obvious explanation?
Somehow I was under the impression that you are a veterinarian.
Probably because (most) veteriarian pathologists over here have a background in human pathology.
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Old 14th July 2009, 10:25 AM   #17
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I'm a veterinary pathologist. Actually, my area of specialisation is in clinical pathology - haematology and biochemistry. However, in this line of work you have to be prepared to cross-dress quite a bit to cover for colleagues. Note that that remark of mine was posted on a Saturday morning.

In this country, veterinary pathologists are vets. You'd have to be dual-qualified to do what you're describing, and that's extremely rare (either a vet course or a medical course is bad enough - imagine doing both!).

Rolfe.
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"The thing about medicine is, that it all comes down to the numbers."
- Dr. Stephen Franklin, Interludes and Examinations.

"To give Rolfe his due, I think this is a good example to everyone of what can happen if we fail to get a proper diagnosis and begin treating on symptoms alone--a big mistake, as shown here."
- "Snoopy" on H'pathy Forums, apparently abjuring the very fundamentals of homoeopathy after she'd just allowed a young mother with Addison's disease to die.

Last edited by Rolfe; 14th July 2009 at 10:27 AM.
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Old 14th July 2009, 02:30 PM   #18
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There is only one place in this country where you can study to be a vet, and they of course do have a pathology lab too with "genuine" vetrinary pathologists. But I am know that some colleagues of mine (Iīm a human pathologist) recieve specimens from veterinarians. We are becomimg increasingly subspecialized, but there are still types specimens that we all can handle - typically those sent by general practitioners. I have no working experience with veterinarian pathology, so I donīt know if this also applies there.
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Old 14th July 2009, 02:51 PM   #19
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This is actually against the law in Britain. The Veterinary Surgeons Act (1966) states that diagnosis and treatment of animal diseases can only be carried out by a veterinary surgeon.

This is the main professional body these days.

Rolfe.
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"To give Rolfe his due, I think this is a good example to everyone of what can happen if we fail to get a proper diagnosis and begin treating on symptoms alone--a big mistake, as shown here."
- "Snoopy" on H'pathy Forums, apparently abjuring the very fundamentals of homoeopathy after she'd just allowed a young mother with Addison's disease to die.
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Old 14th July 2009, 09:50 PM   #20
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Originally Posted by Rolfe View Post
Storage of normal brains for reference purposes is also extremely useful, and I believe there's a "donor list" that you can sign up for to have your brain added to the reference collection after you die.
Heh, I remember getting to examine some of those in grad school. It was the day of a horrible ice storm, people having to be hauled across the street by firefighters with ropes, but every last one of us made it to class, because that was the only day we'd have a chance to play with the braaaaaaiiiiinnns!

I have to say, I was surprised at the sort of respect those brains were given, though -- they were kept piled on top of each other in a bucket. Paraphrasing one of the lab instructors:

So, as you can see here, the left temporal lobe is a bit bigger than the right temporal lobe, which is what we might expect since language function is predominantly in the left hemisphere, and the language areas cluster in and around the temporal lobe. Of course, it might just look like this because the right temporal lobe got squashed in the bucket.

I'm not sure what it says about me that I still laugh at that memory. Probably nothing Nancy Grace would approve of.
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Old 14th July 2009, 10:34 PM   #21
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She became a doctor the same way Oprah and McCarthy did. Which is even easier and far far cheaper than the way chiros do.
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Old 15th July 2009, 01:26 AM   #22
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Nancy Grace or nasty withoutagrace as I call her
is someone who should never be listened to
she will cause brain damage

in fact the best TV show ever was boston legal where denny crane shot her
too bad it was not for real
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