Why the Pathology Report Is Only One Part of the Breast Care Picture
When I look at breast tissue under a microscope, I am concentrating on what is directly in front of me. I am looking at cells, structures, patterns, and abnormalities that may help explain what is happening in that tissue. It requires focus, and sometimes the questions raised by a case go unanswered as quickly as […]
What Happens to a Breast Biopsy After It Leaves the Exam Room?
When a patient has a breast biopsy, most of the experience is understandably focused on what happens in the room. There is the preparation, the procedure itself, and then the waiting. Once the tissue sample leaves the room, however, a different part of the diagnostic process begins. That is the part of medicine where I […]
TPM Beyond Maintenance: Building Ownership Cultures on the Shop Floor
When people hear Total Productive Maintenance, or TPM, they often think it belongs only to maintenance teams. They picture technicians fixing machines, scheduled downtime, and equipment reliability charts. While all of that is part of it, TPM was never meant to be limited to one department. In my experience working in manufacturing for nearly three […]
From PDCA to Daily Accountability: Turning Continuous Improvement Into an Operating System
Over the years working in manufacturing and Lean management, I have seen a consistent pattern. Most organizations say they are using continuous improvement, but in reality they are only touching the surface of it. Tools get introduced, training happens, and posters go up on the wall. But after a while, things drift back to old […]
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