Dear Histonet,

I have been employed by the same agency since 1993 as a histotechnologist.  I 
am responsible for histology, cytology and autopsies.  I am the only full-time 
technologist.  I even do the medical transcription when necessary.

One day I couldn't lift my coffee cup without severe pain.  I was diagnosed 
with severe lateral epicondylitis, right elbow.  Personally, I feel that the 
forceps I used to embed tissue and pick up ribbons of tissue from the microtome 
and spread that tissue out on the water bath was partially to blame.  It could 
also have been caused by labeling slides and blocks with a marker, scraping 
excess paraffin off the blocks, lifting gallons of chemicals to change the 
tissue processor and stainer, lifting bodies on and off the autopsy table, 
using the cryostat for frozen sections or from using the microtome.  Another 
possible cause would be the logging in of specimens into the computer or filing 
slides and blocks or staining slides.

Anyway, I need your help with a well-reasoned explanation.  I will quote the 
paragraph word for word that requires such explanation to help my cause.

"In preparing tissue samples for examination, this Office has been advised that 
a manual microtome was replaced in 2005 with an automatic microtome which 
requires the touch of a finger to start.  To the extent that you would've been 
exposed to any tediousness associated with tissue sample preparation, it seems 
that any upper extremity problem attributable to your exposure would've been 
while the manual microtome was still in use or within a reasonable period after 
it was retired.  Any delay in any onset of any upper extremity problem 
associated with this activity requires a well-reasoned explanation."

Well it sure took more than pushing a button to make that slide.  That much I 
am sure about.  We need to keep up the good work at educating those who have no 
idea what a histotech does.

Thank you for any explanations you want to kindly share.

Teresa Harris, HT, HTL(ASCP)QIHC
teresajhar...@msn.com

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