With the sudden lock down declared by India’s Prime Minister in response to the COVID-19 pandemic, the morning of March 26, 2020, was anything but usual. With it came immediate prohibition on the movement of people with non-essential jobs. Within healthcare pathologists like myself were also asked to remain at home as much as possible. Faced with patients in post-surgical wards awaiting their histopathology reports before discharge, those waiting for diagnosis having undergone needle biopsies the day before, and histopathology samples landing on us from various parts of the country for processing by the lab, quick decisions had to be made to maintain patient care and staff safety.
Technical staff living close to the hospital were immediately mobilized to attend to 428 tissue blocks ready for processing by our automatic tissue processors, and gross examination of around 70 other specimens. Then came the question of reporting these cases. With four pathologists, one of them over 65 years of age and the other three living some way from the hospital, how were we going to manage? That’s when our Philips IntelliSite Pathology Solution’s ultra-fast pathology scanner came to our rescue. Having an efficient and optimized digital workflow already in place in the lab made adapting to the challenge of COVID-19 relatively easy.
It is said that you can’t re-write your past, but you can grab a clean sheet of paper and write your future. With the aid of Philips IntelliSite digital pathology scanner, COVID-19 has given us the opportunity to write our future with confidence.
Dr. Veena R
Consultant Pathologist and Head of Histopathology, Strand Life Sciences, HCG Cancer Hospital, Bangalore.
Then came the challenge of managing frozen sections, with six to seven of these arriving each day for diagnosis and margin status. For staff on duty processing these in the pathology lab, safety precautions including the wearing of personal protective equipment (PPE) were implemented. However, with our digital pathology solution, especially the scanner’s high image quality and fast scanning, we validated that we could then assess these frozen sections from home. We were even able to discuss cases online with surgeons in the operating theater. Our normal 20-minute turnaround time was not compromised, and I would go as far as saying that our understanding with our surgeons actually became stronger.
With the need for social distancing, online multidisciplinary team meetings involving surgical oncologists, medical oncologists, radiation oncologists, radiologists and pathologists soon became the norm. And thanks to the Philips scanner, we validated that we were also able to continue with our cytopathology operations, only visiting the lab when smears needed to be assessed microscopically. Our Tuesday tumor boards, during which clinicians throughout the HCG network discuss complex medical situations and share cases through digitized slides, were also unaffected, as were our teaching and research-related activities.
COVID-19 has slowed down the world, but with digital pathology helping us out the life of our pathologists has become easier and faster, all while working from the comfort of their own homes.
Healthcare Global Enterprises is India’s largest provider of cancer care.
November 28, 2019
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