Slovenian pathologist reveals what happens after death: Autopsies are becoming less and less, mostly they save the living (VIDEO)

Patologist Simona Šramek Zatler, head of the pathology and cytology department at Celje General Hospital, has spoken about the evolving role of pathologists who increasingly work with living patients rather than deceased ones. While the public often associates pathology with post-mortem examinations, she explained that the field is largely focused on diagnosing diseases in living individuals through tissue analysis. According to her, approximately 80% of the work involves diagnosing tumors, while around 20% consists of autopsies. The discussion took place during an episode of the podcast Na robu, where Zatler emphasized that all pathologists working on pathology departments focus on live patients. This includes examining tissues removed during diagnostic procedures or surgeries. She noted that pathologists collaborate with screening programs such as Dora and Svit, which involve analyzing samples collected within these initiatives. These samples are processed in laboratory settings under the supervision of pathologists. Zatler further elaborated that pathology also encompasses cytology, a specialized area where experts examine cells obtained by gynecologists, for example, during cervical smear tests. The scope of work varies depending on the organization and location of the department, but the core function remains centered on aiding diagnosis in living patients. She highlighted that the number of autopsies has been declining over time. This trend reflects broader changes in medical practice, where non-invasive diagnostic methods have become more prevalent. As a result, pathologists are increasingly engaged in tasks that support ongoing patient care rather than focusing solely on post-mortem investigations. In addition to discussing the shift in workload, Zatler touched upon the emotional aspects of the profession. She mentioned that certain cases, such as those involving children, are particularly memorable and emotionally impactful. These experiences underscore the human element inherent in the field, even as the technical demands evolve. Her insights reflect a growing emphasis on preventive and early detection strategies in modern healthcare. Pathologists play a crucial role in identifying potential health issues before they progress, thereby contributing to improved patient outcomes. This aligns with the increasing reliance on screening programs and advanced diagnostic tools. The conversation also shed light on the organizational structure of pathology departments. Depending on their setup and location, these units handle varying degrees of autopsies alongside routine diagnostic services. Despite this variation, the overarching goal remains consistent: to provide accurate diagnoses that inform treatment decisions for living patients.