KevinMD October 1, 2023
Martin C. Young, MD

During my early years as a pediatric hospitalist in the U.K. during the ’80s, a figure that loomed large was the chemical pathologist (CP). The CP was the guardian of the laboratory, and every hospital had one. This fearsome beast was approached with trepidation, as the outcome was likely to be a unique but bruising “educational experience.”

Interaction was common because almost every lab test apart from the CBC, ESR, chem 20, and TSH had to be approved by the CP. Of course, this sounds ludicrous today, but this was a long time ago!

As a junior doctor rounding with the attending, the latter might decide that the serum porcelain level should be measured. I would complete the pathology request...

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