Category Archives: Medical Practitioners


CT Downtime Procedures June 19-26 – Selkirk & District Hospital

19th Jun, 2017

DSM’s Selkirk CT will be unavailable June 19-26 as the unit is moved to the new Selkirk Regional Health Centre. Patients requiring emergent CT scans should be referred to an alternate site. Urgent and routine scans can be sent and will be scheduled for June 27 and later. Please click here for CT referral information […]


LIS Planned System-Wide Outage May 7 1430 to 2230 hours

28th Apr, 2017

DSM’s Provincial Laboratory Information System will undergo a planned eight-hour outage for system maintenance Sunday, May 7 from 14:30-22:30 (2:30 – 10:30 PM). For more details on how this will affect the reporting of lab results at your facility, please read the following: LIS Rural Planned Outage LIS Winnipeg Planned Outage


LIS Planned System-Wide Outage April 9 15:30-19:30

30th Mar, 2017

DSM’s Provincial Laboratory Information System will undergo a planned four-hour outage for system maintenance Sunday, April 9 from 15:30-19:30 (3:30 – 7:30 PM). For more details on how this will affect the reporting of lab results at your facility, please read the following: LIS Rural Planned Outage LIS Winnipeg Planned Outage


CWM Participates in Engaging National Meeting

10th Mar, 2017

Members of Choosing Wisely Manitoba were among the more than 300 stakeholders attending the Choosing Wisely Canada National Meeting at the end of February. Attendees included clinicians, patient representatives, leaders from national organizations, as well as provincial and territorial Choosing Wisely campaigns. Visit Choosing Wisely Canada to learn more about the more than 80 abstracts […]


TI Lab Contributes to Record Year for Kidney Donations in Manitoba

9th Mar, 2017

DSM’s Transplant Immunology Lab was extra busy last year – contributing to the record 57 kidney transplants that gave the gift of life to Manitobans through Manitoba’s Renal Transplant Program. The TI Lab already plays a very important role in the transplant of kidneys from both living and deceased donors, but work has expanded as […]


CAUTION: Selkirk MRI Not Currently Accepting Urgent/Emergent Reqs

27th Feb, 2017

At this time DSM CANNOT accept urgent/emergent requisitions for MRI service at the Selkirk Regional Health Centre. This service is not scheduled to open until July 2017 and as such we are only able to accept requisitions for elective MRIs. Please be sure to send your completed requisitions to the unique MRI fax #: (204) […]


Countdown on for “Ramping Up” Manitoba’s Newest MRI

27th Jan, 2017

Six months may seem like it’s still a long wait until DSM’s new MRI in Selkirk Regional Health Centre is operational, especially for residents and physicians excitedly awaiting its arrival, but for Senior MRI Technologist Trina Gulay, it’s a tight timeline with a significant list of critical tasks.


POSTPONED: LIS Planned Outage Jan 15

9th Jan, 2017

The planned outage of DSM’s Provincial Laboratory Information System, originally scheduled for Sunday, January 15, has been postponed. DSM will advise of a new date in the coming weeks and apologizes for any inconvenience.  


Unique FISH Lab: Crossing Disciplines, Creating Opportunity

14th Dec, 2016

What do you get when you cross Genetics with Pathology and Hematology? FISH, of course. DSM’s new FISH (fluorescent in situ hybridization) Lab is a first for DSM in that it has brought three disciplines together to create a multidisciplinary service that will improve testing capabilities and access for all three disciplines.


New Provincial Health Organization – ‘Shared Health Services Manitoba’ (PHO-SHSM)

June 30,17

On behalf of the DSM Board and the organization, we want to provide clarification and reassurance that Diagnostic Services Manitoba continues to be Manitoba’s provincial diagnostic services provider and that you can reach us through the same channels you have in the past.

DSM will continue as the corporate, legal entity it has grown to be; in other words, DSM will continue “as usual” through the next nine months of transition to the new Provincial Health Organization – Shared Health Services Manitoba that was announced on June 27, 2017.

On April 1, 2018 DSM will become an integrated and integral part of PHO-SHSM. We expect that there will be no interruption to our ability to enter into agreements, contracts, and most importantly: 

without interruption to high quality, efficient, and effective

diagnostic services for Manitobans.

We are excited to become part of the broader provincial health organization and are proud that our organization will in many ways act as the foundation for Shared Health Services Manitoba. The new organization’s mission of improving patient care and providing coordinated clinical and business support to the province’s regional health authorities is very much in line with DSM’s own raison d’etre.

We look forward to continuing to work with all our stakeholders throughout this transition period and within the new provincial health organization post April 1, 2018.

In the complex world of health care, change can cause uncertainty: for our patients, public, health care providers and our business partners. Should you have any questions please don’t hesitate to connect with us through your normal contacts or at:

Diagnostic Services of Manitoba Inc. (DSM Inc.)
1502 – 155 Carlton St.
Winnipeg, MB R3C 3H8
Phone: (204) 926-8005 or 1-866-320-8796 (Toll-free Across Canada)
Fax: (204) 940-1761
Email: contact@dsmanitoba.ca
HR Inquiries: dsm_hr@dsmanitoba.ca
Accreditation Inquiries: DSMQuality@dsmanitoba.ca

We will continue to update our website with additional information as it comes available; thank you all for your patience and support.

Arlene Wilgosh, Board Chair
Jim Slater, CEO

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CT Downtime Procedures June 19-26 – Selkirk & District Hospital

June 19,17

DSM’s Selkirk CT will be unavailable June 19-26 as the unit is moved to the new Selkirk Regional Health Centre. Patients requiring emergent CT scans should be referred to an alternate site. Urgent and routine scans can be sent and will be scheduled for June 27 and later. Please click here for CT referral information for June 19-26. Please click  here for full details on service disruptions up to June 26. All regular diagnostic services will resume at the new SRHC June 28.

 

 

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LIS Planned System-Wide Outage May 7 1430 to 2230 hours

April 28,17

DSM’s Provincial Laboratory Information System will undergo a planned eight-hour outage for system maintenance Sunday, May 7 from 14:30-22:30 (2:30 – 10:30 PM). For more details on how this will affect the reporting of lab results at your facility, please read the following:

LIS Rural Planned Outage

LIS Winnipeg Planned Outage

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LIS Planned System-Wide Outage April 9 15:30-19:30

March 30,17

DSM’s Provincial Laboratory Information System will undergo a planned four-hour outage for system maintenance Sunday, April 9 from 15:30-19:30 (3:30 – 7:30 PM). For more details on how this will affect the reporting of lab results at your facility, please read the following:

LIS Rural Planned Outage

LIS Winnipeg Planned Outage

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CWM Participates in Engaging National Meeting

March 10,17

Members of Choosing Wisely Manitoba were among the more than 300 stakeholders attending the Choosing Wisely Canada National Meeting at the end of February. Attendees included clinicians, patient representatives, leaders from national organizations, as well as provincial and territorial Choosing Wisely campaigns. Visit Choosing Wisely Canada to learn more about the more than 80 abstracts presented.

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TI Lab Contributes to Record Year for Kidney Donations in Manitoba

March 9,17

DSM’s Transplant Immunology Lab was extra busy last year – contributing to the record 57 kidney transplants that gave the gift of life to Manitobans through Manitoba’s Renal Transplant Program. The TI Lab already plays a very important role in the transplant of kidneys from both living and deceased donors, but work has expanded as a result of the province’s latest donation option – donation after cardio-circulatory death (DCD), introduced in January 2016.

By offering DCD, the planned withdrawal of medical support that results in cardio-circulatory death, more families can now consider organ donation.  It is anticipated that DCD will increase donation rates by 20 to 25 per cent. In 2016, three DCD donations resulted in six individuals receiving new kidneys.

TI Charge Technologist Denise Pochinco says that the lab work-up for DCD is very similar to processes for Neurologically Determined Death (NDD) donors, however, organ suitability is not a sure thing and only 60-70% of potential DCD donors are able to donate. For DCD organs to be eligible, donors must reach death within a specific timeframe after the withdrawal of support. “It is difficult for our team to learn that the work they have started for a patient will not result in a much-needed transplant,” said Denise. “However, more times than not, successful transplantation results, making this method of giving very worthwhile.”

As with any transplant case timeliness of testing is critical. Once the organ is retrieved, the TI technologists perform final compatibility tests so recipients can get into the operating room as quickly as possible. Of course, the team is up to this task. They are used to the pressures and tight timelines required to cross match donors with recipients and monitor patients for signs of rejection.

“There are simply not enough kidneys available to meet the need. If the DCD program can increase transplant rates and improve the quality of life for more patients, it is a rewarding endeavour for the lab staff.”

———————————–

Today – March 9, 2017 – is World Kidney Day. World Kidney Day is a global awareness campaign aimed at raising awareness of the importance of our kidneys. To learn more visit the World Kidney Day website.

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CAUTION: Selkirk MRI Not Currently Accepting Urgent/Emergent Reqs

February 27,17

At this time DSM CANNOT accept urgent/emergent requisitions for MRI service at the Selkirk Regional Health Centre. This service is not scheduled to open until July 2017 and as such we are only able to accept requisitions for elective MRIs. Please be sure to send your completed requisitions to the unique MRI fax #: (204) 785-7427 SRHC MRI Requisition

A notice will be issued once the MRI department is open and able to accept all priorities of MRI scan requests. Please note the direct MRI fax number on the requisition is 204-785-7427. To date some MRI requests have been received in the CT department. Please note that for expedient service, each department has a unique fax number.

Please reference the memo issued January 27, 2017 for complete information regarding MRI service at SRHC.

Our contact information for patients and physicians is outlined below:

SRHC MRI Scheduling Phone Number: (204) 785-7485

SRHC MRI Fax Number: (204) 785-7427

Please forward all requests for information about MRI requisitions, scheduling and appointments to (204) 785 – 7485.

 

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Countdown on for “Ramping Up” Manitoba’s Newest MRI

January 27,17

Six months may seem like it’s still a long wait until DSM’s new MRI in Selkirk Regional Health Centre is operational, especially for residents and physicians excitedly awaiting its arrival, but for Senior MRI Technologist Trina Gulay, it’s a tight timeline with a significant list of critical tasks.

“There is a lot of planning that needs to happen for the implementation of a new MRI,” said Trina, who came to DSM after 15 years with the Winnipeg Regional Health Authority where she also managed the implementation of MRI at Grace Hospital. “First off, if you think about the fact that the wait list for elective procedures is six months, then we need to start taking appointments now to help decrease the provincial MRI wait list. But before we can be ready for appointments, we need to have all of our policies and procedures in place.”

There are many protocols, policies and procedures that Trina needs to develop before the machine can be “ramped up” — which is the terminology used to refer to the process of turning on an MRI. None are perhaps more important than the policies pertaining to safety. The machine that Selkirk will be receiving this June is a Siemens 1.5 Tesla magnet. Trina explained that this magnet is stronger than the ones used to pick up cars. Any metal that comes into the MRI room will fly like a missile toward the machine, potentially injuring or even killing anyone that stands in its path.

“It’s actually called the projectile or missile effect,” said Trina. “MRI is perfectly safe for patients if all the safety procedures are observed, but when they mistakenly aren’t, the results often make international headlines. Safety just can’t be overemphasized.”

Like other MRI facilities, the MRI wing at Selkirk has been specially designed for safety. Visitors must travel through three other rooms before they can enter the specific room where the machine is housed. Patients and other visitors such as physicians, nurses, housekeeping staff and even emergency personnel will not be able to gain entry without a technologist.

There are many other necessary policies and procedures for Trina to develop, as would be the case for setting up any new service. For instance, a scheduling system needs to be in place that will maximize the impact on Manitoba’s MRI wait list for elective and non-urgent scans while also ensuring there is room to handle emergencies. This also means knowing how cancellations will be handled.

“Having a policy that will enable clerical staff to quickly fill no shows and cancellations will be very important,” said Trina. “We don’t want to have downtime if at all possible. It’s so important for patients to phone us in advance if they are cancelling their appointment. Unfortunately, that doesn’t always happen.”

Trina will also be building job tasks for technologists, orientation guides for staff, hosting MRI safety training sessions and developing competency documents to meet Human Resources and Employee Relations requirements. Then, new staff will need to be recruited, hired and trained before they can accept patients. Recruitment won’t happen until closer to the go live date, but all the documentation needs to be ready to go in advance.

“We also have provincial accreditation to prepare for,” said Trina. “MANQAP has specific needs and expectations too, so everything we do needs to be compliant with these guidelines. There is so much that needs to be accomplished. I use a Gantt chart to keep the project organized and ensure that everything is on track for go live.”

It is anticipated that scanning will officially begin in late June or early July. Look for updates on this MRI project in coming months.

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POSTPONED: LIS Planned Outage Jan 15

January 9,17

The planned outage of DSM’s Provincial Laboratory Information System, originally scheduled for Sunday, January 15, has been postponed. DSM will advise of a new date in the coming weeks and apologizes for any inconvenience.

 

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Unique FISH Lab: Crossing Disciplines, Creating Opportunity

December 14,16

What do you get when you cross Genetics with Pathology and Hematology? FISH, of course.

DSM’s new FISH (fluorescent in situ hybridization) Lab is a first for DSM in that it has brought three disciplines together to create a multidisciplinary service that will improve testing capabilities and access for all three disciplines.

“The creation of this lab presented a unique first opportunity to change the way we look at things,” said Lisa Manning, Pathology Technical Director. “Coming from a culture of working independently within our own disciplines to having multiple disciplines collaborating on a common service is a new concept.”

FISH is a genetic test used to detect a specific DNA sequence on a chromosome, mapping genetic material in a person’s cells. Historically, the test has been used to visualize DNA rearrangements to diagnose microdeletion syndromes, which are chromosome deletions too small to be detected by conventional cytogenetic methods. As science discovered more about the genetic association between cancers and other diseases, the applications for FISH testing grew. FISH now has a role in determining best treatment options for cancer patients as well as monitoring effectiveness during treatment.

“We are gaining time,” said Dr. Angie Dawson, Molecular Cytogeneticist and Director of DSM’s Cytogenetics Laboratory, referring to what she regards as the biggest improvement that FISH will bring. “We are learning not only new technical and interpretive skills, but also the terminology and frames of reference of other disciplines. This will be evidenced by a reduction in send-outs, which will allow for earlier diagnosis and initiation of appropriate therapy and, hopefully, an improvement in outcomes.”

The DSM multidisciplinary FISH lab was able to acquire two new and sophisticated technologies that would not have been possible as individual discipline labs: a high capacity loader, which speeds up the analytical process by automatically scanning slides with the appropriate FISH probes; and a SKY (spectral karyotyping) interferometer, which uses spectral karyotyping to solve complex chromosomal rearrangements for both constitutional and oncology samples, not identifiable by standard cytogenetic techniques.

Genetic testing is very detail oriented and requires great precision and skills. As revolutionary as the new SKY equipment is, it still requires approximately three days to manually prepare cells for analysis using this technology. Cells need to be sequencially ordered under a microscope and then individually dyed with the appropriate combination of five unique dyes to make up 24 distinguishable colours that will allow SKY to identify the 22 autosome chromosome pairs and the gender X and Y chromosomes.

Since the acquisition of this new equipment, SKY has been successfully utilized in leukemia patients to identify abnormalities that would have previously remained unidentified. In addition, a manual FISH test to determine the presence of the X and/or Y chromosomes in Turner syndrome patients and newborns with ambiguous genitalia has been automated on the new system, allowing for a faster turn-around-time. We have also validated a new FISH test to detect variants of acute promyelocytic leukemia (APL), which is associated with a high tendency to life threatening disseminated intravascular coagulation (DIC). As well, FISH tests for multiple cancer genes involved in lymphomas and solid tumours are currently under validation. We are also proceeding with the development of FISH tests for chronic lymphocytic leukemia (CLL) and multiple myeloma (MM), which we anticipate to be implemented next year.

“Not only are we sharing equipment and reagents but we are bringing together the expertise of multiple disciplines and sharing these highly skilled staff,” said Lisa.

Dr. Michel Nasr, Hematopathologist, credits the success of this project to the teamwork of its users, and their recognition that multidisciplinary understanding and cooperation results in more effective and comprehensive patient care.

“The establishment of local infrastructure for FISH testing will allow for the development and implementation of future tests and has the potential to foster scholarly research,” he said.

The numerous advantages of this multidisciplinary approach make this a model project for other potential collaborations.

“This is only the beginning for the FISH Lab and for multidisciplinary partnerships,” emphasized Lisa. “As we explore ways to innovate our services more and more shared opportunities will present themselves.”

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