Dr. Darlene Lee, an anatomical and clinical pathologist at Flagstaff Medical Center, led thirteen high school students in the iCREATE bioscience class on a fascinating tour of the Clinical and Pathology Laboratory at FMC on Monday, November 14th. Pathology is the study of disease, and a pathologist is a medical doctor (MD) who specializes in studying disease, including the source, extent, and cause of the disease in a patient. The students got to see many aspects of what this career entails.
The students began the tour by seeing some of the high-tech diagnostic tools available to test patient samples. These included urinalysis, PCR, flow cytometry and light microscopy. Jane Talisman, one of the laboratory lead technicians, even did a rapid test from Cate’s mucosal sample to determine if she had MRSA. Read to the end of the post to find out the result!
The students then watched Garn Bailey, the Pathologists’ Assistant, as he prepared to dissect an excised gall bladder. The students were able to touch the gall bladder to see what it felt like. The dissected gall bladder had several gallstones in it that were too large to exit the gall bladder on their own.
A frozen tissue sample from a patient came in, and the tour immediately switched over to observing the pathology team process this sample for the surgeon and patient waiting for it in the operating room. The pathology team can receive and process a sample, and return a diagnosis to a surgeon, within 20 minutes. This intraoperative pathology consultation helps guide the surgeon through the remainder of the procedure, so the patient has a better outcome.
Garn put the sample on the cryostat, a machine that keeps the sample frozen while shaving off very thin slices for placing on microscope slides. Audrey McMillon, a histotechnologist, then stained the samples with a specific stain to highlight what the surgeon needed to view. Histology is the study of the microscopic structure of tissues.
There are four pathologists at FMC and one at Verde Medical Center. In order to become a pathologist, you need a four-year college degree, then a four-year medical school degree, and then you need to complete your pathology residency for another four years! If you want to do a subspecialty fellowship, that takes another 1-2 years.
After the students completed the tour, Dr. Lee shared a presentation with three different case studies for the students to discuss. Just as Garn had previously, Dr. Lee reaffirmed that in order to recognize an abnormal pathology you need to know what the normal anatomy and histology looks like. During the cases, Dr. Lee asked the students what they thought, and what tests they would run to try and solve the case.
At the end of the presentation, Cate got the results from her diagnostic test. We were all thrilled she did not have Methicillin-resistant Staphylococcus aureus, commonly known as MRSA!
Note the sign above the door in the photo above. This important message reflects the commitment of the pathology team: Patients are our Purpose.
STEM City and the iCREATE collaborative thank Dr. Lee and the entire team in the Clinical and Pathology Lab for being such willing presenters, and for providing important and engaging information to the students. Thank you!