Pathology

Pathology helps diagnose and guide treatment by studying tissues, cells and lab results. While often behind the scenes, pathologists provide vital information your care team relies on.

Pathology is the medical specialty focused on studying disease through the examination of tissues, cells, bodily fluids, and lab test results. Our pathologists at TidalHealth are highly trained physicians who work behind the scenes to identify the causes and progression of illness at a biological level. The information they provide is critical in helping clinicians make informed decisions regarding your treatment.

Scope of Care

  • Surgical Pathology: Examination of tissue removed during surgery or biopsy to confirm diagnoses such as infections, inflammation, or cancer.
  • Cytopathology: Evaluation of individual cells, such as through Pap tests or fine-needle aspirates.
  • Clinical (Laboratory) Pathology: Oversight and interpretation of blood tests, chemistry, microbiology, immunology, and coagulation testing.
  • Molecular Pathology: Testing to detect DNA, RNA, and protein changes that are important for targeted therapies and genetic diagnoses.

At TidalHealth, our pathology services support patients of all ages and conditions. This includes everything from newborn screening and infectious disease testing to cancer diagnosis and chronic disease monitoring. Although patients typically do not meet with pathologists directly, their work is integral to nearly every medical decision, including cancer staging, infectious disease identification, and identifying the most effective treatments for each patient.

Team Approach

Our pathologists work closely with a wide variety of specialists, including surgeons, oncologists, radiologists, primary care providers, and nursing staff. They are actively involved in multidisciplinary conferences, where laboratory and imaging findings are linked with clinical care, ensuring accurate diagnoses and personalized treatment plans.

Commitment to Quality and Safety

At TidalHealth, we adhere to strict quality controls and validated protocols to ensure the reliability of results. When necessary, pathologists review cases for second opinions or consult with subspecialty experts, especially when findings are complex or unusual.

Communication You Can Count On

Our pathologists prepare clear, actionable reports for your healthcare team. They are available for consultations to explain findings and next steps. If needed, they help your clinicians communicate results to you and support your understanding of what comes next in your care.

What does a pathologist do for my care?
Pathologists at TidalHealth analyze tissue, cells, and laboratory tests to help make or confirm diagnoses. Their findings guide your doctor in determining the type and stage of disease and help identify the most appropriate therapies.

Will I meet the pathologist?
Most patients do not meet the pathologist in person. Our pathologists work behind the scenes, analyzing specimens and preparing reports. However, they are available to your treating clinician and may participate in case discussions or consults if questions arise.

How long does it take to get pathology results?
The turnaround time for results varies depending on the type of test. Routine blood tests may be available within hours. Surgical pathology reports typically take several days, and specialized tests like molecular testing can take one to several weeks. Your clinician can give you a more specific estimate based on the test ordered.

Can I request a second opinion on my pathology report?
Yes, you can. For complex diagnoses, such as cancer or rare diseases, second opinions are often recommended. Your physician can help arrange a consultation with another pathologist or a subspecialty expert.

How are pathology results communicated to me?
Pathology results are sent directly to the clinician who ordered the test. Your clinician will review the results with you and explain how they affect your diagnosis and treatment plan. If you have questions about specific methods or report details, your clinician can request a discussion with the pathologist.

Are pathology tests safe and accurate?
TidalHealth pathology laboratories follow rigorous quality control procedures, accreditation standards, and validated testing methods to ensure the accuracy of your results. Many tests include built-in controls, and additional testing or repeat testing may be done if necessary.

What is molecular pathology and why might I need it?
Molecular pathology involves analyzing genetic and molecular features of a disease, such as mutations in tumors. These findings can help identify targeted therapies, predict prognosis, or detect inherited conditions. Your care team may recommend molecular testing if it could guide important treatment decisions.

Who can I contact if I have concerns about my pathology results?
If you have concerns or questions about your pathology results, the best first step is to contact your ordering clinician (e.g., your primary care doctor, surgeon, or specialist). They can provide additional explanation, arrange further testing, or schedule a review with a pathologist or subspecialty expert if needed.