[Histonet] slide disposal

2009-03-11 Thread Sharon Campbell
Hi everyone!

Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?

Thank you

 

Sharon Campbell, HTL(ASCP)CM, BSBM

Histology Supervisor

Celligent Diagnostics, LLC

Formerly Pathology Associates Services

101 East W.T. Harris Blvd, Suite 1212

Charlotte, NC  28262

800-524-6779 ext. 104

704-970-3304 Direct Line

shar...@celligent.net

 

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Re: [Histonet] Cutting angle?

2009-03-11 Thread Merced Leiker
I have a refurbished Reichert-Jung 2030, but with a knife holder from a 
newer model (so I'm told by the refurbisher). I use 0-1 degree angle.


Merced

--On Tuesday, March 10, 2009 4:15 PM -0700 Va Paula Sicurello 
vapat...@yahoo.com wrote:




Hello Listers,

I have inherited a Reichert-Jung 2030 microtome.  The knife holder is a
bit funky and hard to set the clearance angle.

What angle do y'all use?  I'm trying to get 4 or 5 degrees.

Thanks,

Paula :-)

Paula Sicurello
VA Medical Center San Diego
Veterans Medical Research Foundation (VMRF)
Core Research Imaging Center
3350 La Jolla Village Dr., MC151
San Diego, CA 92161
858-552-8585 x2397





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Merced M Leiker
Research Technician II
354 Biomedical Research Building
School of Medicine and Biomedical Sciences
State University of New York at Buffalo
3435 Main St, Buffalo, NY 14214
Ph: (716) 829-6033
Fx: (716) 829-2725

No trees were harmed in the sending of this email.
However, many electrons were severely inconvenienced.


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[Histonet] incubator oven

2009-03-11 Thread Kalleberg, Kristopher
Hi All,
 
I desperately need to get a new incubator oven for my histology lab.  It
seems as if most ovens are now convection ovens.  Since my old oven is
not convection I am just concerned that the constant air movement will
some how affect the tissue slides in the way the paraffin in melted
before the processing of the slides.  I will be using this oven for
strictly melting paraffin containers to have ready for embedding center
and for baking of slides to melt paraffin prior to processing.  Has
anyone had any concerns or issues with these new convection ovens or can
they recommend a decent oven to buy.  it just needs to be a medium sized
oven.  
Thanks in  advance.
 
Kris kalleberg
kristopher.kalleb...@unilever.com
  
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Re: [Histonet] slide disposal

2009-03-11 Thread Merced Leiker
We have a broken glass waste container we put ours in for pick up and 
disposal (don't deal with non-animal patients, so not an issue).


-M

--On Wednesday, March 11, 2009 4:56 AM -0400 Sharon Campbell 
shar...@celligent.net wrote:



Hi everyone!

Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?

Thank you



Sharon Campbell, HTL(ASCP)CM, BSBM

Histology Supervisor

Celligent Diagnostics, LLC

Formerly Pathology Associates Services

101 East W.T. Harris Blvd, Suite 1212

Charlotte, NC  28262

800-524-6779 ext. 104

704-970-3304 Direct Line

shar...@celligent.net



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Merced M Leiker
Research Technician II
354 Biomedical Research Building
School of Medicine and Biomedical Sciences
State University of New York at Buffalo
3435 Main St, Buffalo, NY 14214
Ph: (716) 829-6033
Fx: (716) 829-2725

No trees were harmed in the sending of this email.
However, many electrons were severely inconvenienced.


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Re: [Histonet] slide disposal

2009-03-11 Thread Rene J Buesa
Old slides, after all the processing they have endured are not hazardous 
(from the contagious/disease point of view) any more.
They are hazardous from the mechanical (potential physical injury point of 
view) and it is more than enough to dispose of them in sharps containers.
Word of caution, just do not dump the slides on the sharp containers because 
they will occupy much more space (and will require more sharp containers) as if 
you try to place them in a good arrangement. Do not succumb to the temptation 
of making noise with the old slides as yiu dispose of them!
René J. 

--- On Wed, 3/11/09, Sharon Campbell shar...@celligent.net wrote:

From: Sharon Campbell shar...@celligent.net
Subject: [Histonet] slide disposal
To: histonet@lists.utsouthwestern.edu
Date: Wednesday, March 11, 2009, 4:56 AM

Hi everyone!

Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?

Thank you

 

Sharon Campbell, HTL(ASCP)CM, BSBM

Histology Supervisor

Celligent Diagnostics, LLC

Formerly Pathology Associates Services

101 East W.T. Harris Blvd, Suite 1212

Charlotte, NC  28262

800-524-6779 ext. 104

704-970-3304 Direct Line

shar...@celligent.net

 

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Re: [Histonet] incubator oven

2009-03-11 Thread Rene J Buesa
Usually all ovens (new and old are of the convection type) and the air 
circulation will improve the effect of heat over the slides.
René J.

--- On Wed, 3/11/09, Kalleberg, Kristopher kristopher.kalleb...@unilever.com 
wrote:

From: Kalleberg, Kristopher kristopher.kalleb...@unilever.com
Subject: [Histonet] incubator oven
To: histonet@lists.utsouthwestern.edu
Date: Wednesday, March 11, 2009, 9:40 AM

Hi All,
 
I desperately need to get a new incubator oven for my histology lab.  It
seems as if most ovens are now convection ovens.  Since my old oven is
not convection I am just concerned that the constant air movement will
some how affect the tissue slides in the way the paraffin in melted
before the processing of the slides.  I will be using this oven for
strictly melting paraffin containers to have ready for embedding center
and for baking of slides to melt paraffin prior to processing.  Has
anyone had any concerns or issues with these new convection ovens or can
they recommend a decent oven to buy.  it just needs to be a medium sized
oven.  
Thanks in  advance.
 
Kris kalleberg
kristopher.kalleb...@unilever.com
  
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[Histonet] IF on frozen sections

2009-03-11 Thread Vanessa J. Phelan
Hi everyone,

Does anyone have any experience in IF on mouse embryo frozen sections?

Vanessa 


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[Histonet] RE: CAP regs on Histonet

2009-03-11 Thread Terri Braud
For ease of reference, if you are asking, replying, or quoting anything 
pertaining to CAP regs, PLEASE give the CAP checklist number that contains the 
information being discussed.
For those of us trying to keep current, it makes it so much easier to check our 
own records.
Just a suggestion - Terri

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Laboratory
Holy Redeemer Hospital and Medical Center
1648 Huntingdon Pike
Meadowbrook, PA 19046
(215) 938-3676 phone
(215) 938-3689 fax


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RE: [Histonet] CPT Coding question 88342 PIN 4 cocktail

2009-03-11 Thread Della Speranza, Vinnie
Disclaimer: I do not consider myself to be a coding expert. Take my opinions 
with a grain of salt.

I've never seen coding for softening of keratin therefore I don't see how you 
could charge for it. This is not decalcification and should not be represented 
as such. Until such time as a code appears (don't hold your breath) the KOH or 
whatever technique you employ is for your convenience to make a block more 
cuttable (is that a word?).

There is no rule that technical and professional charges must be the same. They 
are reimbursed differently, sometimes the technical having a higher 
reimbursement than the professional. You are free to set your charges for each 
where you see fit.

I believe that your charges for prostate IHC have to be justified by the 
pathology. In your example, some of those cores may be clearly benign and there 
would be no basis for charging IHC for eight cores if only one or two contain 
the lesion. In your case, by having four cores in one block, you benefit by 
keeping your expenses down however I do believe that your IHC charges should 
(must?) be based on the location of the lesion under study. It would seem to me 
that charging for IHC on eight cores when the report describes a lesion in only 
one is asking for trouble 

You are correct that you can charge 88342 x 3 for the PIN 4 markers as each is 
separate and can be visualized distinctly from one another.



Vinnie Della Speranza
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue  Suite 309
Charleston, South Carolina 29425
Tel: (843) 792-6353
Fax: (843) 792-8974
 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Shea's
Sent: Tuesday, March 10, 2009 9:09 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] CPT Coding question 88342 PIN 4 cocktail

We started staining prostate needle bxs w/ PIN 4 (triple stain). 
1. My understanding is that we can bill for 88342 x 3 (per specimen) if a 
comment is made on the results of the nuclear staining and cytoplasmic staining 
of the DAB and the staining of the Vulcan red. The key is documentation in the 
report. This is simple to understand when you rec'd 1 specimen/container, but 
we rec'd:

A. Right prostate Bx - Red stained bx: apex
 Green stained bx: base
 Blue stained bx: midgland
 Yellow stained bx: transition
submitted in one Cassette A.

B. Left  prostate Bx - Red stained bx: apex
 Green stained bx: base
 Blue stained bx: midgland
 Yellow stained bx: transition
submitted in one Cassette B.

2. If the pathologist needed  this stain on every specimen, it would be 8 
separate identifiable specimens x 3 (separate identifiable stains in the 
cocktail) , therefore88342  x 24, even though it is only 2 blocks.

3. If the pathologist was only interested in this stain on on the Apex in A and 
B it would be 2 specimens x 3, therefore 88342 x 6 for the same 2 blocks (even 
though it stains all 8 specimens, only 2 of the 8 are in need of this stain).

   Another words, we can't charge the technical component until we find out how 
many specimens the pathologist is looking at in a slide (professional 
component), even though it is the same amount of work and reagents.  Does this 
sound right?

4. Is the technical charge always the same as the professional charge?


Another unrelated question - We can bill for decalcification, but is there a 
billing code for  KOH in the same manner to soften and treat toenails before 
processing? It is documented in the Path report.
I know this has been discussed in the archives, but there seems to be 
conflicting opinions. Do we know for sure?
Thanks


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[Histonet] MOLDS AND SLIDE DISPOSAL

2009-03-11 Thread Kay, Karen
Metal molds vs Disposable molds
We too have chosen metal molds.  We clean them by placing them in a
random processing basket and running an extended purge cycle with xylene
and alcohol. It has worked very well for us.
Slide disposal:
I believe the CAP guidelines from 2005 state that slides should be kept
for a minimum of 20 years. I don't know if this has been recently
revised.  Here in Alberta, Canada, the retention guidelines for slides
is 30 years.(College of Physicians and Surgeons of Alberta) We also
package into plastic pails to be picked up by a disposal company.  They
are never put into a regular dumpster as there is definite danger of
slide breakage and potential injury to anyone who comes in contact with
them. I realize that this is an added expense however, with a longer
retention time, the slides are not discarded as often.
Karen J Kay, MLT
Pathology Supervisor
Chinook Health Laboratory - Chinook Regional Hospital
960 - 19 st South,Lethbridge, Alberta,CANADA
(403) 388 - 6061 (Phone) 


Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sharon
Campbell
Sent: Wednesday, March 11, 2009 3:57 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] slide disposal


Hi everyone!

Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?

Thank you

 

Sharon Campbell, HTL(ASCP)CM, BSBM

Histology Supervisor

Celligent Diagnostics, LLC

Formerly Pathology Associates Services

101 East W.T. Harris Blvd, Suite 1212

Charlotte, NC  28262

800-524-6779 ext. 104

704-970-3304 Direct Line

shar...@celligent.net



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Re: [Histonet] incubator oven

2009-03-11 Thread Va Paula Sicurello

Hi Kris,

I think that a smallish lab oven would suffice.  If all you are doing is 
melting paraffins I think any of the ones from the major vendors (Fisher, VWR, 
etc.) would be good enough.

I do believe that those are still just ovens and don't have the air currents.

Paula Sicurello
VA Medical Center San Diego
Veterans Medical Research Foundation (VMRF) 
Core Research Imaging Center
3350 La Jolla Village Dr., MC151
San Diego, CA 92161
858-552-8585 x2397


--- On Wed, 3/11/09, Kalleberg, Kristopher kristopher.kalleb...@unilever.com 
wrote:

 From: Kalleberg, Kristopher kristopher.kalleb...@unilever.com
 Subject: [Histonet] incubator oven
 To: histonet@lists.utsouthwestern.edu
 Date: Wednesday, March 11, 2009, 1:40 PM
 Hi All,
  
 I desperately need to get a new incubator oven for my
 histology lab.  It
 seems as if most ovens are now convection ovens. 
 Since my old oven is
 not convection I am just concerned that the constant air
 movement will
 some how affect the tissue slides in the way the paraffin
 in melted
 before the processing of the slides.  I will be using
 this oven for
 strictly melting paraffin containers to have ready for
 embedding center
 and for baking of slides to melt paraffin prior to
 processing.  Has
 anyone had any concerns or issues with these new convection
 ovens or can
 they recommend a decent oven to buy.  it just needs to
 be a medium sized
 oven.  
 Thanks in  advance.
  
 Kris kalleberg
 kristopher.kalleb...@unilever.com
   
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RE: [Histonet] slide disposal

2009-03-11 Thread Joyce Cline
We use the same company that takes away our alcohol waste. They pulverize
the slides for us. There is a company in WI that makes a Slydeater that you
can rent for one month to pulverize your slides. I am looking into that
aspect.

Joyce Cline, H.T. (ASCP)
Technical Specialist
Hagerstown Medical Lab.
301-665-4980
fax 301-665-4941


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sharon
Campbell
Sent: Wednesday, March 11, 2009 4:57 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] slide disposal

Hi everyone!

Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?

Thank you

 

Sharon Campbell, HTL(ASCP)CM, BSBM

Histology Supervisor

Celligent Diagnostics, LLC

Formerly Pathology Associates Services

101 East W.T. Harris Blvd, Suite 1212

Charlotte, NC  28262

800-524-6779 ext. 104

704-970-3304 Direct Line

shar...@celligent.net

 

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Re: [Histonet] Need Advice on Low Temp Tissue Processing

2009-03-11 Thread Rene J Buesa
Sean:
Considering that the van't Hoff coefficient determines a metabolic coefficient 
increase/reduction every 10ºC (Q10) I would increase the processing 
period one time every 10ºc between the temperature your protocol was designed 
to work at and the new temperature you are going to use now.
Lets say that you fine tuned your protocol for 35 ºC and now you will be 
working at 4ºC which is a almost 30ºC less = 10ºC x 3 If a given step at 35ºC 
was set at 1 hour, I would use now 3 hours for the same step.
René J.

--- On Wed, 3/11/09, Sean McBride smcbr...@cs.cmu.edu wrote:

From: Sean McBride smcbr...@cs.cmu.edu
Subject: [Histonet] Need Advice on Low Temp Tissue Processing
To: histonet@lists.utsouthwestern.edu
Date: Wednesday, March 11, 2009, 12:30 PM

Hi folks,

I have a rabbit cranial defect study in which the implant material is
sensitive to 100% ethanol at temperatures  20*C.  As I cannot use my my
Sakura tissue processor for the specimens (min operating temp=35*C), I plan
to process them by hand @ 4*C in a cold room.  My intuition tells me that at
lower temperatures, the processing times in each solution should be extended
by a percentage, but by how much, I have not an idea.  Does anyone have any
experience or ideas with regards to low temperature tissue processing times?

Best regards,


~Sean McBride


Bone Tissue Engineering Center
Carnegie Mellon Research Institute
Suite 4311
700 Technology Drive
Pittsburgh, PA 15219-3124

412-268-8275 (o)
412-901-7540 (m)
412-268-8641 (fax)
smcbr...@cs.cmu.edu


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[Histonet] paraffin oil-clearing agent

2009-03-11 Thread anjan kumar

hi everyone, 

   last week i had aquestion regarding xylene substitutes and Vector Blue 
compatibility.  i came across an article saying use of paraffin oil as 
substitute for xylene...

can paraffin oil be used as clearing agent ?

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[Histonet] Compromised specimens

2009-03-11 Thread Bell, Lynne
When our histology lab receives a compromised specimen (not labeled with 
patient's name, wrong DOB, no label whatsoever, etc) we have the offending 
party correct the error and fill out an accountability form accepting full 
responsibility for the identification of the specimen.  We then scan the 
accountability form into the patient's medical record and include the 
information in the specimen comments section of the pathology record.  This 
information does not print on the official pathology report.

My question - should the pathologist include in his/her report the compromised 
specimen information?  Presently, on our clinical lab reports and cytology 
reports it is included - simply saying Compromised Specimen.  Our 
pathologists historically have not wanted to include this in the official 
pathology report and I feel that it should be in there - sort of a cover your 
butt addendum.

I'm curious what other hospitals do!!

Thanks in advance,

Lynne A. Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923






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Re: RE: [Histonet] slide disposal

2009-03-11 Thread TF
we treat with SHARPS + Biological Hazardous


2009-03-12 



TF 



发件人: Mike Pence 
发送时间: 2009-03-11  21:29:29 
收件人: Sharon Campbell; histonet@lists.utsouthwestern.edu 
抄送: 
主题: RE: [Histonet] slide disposal 
 
All of our slides are put into buckets and placed in the regular
dumpster as long as there is no patient names on the slides. We don't
even treat them as sharps. 
Mike
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sharon
Campbell
Sent: Wednesday, March 11, 2009 3:57 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] slide disposal
Hi everyone!
Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?
Thank you

Sharon Campbell, HTL(ASCP)CM, BSBM
Histology Supervisor
Celligent Diagnostics, LLC
Formerly Pathology Associates Services
101 East W.T. Harris Blvd, Suite 1212
Charlotte, NC  28262
800-524-6779 ext. 104
704-970-3304 Direct Line
shar...@celligent.net

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Re: RE: [Histonet] CD31 on rat brain

2009-03-11 Thread TF
hi, i am trying to stain the rat CD31

the cat: 550274 is the anti-mouse CD31

have anyone tried this one:
http://www.bdbiosciences.com/external_files/pm/doc/tds/rat/live/web_enabled/22711D_555025.pdf
 

test it on parafin sections?


2009-03-12 



TF 



发件人: Chiriboga, Luis 
发送时间: 2009-03-07  00:16:34 
收件人: ti...@foxmail.com; Colleen Forster 
抄送: histonet; ΕΛΕΝΗ ΚΟΝΣΟΛΑΚΗ 
主题: RE: [Histonet] CD31 on rat brain 
 
For mouse (specifically) have used CD31 from BD catalog number 550274. Its a 
rat ant-mouse (Clone MEC13.3). 
can supply more info if need.
The problem I have found is finding good control material for this marker. 
especially since my only source tends to be the investigators that provide me 
the samples to begin with.
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of TF
Sent: Friday, March 06, 2009 10:23 AM
To: Colleen Forster
Cc: histonet; ΕΛΕΝΗ ΚΟΝΣΟΛΑΚΗ
Subject: [Histonet] CD31 on rat brain
Just wonder anyone has a suggestion of antibody that works on rat brain? Frozen 
section and parafin sections?
It would be great if this also works on mice.
2009-03-06 
TF 
发件人: Colleen Forster 
发送时间: 2009-03-06  00:57:29 
收件人: tifei 
抄送: iskaliora; histonet; ΕΛΕΝΗ ΚΟΝΣΟΛΑΚΗ 
主题: Re: [Histonet] staining brain vessels 

You have to have a specific CD31 to work on mouse brain. Very few of 
them do.
Colleen Forster
TF wrote:
 hi, CD31 works great
 in my section alpha-SMA also works

 another way is to perfuse the brain with BSA-rhodamine.
 you will get the fluorescence without the need of staining.


 2009-03-05 



 TF 



 发件人: iskaliora 
 发送时间: 2009-03-05  18:49:11 
 收件人: histonet 
 抄送: ΕΛΕΝΗ ΚΟΝΣΟΛΑΚΗ 
 主题: [Histonet] staining brain vessels 
  
 I was wondering if anybody might have an idea with the following  
 problem we are experiencing:  we want to stain for blood vessels in  
 sections of mouse brain.  Our experimental tissues have been fixed  
 overnight in 4% paraformaldehyde and have been sitting in PBS since.   
 We have tried staining with antibodies against desmin, SMA, and  
 collagen but we get NO specific signal.  We recently tried a non-fixed  
 mouse brain and got desmin to work immediately.  The problem is that  
 we need to use the fixed brains because they are our experimental  
 model and it would take too long (2 years to be exact) to generate the  
 same samples.  If anybody has come across such a problem before, or  
 has a specific protocol for vessels that works on PFA fixed brain, we  
 would appreciate the suggestions!
 thanks in advance!
 Irini
 -
 Irini Skaliora, PhD
 Investigator C᾽ (Assistant Professor)
 Developmental Biology Division
 Biomedical Research Foundation of the Academy of Athens (BRFAA)
 Soranou Efessiou 4
 Athens 11527
 tel. +30-210-6597203 (office)
 tel. +30-210-6597482 (lab)
 fax. +30-210-6597545
 email: iskali...@bioacademy.gr
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RE: [Histonet] slide disposal

2009-03-11 Thread Mark J. Griffith

Thank you Joyce -

The SlydEater pulverizes the glass slide and obliterates the label 
affixed to the slide. Units are available for both short term and 
long term rentals, as well as Least to Own.


If interested, visit our website at:

http://www.SlydEater.com

or by calling me directly at 800-233-3721.

Mark J. Griffith
E-mail:  mailto:m...@vyleater.com
S  G Enterprises, Inc.
N115 W19000 Edison Drive
Germantown, WI  53022   USA
Tel: 262/251-8300
US/Canada toll-free: 800/233-3721
Fax: 262/251-1616



From: Joyce Cline jcl...@wchsys.org
To: Histonet histonet@lists.utsouthwestern.edu
Date: Wed, 11 Mar 2009 12:51:14 -0400

We use the same company that takes away our alcohol waste. They pulverize
the slides for us. There is a company in WI that makes a Slydeater that you
can rent for one month to pulverize your slides. I am looking into that
aspect.

Joyce Cline, H.T. (ASCP)
Technical Specialist
Hagerstown Medical Lab.
301-665-4980
fax 301-665-4941


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sharon
Campbell
Sent: Wednesday, March 11, 2009 4:57 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] slide disposal

Hi everyone!

Thank you for all the great responses to my last question about metal
vs. plastic molds. I have another question being debated however, How to
dispose of slides once the required time is up (10 years for us). We
have put the slide in sharps containers and then into biohazard, but are
they really bioharzard, the slides only contain the patients accession
number - no personal ID on the slides? How do you guys dispose of your
slides when space and money are an issue?

Thank you



Sharon Campbell, HTL(ASCP)CM, BSBM

Histology Supervisor

Celligent Diagnostics, LLC

Formerly Pathology Associates Services

101 East W.T. Harris Blvd, Suite 1212

Charlotte, NC  28262

800-524-6779 ext. 104

704-970-3304 Direct Line

shar...@celligent.net

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[Histonet] Bad sections

2009-03-11 Thread Va Paula Sicurello

Hi Histo netters,

I am am my wit's end.  I know how to section but my sections are compressing 
like crazy.  I've altered my processing protocol thinking that I was 
overprocessing my samples.

I've tried different knife angles, different brands of razor blade knives.

It's either me or the microtome.

Info- I process animal tissues with between 30-60 minute steps.  Vacuum 
paraffins for 30 minutes.  Section with Reichert-Jung 2030 set at 4-ish degrees 
(a little below the middle line on the knife holder).
Soak blocks on Downey ice blocks, water bath at 44 degrees.

Suggestions?  

Waa,

Paula

Paula Sicurello
VA Medical Center San Diego
Veterans Medical Research Foundation (VMRF) 
Core Research Imaging Center
3350 La Jolla Village Dr., MC151
San Diego, CA 92161
858-552-8585 x2397


  


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[Histonet] detergent

2009-03-11 Thread Leslie Chen
 Hi Rene,
To clarify your post: Do you mean liquid dish soap (like palmolive) is to be
used?  When you say not dishwasher detergent I think of Automatic Dishwasher
detergent such as Cascade.

Or no dish soap at all and I should use liquid laundry detergent?  Thanks.

Leslie



From: Rene J Buesa rjbu...@yahoo.com
 Subject: Re: [Histonet] problem eyes
 To: histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu, Perry, Margaret
margaret.pe...@sdstate.edu
 Date: Wednesday, March 4, 2009, 9:14 PM
 Add a few drops (4-5) of liquid
 detergent, but not dishwasher detergent (because it will
 dissolve the paraffin).
 reni J.
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Re: [Histonet] Bad sections

2009-03-11 Thread Merced Leiker
What animal tissues are you using? If rodent, may need less time on the 
steps - like 10-20 min.


--On Wednesday, March 11, 2009 11:29 AM -0700 Va Paula Sicurello 
vapat...@yahoo.com wrote:




Hi Histo netters,

I am am my wit's end.  I know how to section but my sections are
compressing like crazy.  I've altered my processing protocol thinking
that I was overprocessing my samples.

I've tried different knife angles, different brands of razor blade knives.

It's either me or the microtome.

Info- I process animal tissues with between 30-60 minute steps.  Vacuum
paraffins for 30 minutes.  Section with Reichert-Jung 2030 set at 4-ish
degrees (a little below the middle line on the knife holder). Soak blocks
on Downey ice blocks, water bath at 44 degrees.

Suggestions?

Waa,

Paula

Paula Sicurello
VA Medical Center San Diego
Veterans Medical Research Foundation (VMRF)
Core Research Imaging Center
3350 La Jolla Village Dr., MC151
San Diego, CA 92161
858-552-8585 x2397





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Merced M Leiker
Research Technician II
354 Biomedical Research Building
School of Medicine and Biomedical Sciences
State University of New York at Buffalo
3435 Main St, Buffalo, NY 14214
Ph: (716) 829-6033
Fx: (716) 829-2725

No trees were harmed in the sending of this email.
However, many electrons were severely inconvenienced.


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[Histonet] IHC chromogen loss, HELP!

2009-03-11 Thread Woodward, Denise
Posting for a friend..

 

We have hit a bump in the road with our IHC test and thought maybe you
might have some input as we seem to be stuck.  We stain  (typically for
virus) frozen bovine tissues using Biocare's Mach-3 AP polymer kit and
develop with Vector Red, counterstain, and dehydrate and mount with
Histoclear/VectaMount by hand or xylene/Surgipath mountant on the
autocoverslipper.  We have been noticing a major loss of stain after
development recently. The controls seem to remain stained, it's the more
diffuse and minimally stained sections that we have seen stain disappear
between development and coverslipping. I did a test with Impress-DAB and
Impress-Bajoran Purple to compare and we thought we had solved the
problem as being related to the surgipath mountant. However I just did a
run with cell markers coverslipping with the Histoclear/Vectamount and
there seems to be a loss of stain again. Vector suggested trying 200 mM
TBS for wash/diluent/stop instead of 100 mM. This is a recent problem as
we have been using this protocol successfully for a few years now. Any
suggestions would be greatly appreciated!

 

Replies directly to meghan.tuc...@ars.usda.gov would be appreciated

 

 

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Re: [Histonet] validation documentation for processors

2009-03-11 Thread Michael LaFriniere
Rene,
 
I agree with your process as to validation, however, could you help me
understand where does the CAP state (what check off list item)
concerning validation requirements when changing out processors or
processing technologies. My staff is currently performing the validation
process with a large microwave processor. If CAP does have a
recommendation I would appreciate seeing it. I have a (1) out of (12)
pathologists that (I think is going overboard) who would like my
Pathology Manager to perform over 100 tissue samples for validation
process to include IHC/FISH/special staining as we make the switch from
conventional to microwave processing.
 
Thanks!
 
Michael

 
 
Michael R. LaFriniere
Executive Director
Cytology Services of Maryland (CSM)
301-206-2555 ext 27  301-206-2595 fax
michael.lafrini...@csmlab.com


 On 3/10/2009 at 5:23 PM, Rene J Buesa rjbu...@yahoo.com wrote:
As all validations, you will have to process at least 25 pieces (CAP
requires from 25 to 100) of tissue using your old and your new processor
simultaneously. Make slides and later prepare HE and some HC and  IHC
procedures using both sets of slides and give them to as many
pathologists as you can so they can select, without knowing which
section comes from which processor, with only two options: either one
section is better than the other, or both are equivalent for diagnostic
purposes.
Later your data should be analyzed statistically with the chi-square
test or you could obviate the test if almost (more than 90%) of all the
pairs are qualified as equivalent.
René J.

--- On Tue, 3/10/09, Joseph Fear fe...@bronsonhg.org wrote:

From: Joseph Fear fe...@bronsonhg.org
Subject: [Histonet] validation documentation for processors
To: histonet@lists.utsouthwestern.edu
Date: Tuesday, March 10, 2009, 4:45 PM

A question came up in our lab about validation documentation for our
new
processor. 
Does anyone have any creative feedback on how your lab documents
validation of
machines like processors and stainers? 

See below

Joseph Fear 03/01/09
I'll post the question at histonet and see what i can find out about
how
other histo labs document validation of thier machines. 

I think with the peloris we ran test cases and Dr.Pearson checked the
HE
slides, but you're right that we don't have documentation of what
cases
were run and with JP's signiture for approval of validation. I can work
on a
general 'machine validation form' in excel and get back with you.

-Joseph

 Virginia Rupert 02/20/09 3:44 PM 
In your searches, or past experience, do you know or can you find out
how new
instruments are validated? I don't think we have adequate documentation
for
the Peloris, with test cases, etc. But I also haven't found a document
to
use as a template for our purposes. Any ideas?
Thanks





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[Histonet] HTLV-1 IHC

2009-03-11 Thread James L Burchette
Is anyone performing IHC on FFPE human tissue for HTLV-1?
Many Thanks,
Jim
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Re: [Histonet] paraffin oil-clearing agent

2009-03-11 Thread Rene J Buesa
Yes!! Paraffin oil = mineral oil.
Under separate cover I am sending you an article I wrote on the subject.
René J.

--- On Wed, 3/11/09, anjan kumar drvet_an...@hotmail.com wrote:

From: anjan kumar drvet_an...@hotmail.com
Subject: [Histonet] paraffin oil-clearing agent
To: triple immunohistochem histonet@lists.utsouthwestern.edu
Date: Wednesday, March 11, 2009, 1:15 PM

hi everyone, 

   last week i had aquestion regarding xylene substitutes and Vector Blue
compatibility.  i came across an article saying use of paraffin oil as
substitute for xylene...

can paraffin oil be used as clearing agent ?

_
How fun is this? IMing with Windows Live Messenger just got better.
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Re: [Histonet] Compromised specimens

2009-03-11 Thread Rene J Buesa
As long as everything is solved and there is no doubt about whose specimen it 
is, I don't see any benefit in letting people know that is was initially 
compromised.
René J.

--- On Wed, 3/11/09, Bell, Lynne lynne.b...@cvmc.org wrote:

From: Bell, Lynne lynne.b...@cvmc.org
Subject: [Histonet] Compromised specimens
To: Histonet (histonet@lists.utsouthwestern.edu) 
histonet@lists.utsouthwestern.edu
Date: Wednesday, March 11, 2009, 1:17 PM

When our histology lab receives a compromised specimen (not labeled
with patient's name, wrong DOB, no label whatsoever, etc) we have the
offending party correct the error and fill out an accountability form accepting
full responsibility for the identification of the specimen.  We then scan the
accountability form into the patient's medical record and include the
information in the specimen comments section of the pathology
record.  This information does not print on the official pathology report.

My question - should the pathologist include in his/her report the compromised
specimen information?  Presently, on our clinical lab reports and cytology
reports it is included - simply saying Compromised Specimen.  Our
pathologists historically have not wanted to include this in the official
pathology report and I feel that it should be in there - sort of a cover
your butt addendum.

I'm curious what other hospitals do!!

Thanks in advance,

Lynne A. Bell, HT (ASCP)
Lead Histologist
Central Vermont Medical Center
130 Fisher Road
Barre, VT  05641
802-371-4923






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[Histonet] Fw: Re: detergent

2009-03-11 Thread Rene J Buesa









Leslie:
If you use Cascade, Palmolive or any other dishwasher liquid soap the paraffin 
will be dissolved and you will ruin your sections.
I am referring to laundry liquid soap or mild hand washing liquid soap.
René J.
--- On Wed, 3/11/09, Leslie Chen lc...@mednet.ucla.edu wrote:

From: Leslie Chen lc...@mednet.ucla.edu
Subject: detergent
To: rjbu...@yahoo.com
Date: Wednesday, March 11, 2009, 2:52 PM


Hi Rene,
To clarify your post: Do you mean liquid dish soap (like palmolive) is to be 
used?  When you say not dishwasher detergent I think of Automatic Dishwasher 
detergent such as Cascade.  

Or no dish soap at all and I should use liquid laundry detergent?  Thanks.

Leslie



From: Rene J Buesa rjbu...@yahoo.com
 Subject: Re: [Histonet] problem eyes
 To: histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu, Perry, Margaret
margaret.pe...@sdstate.edu
 Date: Wednesday, March 4, 2009, 9:14 PM
 Add a few drops (4-5) of liquid
 detergent, but not dishwasher detergent (because it will
 dissolve the paraffin).
 reni J. 




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Re: [Histonet] Bad sections

2009-03-11 Thread Rene J Buesa
Compressed sections usually are the result of:
1- blunt knife
2- too soft paraffin for the selected thickness
3- too warm paraffin (block not cold enough)
4- blade too vertical (not enough clearing angle)
5- cutting too fast, specially with thin sections
6- too warm blade
7- microtome set screws loose or defective.

René J.


--- On Wed, 3/11/09, Va Paula Sicurello vapat...@yahoo.com wrote:

From: Va Paula Sicurello vapat...@yahoo.com
Subject: [Histonet] Bad sections
To: HistoNet histonet@lists.utsouthwestern.edu
Date: Wednesday, March 11, 2009, 2:29 PM

Hi Histo netters,

I am am my wit's end.  I know how to section but my sections are
compressing like crazy.  I've altered my processing protocol thinking that I
was overprocessing my samples.

I've tried different knife angles, different brands of razor blade knives.

It's either me or the microtome.

Info- I process animal tissues with between 30-60 minute steps.  Vacuum
paraffins for 30 minutes.  Section with Reichert-Jung 2030 set at 4-ish degrees
(a little below the middle line on the knife holder).
Soak blocks on Downey ice blocks, water bath at 44 degrees.

Suggestions?  

Waa,

Paula

Paula Sicurello
VA Medical Center San Diego
Veterans Medical Research Foundation (VMRF) 
Core Research Imaging Center
3350 La Jolla Village Dr., MC151
San Diego, CA 92161
858-552-8585 x2397


  


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Re: [Histonet] Bad sections

2009-03-11 Thread Lee Wenk
Did you change paraffins lately? Softer paraffins, ie., lower melting point, 
have more compressibility.


Peggy A. Wenk, HTL(ASCP)SLS
Beaumont Hospital
Royal Oak, MI 48073

- Original Message - 
From: Va Paula Sicurello vapat...@yahoo.com

To: HistoNet histonet@lists.utsouthwestern.edu
Sent: Wednesday, March 11, 2009 11:29 AM
Subject: [Histonet] Bad sections




Hi Histo netters,

I am am my wit's end.  I know how to section but my sections are 
compressing like crazy.  I've altered my processing protocol thinking that 
I was overprocessing my samples.


I've tried different knife angles, different brands of razor blade knives.

It's either me or the microtome.

Info- I process animal tissues with between 30-60 minute steps.  Vacuum 
paraffins for 30 minutes.  Section with Reichert-Jung 2030 set at 4-ish 
degrees (a little below the middle line on the knife holder).

Soak blocks on Downey ice blocks, water bath at 44 degrees.

Suggestions?

Waa,

Paula

Paula Sicurello
VA Medical Center San Diego
Veterans Medical Research Foundation (VMRF)
Core Research Imaging Center
3350 La Jolla Village Dr., MC151
San Diego, CA 92161
858-552-8585 x2397





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