Clinical Pathology Who We Are

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  • Darla Montalvo Emily Kerny
  • Elaine Nicholds Catherine Samway Myriah Vineyard Barbara Dott Al Brant
  • Heidi Courtney Duncan Chase Jeri Amber Melanie Wendy Marty
  • Mary Nabity Angela Wilcox Seth Chapman
  • Mark Johnson Shashi Ramaiah Karen Russell
  • New room number – 50YY
  • Room number 54YB VMD
  • Most of the research done by the surgical pathologists is by necessity collaborative. Most duties are clinical and service oriented.
  • User name surgpath. Password biopsy
  • Pictures roy. Bone path.
  • Cases that come through the surgical service, dermpath service and osteopath service provide material for collab research as well as teaching. We collaborate with clinicians in the clinics as well as pathologists and clinicians at other institutions.
  • Clinical Pathology Who We Are

    1. 1. Clinical Pathology
    2. 2. Clinical Pathology <ul><li>Located in Room 2020 </li></ul><ul><li>Full service laboratory </li></ul><ul><ul><li>Hematology, clinical chemistry, urinalysis, cytology, coagulation, blood bank </li></ul></ul><ul><li>Provide 24 / 7 service </li></ul><ul><ul><li>Daytime M-F: 8:00 am – 9:00 pm </li></ul></ul><ul><ul><li>Weekends Sat and Sun: 8:00 am – 11:00 pm </li></ul></ul><ul><ul><li>After hours: On call night technicians </li></ul></ul>
    3. 3. Administrative Darla Montalvo Emily Kearney
    4. 4. Technical Daytime Myriah Vineyard Barbara Dott Elaine Nicholds Al Brant Catherine Samway
    5. 5. Technical After Hours Wendy Browning Chase Ratliff Jeri Grotberg Amber Ducote Courtney Duncan Melanie Aschenberg Marty Moore Heidi Ertresvaag Not pictured
    6. 6. Pathology Residents Dr. Angela Wilcox Dr. Seth Chapman Dr. Mary Nabity
    7. 7. Pathologists Dr. Mark Johnson Dr. Shashi Ramaiah Dr. Karen Russell
    8. 8. What We Do <ul><li>Clinical Service </li></ul><ul><li>Research Support </li></ul><ul><li>Residency Training </li></ul><ul><li>Teaching </li></ul>
    9. 9. What We Do <ul><li>Laboratory support for Clinics and Research </li></ul><ul><ul><ul><li>Hematology (8,200 samples) </li></ul></ul></ul><ul><ul><ul><li>Clinical Chemistry (10,000 samples) </li></ul></ul></ul><ul><ul><ul><li>Cytology (1,600 samples) </li></ul></ul></ul><ul><ul><ul><li>Urinalysis (2,500 samples) </li></ul></ul></ul><ul><ul><ul><li>Coagulation (2,100 samples) </li></ul></ul></ul><ul><ul><ul><li>Blood Bank (350 samples) </li></ul></ul></ul><ul><li>Central receiving for outside labs </li></ul><ul><ul><ul><li>Send-out laboratory (6,200 samples) </li></ul></ul></ul>
    10. 10. What We Do <ul><li>Residency Training </li></ul><ul><ul><li>“ The goal of the resident training program in veterinary pathology is to provide veterinarians with the necessary background and knowledge to pursue successful careers in veterinary pathology .” </li></ul></ul><ul><ul><li>Generally have 2 - 4 residents </li></ul></ul><ul><ul><li>3 year program for clinical training </li></ul></ul><ul><ul><ul><li>Teaching </li></ul></ul></ul><ul><ul><ul><li>Clinical service </li></ul></ul></ul><ul><ul><ul><li>Graduate courses </li></ul></ul></ul><ul><ul><li>An additional 3 - 4 years to complete a PhD </li></ul></ul>
    11. 11. What We Do <ul><li>Residency Training, con’t </li></ul><ul><ul><li>Since ~1995 </li></ul></ul><ul><ul><ul><li>7 (past) residents + 3 (current) residents </li></ul></ul></ul><ul><ul><ul><li>6 / 7 are ACVP Diplomates </li></ul></ul></ul><ul><ul><ul><li>2 / 7 have received a PhD </li></ul></ul></ul><ul><ul><li>Where are they now? </li></ul></ul><ul><ul><ul><li>Academia (TAMU, Purdue, Auburn, MD Anderson) </li></ul></ul></ul><ul><ul><ul><li>Industry (Eli Lilly) </li></ul></ul></ul><ul><ul><ul><li>Referral Labs (IDEXX) </li></ul></ul></ul>
    12. 12. What We Do <ul><li>Teaching </li></ul><ul><ul><li>4 th year veterinary students (2-week rotation) </li></ul></ul><ul><ul><li>3 rd year veterinary student elective </li></ul></ul><ul><ul><li>2 nd year veterinary students </li></ul></ul><ul><ul><ul><li>General Pathology VTPB 922 </li></ul></ul></ul><ul><ul><ul><li>Systemic Pathology VTPB 923 </li></ul></ul></ul>
    13. 13. What We Do <ul><ul><li>“ Laboratory Visitors” </li></ul></ul><ul><ul><li>Rotations in the laboratory (~ 1 - 4 wks) </li></ul></ul><ul><ul><ul><li>Interns, residents, faculty 28 </li></ul></ul></ul><ul><ul><ul><ul><li>Texas A&M 22 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Other US universities 4 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>International universities 2 </li></ul></ul></ul></ul><ul><ul><ul><li>Technicians 1 </li></ul></ul></ul>
    14. 14. For More Info and How to Contact Us <ul><li>Main Lab Number (979) 845 - 9180 </li></ul><ul><li>http://www.cvm.tamu.edu/clinpath/ </li></ul>
    15. 15. Clinical Immunology Infectious Agents Immune-Mediated Phenomena
    16. 16. Clinical Immunology <ul><li>Monthly Tests 2005 2006 </li></ul><ul><li>Heartworm 63 53 </li></ul><ul><li>EIA (Coggins) 46 37 </li></ul><ul><li>FeLV/FIV 14 13 </li></ul>
    17. 17. Clinical Immunology Other Tests: Infectious Agents <ul><li>Virus: </li></ul><ul><li>EIAV (ELISA) </li></ul><ul><li>FeLV (ELISA) </li></ul><ul><li>Feline Heartworms </li></ul><ul><li>Antibody (ELISA) </li></ul><ul><li>Antibody + Antigen (ELISA) </li></ul><ul><li>Fungal </li></ul><ul><li>Blastomyces dermatitdis (AGID) </li></ul><ul><li>Coccidioides immitis (AGID) </li></ul><ul><li>Cryptococcus neoformans Antigen </li></ul><ul><li>Histoplasma capsulatum (AGID) </li></ul><ul><li>Fungal AGID (4 Fungi) </li></ul>
    18. 18. Clinical Immunology Other Tests: Immune-Mediated Process <ul><li>Coombs </li></ul><ul><li>Antinuclear Antibody </li></ul><ul><li>LE Prep </li></ul>
    19. 19. Clinical Immunology Future? <ul><li>Flow Cytometry </li></ul><ul><li>Immunophenotyping (Leukemia) </li></ul><ul><li>Reticulated Platelet Count Reticulocyte Count </li></ul><ul><li>Immune-Mediated Phenomena: Platelet-Associated Immunoglobulin Erythrocyte-Associated Immunoglobulin </li></ul>
    20. 20. Clinical Immunology Immunophenotyping? Canine Undifferentiated Myeloid Leukemia Mature Neutrophils
    21. 21. Clinical Immunology Reticulated Platelets / Reticulocytes ?
    22. 22. Clinical Immunology Reticulated Platelets / Reticulocytes ? responded to therapy no bone marrow analysis available Immune-Mediated Thrombocytopenia
    23. 23. Clinical Immunology Reticulated Platelets / Reticulocytes ? azathioprine therapy 2° pneumonia  euthanasia bone marrow: hypoplasia Myasthenia Gravis
    24. 24. Clinical Immunology Surface Immunoglobulin?
    25. 25. Clinical Immunology Future? <ul><li>Molecular Diagnostics </li></ul><ul><li>Clonality by PCR </li></ul><ul><li>(Lymphoma/Reactive) </li></ul>
    26. 26. Clinical Immunology <ul><li>Infectious Agents </li></ul><ul><li>Immune-Mediated Phenomena </li></ul><ul><li>More? </li></ul>
    27. 27. Clinical Microbiology
    28. 28. Clinical Microbiology <ul><li>Where we are: </li></ul><ul><ul><li>Located in 2015 VMTH </li></ul></ul><ul><ul><li>Laboratory hours 8-5, Monday-Friday; 9-noon on Saturday </li></ul></ul><ul><ul><li>Student worker on call at 412-3336 (old pager not functioning) </li></ul></ul><ul><ul><li>Dr. Libal cell 218-0520 </li></ul></ul><ul><ul><li>home 764-3940 </li></ul></ul>
    29. 29. Clinical Microbiology <ul><li>Who we are </li></ul><ul><ul><li>Rosa Gonzalez- Laboratory supervisor </li></ul></ul><ul><ul><li>Elizabeth Fernandez- Technician </li></ul></ul><ul><ul><li>Kay Duncan- Technician ½ time </li></ul></ul><ul><ul><li>Todd Stewart- student worker </li></ul></ul><ul><ul><li>Lane Roasa- on call/student worker </li></ul></ul><ul><ul><li>Melissa C. Libal </li></ul></ul>
    30. 30. Kay Duncan
    31. 31. Rosie Gonzalez
    32. 32. Todd Stewart
    33. 33. Lizzie Fernandez
    34. 35. Clinical Microbiology <ul><li>What we do </li></ul><ul><ul><li>Clinical service </li></ul></ul><ul><ul><li>Teaching </li></ul></ul><ul><ul><li>Research support </li></ul></ul><ul><ul><li>Residency training </li></ul></ul>
    35. 36. Clinical Service <ul><li>2005 </li></ul><ul><ul><li>Bacterial cultures- 3726 </li></ul></ul><ul><ul><li>Susceptibility testing- 2647 </li></ul></ul><ul><ul><li>Fungal cultures- 170 </li></ul></ul><ul><ul><li>Environmental cultures of large and small animal clinics- 6243 </li></ul></ul><ul><ul><li>Clostridium toxin testing- 91 </li></ul></ul>
    36. 37. Teaching <ul><li>Senior veterinary student rotations </li></ul><ul><li>Undergraduate </li></ul>
    37. 38. Other <ul><li>Research support </li></ul><ul><ul><li>Antimicrobial resistance </li></ul></ul><ul><ul><li>Johnes </li></ul></ul><ul><ul><li>Epidemiology of infectious disease </li></ul></ul><ul><li>Residency program </li></ul><ul><ul><li>Goal </li></ul></ul><ul><ul><ul><li>Graduate degree </li></ul></ul></ul><ul><ul><ul><li>ACVM boards </li></ul></ul></ul>
    38. 39. Newly acquired equipment <ul><li>Bactron I anaerobe hood </li></ul><ul><ul><li>Increase quantity/quality of anaerobic culture capability </li></ul></ul><ul><li>Trek (Sensititre) MIC system </li></ul><ul><ul><li>testing on food animal pathogens </li></ul></ul><ul><ul><li>testing on small animal/equine pathogens for veterinary drugs </li></ul></ul><ul><ul><li>Research capability </li></ul></ul>
    39. 41. Clinical Parasitology
    40. 42. Clinical Parasitology what we are <ul><li>A lab designated to the diagnosis of parasitic disease in vertebrate hosts </li></ul><ul><li>Aid in evaluation of animal wellness programs </li></ul><ul><li>Aid in research programs </li></ul>
    41. 43. Clinical Parasitology who we are Craig, Cyr, Holeman, Snowden Whagela, Wagner ElGayar, Smith
    42. 44. Clinical Parasitology What We Do <ul><li>Located in Room 320 VMA </li></ul><ul><li>Laboratory diagnosis of parasitic </li></ul><ul><ul><li>Helminths </li></ul></ul><ul><ul><li>Protozoa </li></ul></ul><ul><ul><li>Arthropods </li></ul></ul><ul><li>Provide service </li></ul><ul><ul><li>Daytime M-F: 8:30 am – 5:00 pm </li></ul></ul><ul><ul><li>After hours:by arrangement </li></ul></ul>
    43. 45. What We Do <ul><li>Laboratory support </li></ul><ul><ul><li>Clinics and Research projects </li></ul></ul><ul><ul><ul><li>Fecal examinations </li></ul></ul></ul><ul><ul><ul><li>Blood examinations </li></ul></ul></ul><ul><ul><ul><li>Serology, PCR (limited) </li></ul></ul></ul><ul><ul><ul><li>Tissues, worm counts, identification </li></ul></ul></ul><ul><li>Consultation </li></ul><ul><ul><ul><li>1 – 5 telephone calls / day veterinarians, general public, extension, industry </li></ul></ul></ul>
    44. 46. Clinical Parasitology Who We Work For <ul><li>Clinical Service: teaching hospital TVMDL veterinarians </li></ul><ul><li>Research Support: CVM TAES other </li></ul><ul><li>Teaching </li></ul><ul><li>students </li></ul><ul><li>producers </li></ul>
    45. 47. What We Do <ul><li>Teaching </li></ul><ul><ul><li>4 th year veterinary students (2-week rotation) </li></ul></ul><ul><ul><li>2 nd year veterinary students Parasitology VTPB 920 </li></ul></ul><ul><ul><li>Graduate students Helminthology VPAR 601 or Protozoology VPAR 604 </li></ul></ul>
    46. 48. Immunopathology/ Histopathology Service
    47. 49. Personnel <ul><li>Dr. Andy Ambrus </li></ul><ul><ul><li>Supervisor: </li></ul></ul><ul><ul><li>Immunopathology </li></ul></ul><ul><ul><li>lab </li></ul></ul><ul><li>Rosemary Vollmar </li></ul><ul><ul><li>Supervisor: </li></ul></ul><ul><ul><li>Histopathology lab </li></ul></ul>
    48. 50. Personnel <ul><li>Susan Hernandez </li></ul><ul><ul><li>Histotechnician/ </li></ul></ul><ul><ul><li>Immunotechnician </li></ul></ul><ul><li>Chaitali Mukherjee </li></ul><ul><ul><li>Histotechnician </li></ul></ul><ul><li>Allison Tewell </li></ul><ul><ul><li>Student worker </li></ul></ul>
    49. 51. Personnel <ul><li>Shannon Davis </li></ul><ul><li>Dawn Currin </li></ul><ul><li>Cheryl Chamblee </li></ul><ul><li>Sharon Dickerson </li></ul>
    50. 52. Mission <ul><li>To supply histopathology and immunopathology support to the VTH, pathology services, and research components at TAMU </li></ul>
    51. 53. Goals <ul><li>To provide rapid as possible turn around times for diagnostic and research histopathology specimens </li></ul><ul><li>To provide quality specimens for all services </li></ul><ul><li>To provide accurate immunostaining for challenging diagnostic cases and research interests </li></ul>
    52. 54. Laboratory Accessions 05 <ul><li>Total Procedures </li></ul><ul><ul><li>22,573 </li></ul></ul><ul><li>Total Proc/Emb/H&E </li></ul><ul><ul><li>13,461 </li></ul></ul><ul><li>Total Special Stains </li></ul><ul><ul><li>2,575 </li></ul></ul><ul><li>Total Immunopathology Procedures </li></ul><ul><ul><li>1,572 </li></ul></ul>
    53. 55. Histology
    54. 56. Immunohistochemistry
    55. 57. Immunocytochemistry
    56. 58. Immunocytochemistry
    57. 59. Anatomic pathology Necropsy Surgical pathology Dermatopathology Orthopedic pathology
    58. 60. Surgical pathology
    59. 61. People <ul><li>Dr. Roy Pool. </li></ul><ul><li>Dr. Joanne Mansell. </li></ul><ul><li>Dr. Jairo Nunes. </li></ul><ul><li>Dawn Currin </li></ul><ul><li>Shannon Davis. </li></ul>
    60. 65. Mission <ul><li>Service. Surgical pathology support for the VMTH small and large animal clinics </li></ul><ul><li>Teaching. 6 anatomic pathology residents rotate with faculty. </li></ul><ul><li>Research. Mostly collaborative with clinicians in small and large animal clinics. </li></ul>
    61. 66. Service <ul><li>Real time web site for surgical results </li></ul><ul><li>http://vtpb-www.cvm.tamu.edu/surgpath/daily.lasso </li></ul><ul><li>Approximately 800-900 cases/yr </li></ul>
    62. 67. <ul><li>We encourage clinician-pathologist interaction. </li></ul><ul><li>Review slides with clinicians, clinical residents, and students </li></ul><ul><li>Love to be invited to clinic to see clinical cases </li></ul>
    63. 69. Teaching <ul><li>There are 6 anatomic pathology residents who rotate on the service with faculty. </li></ul><ul><li>Residents and students in the clinic are welcome to come and look at slides of their cases. </li></ul>
    64. 71. Research <ul><li>Collaborative publications with clinicians in the VMTH, and pathologists at other institutions. </li></ul><ul><li>Presentations at national and international meetings. </li></ul>
    65. 72. Dermatopathology <ul><li>National and state specialty service </li></ul><ul><li>Approx 2000 cases/yr </li></ul><ul><li>One of 3 universities with dermpath services. </li></ul><ul><li>Provides cases for teaching, publications, and presentations at national & international meetings. </li></ul><ul><li>Joanne Mansell. Melanie Buote training on service. Previous faculty; Dunstan, Credille, Mecklenburg </li></ul>
    66. 73. Orthopedic pathology <ul><li>National and state specialty service </li></ul><ul><li>Approx 260 cases/yr </li></ul><ul><li>One of 2 universities with osteopath service </li></ul><ul><li>Provides cases for teaching, publications, and presentations </li></ul><ul><li>Dr. Pool </li></ul>

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