Re: [Histonet] Devasting news on 88305TC component
Hi Histonetters. I was curious as to what measures or thoughts anyone had regarding the news from CAP about CMS cutting the 88305 TC by 52%. This is a devastating thought and from the news letter it is supposed to start 1/1/13 and I dont see anywhere in here where it says specifically POL's. This loks to effect all of us. Here’s the news letter. Your thoughts are appreciated. Thanks Kim D CMS Cuts 88305 TC by 52%, Molecular Codes Go On CLFS November 1—Advancing its commitment to contain health care delivery costs, CMS announced a series of physician pay cuts impacting pathologists in the final 2013 Physician Fee Schedule (PFS) released today. Most notably, the agency lowered the technical component (TC) of the surgical pathology code 88305 by 52%, although it raised the professional component (PC) by 2%, beginning Jan. 1. This change alters the global payment for this code, which will decrease by 33% as a result of this revaluation. The agency also announced that the newly developed molecular pathology CPT codes would be placed on the Medicare Clinical Laboratory Fee Schedule (CLFS). A new CMS HCPCS II G-code was created for situations requiring physician interpretation and reporting of these tests for Medicare beneficiaries. The revaluation of the 88305 code—as well as other codes in this surgical pathology family—is not surprising. As directed by the health care reform law, CMS has been focused on scrutinizing high volume codes from all specialties as potentially overvalued services. Indeed, the 88305 code is not only high volume, but its TC has not been reviewed since valued in 2000 http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr From: Kienitz, Kari kkien...@orclinic.com To: Nails, Felton flna...@texaschildrens.org; 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:10 PM Subject: RE: [Histonet] Devasting news on 88305TC component Actually, the global payment for this code is being reduced by 33% according to the announcement. Regardless of the establishment, small lab; large volume lab; POL lab everyone will be taking a hit on this. Even if the POL labs all dried up and went away, the remaining labs may get the work but they will be doing it for a lot less reimbursement. Kari Kienitz HT, (ASCP) Histology Laboratory Portland Gastroenterology The Oregon Clinic NE 99th Ave Portland, OR 97220 503.935.8311 kkien...@orclinic.com From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails, Felton [flna...@texaschildrens.org] Sent: Friday, November 02, 2012 10:01 AM To: 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com
Re: [Histonet] Devasting news on 88305TC component
Yes, it is a general reeduction. René J. From: Kim Donadio one_angel_sec...@yahoo.com To: Kienitz, Kari kkien...@orclinic.com; Nails, Felton flna...@texaschildrens.org; 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Monday, November 5, 2012 11:03 AM Subject: Re: [Histonet] Devasting news on 88305TC component Hi Histonetters. I was curious as to what measures or thoughts anyone had regarding the news from CAP about CMS cutting the 88305 TC by 52%. This is a devastating thought and from the news letter it is supposed to start 1/1/13 and I dont see anywhere in here where it says specifically POL's. This loks to effect all of us. Here’s the news letter. Your thoughts are appreciated. Thanks Kim D CMS Cuts 88305 TC by 52%, Molecular Codes Go On CLFS November 1—Advancing its commitment to contain health care delivery costs, CMS announced a series of physician pay cuts impacting pathologists in the final 2013 Physician Fee Schedule (PFS) released today. Most notably, the agency lowered the technical component (TC) of the surgical pathology code 88305 by 52%, although it raised the professional component (PC) by 2%, beginning Jan. 1. This change alters the global payment for this code, which will decrease by 33% as a result of this revaluation. The agency also announced that the newly developed molecular pathology CPT codes would be placed on the Medicare Clinical Laboratory Fee Schedule (CLFS). A new CMS HCPCS II G-code was created for situations requiring physician interpretation and reporting of these tests for Medicare beneficiaries. The revaluation of the 88305 code—as well as other codes in this surgical pathology family—is not surprising. As directed by the health care reform law, CMS has been focused on scrutinizing high volume codes from all specialties as potentially overvalued services. Indeed, the 88305 code is not only high volume, but its TC has not been reviewed since valued in 2000 http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr From: Kienitz, Kari kkien...@orclinic.com To: Nails, Felton flna...@texaschildrens.org; 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:10 PM Subject: RE: [Histonet] Devasting news on 88305TC component Actually, the global payment for this code is being reduced by 33% according to the announcement. Regardless of the establishment, small lab; large volume lab; POL lab everyone will be taking a hit on this. Even if the POL labs all dried up and went away, the remaining labs may get the work but they will be doing it for a lot less reimbursement. Kari Kienitz HT, (ASCP) Histology Laboratory Portland Gastroenterology The Oregon Clinic NE 99th Ave Portland, OR 97220 503.935.8311 kkien...@orclinic.com From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails, Felton [flna...@texaschildrens.org] Sent: Friday, November 02, 2012 10:01 AM To: 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both
RE: [Histonet] Devasting news on 88305TC component
Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. Bernice Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] overfixation with formalin
I agree with Rene, Barry, etc. Geoff On 11/3/2012 2:41 PM, Gudrun Lang wrote: Hi histonetters! I'm just attending a histo-course, where the teacher told us his opinion about overfixation. For him overfixation takes place in any formaldehyde solution with a concentration above 5%. This should cause the margin-artefact, that leads to false-positive IHC at the margins of the tissue and to false-negative results in the center. The higher concetrated fixative should harden and shrink the surface, so it cant be penetrated any more by the fixative. I told him about the publication of Cecil Fox, who saw shrinkage only in solutions with formaldehyde concentration above 30% (I think) and said, that the methanol-part is responsible for that. I believe, that these margin-artefacts are due to drying at the time of biopsy or an effect of the needle-shot itself. (But believing is no evidence) In our lab we use 8% formaldehyde as standard fixative, buffered with low-molar phosphatebuffer. There are no complains from the doctors about margins. Please help me with the histonet-wisdom. What's your opinion? Bye Gudrun Lang ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- -- ** Geoff McAuliffe, Ph.D. Neuroscience and Cell Biology Robert Wood Johnson Medical School 675 Hoes Lane, Piscataway, NJ 08854 voice: (732)-235-4583; fax: -4029 mcaul...@umdnj.edu ** ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Devasting news on 88305TC component
88305 is the most common code anywhere, hospitals POL. From: Bernice Frederick b-freder...@northwestern.edu To: Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 11:22 AM Subject: RE: [Histonet] Devasting news on 88305TC component Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. Bernice Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component
I am not in a POL, nor private lab. 88305 is our bread and butter. Being part of a large national organization, some of their labs will weather it out, however, I am in a town of 33,000 people and the only local laboratory.. We are already in competition with clinicians who choose to send them to a cheaper outsource. A number of scenarios come to mind: Cheap labs will no longer be any cheaper - we get the business back (most everyone in town as an alimentary canal and skin exposed to too much Sun) and I keep my job :) (Most everyone will retain their alimentary canals and skin so histology remains sustainable) Cheap labs continue to bill less, increasing their volume by draining ours away and I lose my job. :( Corporate starts housing regional laboratories, shutting down the smaller ones (like us) and I lose my job or I uproot my family and move to the regional. :! Corporate could continue to subsidize the smaller labs, draining resources from other hospitals or services. However, 88305 is only one of many, many, many cuts across the health care industry. There may be no monies to redirect and a lot of people lose their jobs across the system in all disciplines. :( :( We offer something the cheap labs cannot and we weather the storm and hope for the best. As to some of the comments made over the last few days about politics and politicians: I know who I support, but this issue is not even a factor. Healthcare reform is happening and will happen. Maybe in a different form, maybe not - but it is coming and in many ways, it is here. Example: Two years ago, the insurance company that covered my company health plan just abandoned their health care coverage. They cannot make a profit on it. We got another insurance company, and the coverage was less impressive, but the good news is I got to pay more for it! Another increase in premiums the next year and more slated for the upcoming enrollment. Its just the way it's going to be. Private option, public option, business option, but there is really no option. What am I doing? I've kept a bathtub full of water since Y2K and learned to cure a ham, bake bread and make cheese, beer and wine. I also have two boxes of band-aids, two botttles of hydrogen peroxide and a clean toothbrush. Got a NetFlix subscription. Got a bible for guidence and a copy of Atlas Shrugged as a warning indicator. Kids are all married off and the wife doesn't eat much. Let the apocalypse come! Have a greaty day! - Bill -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kim Donadio Sent: Monday, November 05, 2012 10:33 AM To: Bernice Frederick; Webster, Thomas S.; 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] Devasting news on 88305TC component 88305 is the most common code anywhere, hospitals POL. From: Bernice Frederick b-freder...@northwestern.edu To: Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 11:22 AM Subject: RE: [Histonet] Devasting news on 88305TC component Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. Bernice Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___
[Histonet] Snap frozen to FFPE
Hi All, Do you have a protocol for formalin fixation (and processing to FFPE) of a previously snap frozen piece of tissue? Or advice as to the best method of snap freezing for such a process (assume isopentane slurry)? We have done this for several tissues with our standard fixation and processing as we would for fresh wet tissue and have noticed an artifact. Advice is welcome. Thank you, Andrea ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] slide and cassette labeler
Our hospital will be looking into a cassette = and slide labeler. We are a small lab with a volume of about 4000 surgicals= . I would appreciate any suggestions on the company and model that has work= ed will for others. This may be a stand alone saystem that is not hook up t= o the hospital system .Thank you [1]mary.fonta...@vrh.org References 1. 3Dmailto:mary.fonta...@vrh.org; ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Histonet] thanks for your cooperation
Rene J Buesa rjbu...@yahoo.com *** REPLY SEPARATOR *** On 05/11/2012 at 09:44 a.m. Rene J Buesa wrote: Estimado Carlos: Adjunto está el trabajo de Fox et al y, como parece que te interesa el tema, te he adjuntado también dos trabajos míos sobre fijación con formol. Saludos René J. From: C.D.G. late...@montevideo.com.uy To: Histonet@lists.utsouthwestern.edu Cc: Histonet@lists.utsouthwestern.edu Sent: Sunday, November 4, 2012 8:23 PM Subject: RE: AW: [Histonet] overfixation with formalin C.Fox pdf article On 04/11/2012 at 07:01 p.m. joelle weaver wrote: I will be pleased if someone could send to me a pdf copy of C.Fox article. Thanks in advance, Carlos Defeo Histotechnologist Montevideo,Uruguay http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Devasting news on 88305TC component
Yes Jesus, Thats what I was saying in short. This code isnt specific to a private lab, so those who think its only going to be private labs hurt by this they are wrong. and while I appreciate your positive spin on this. This is beyond devistating. I have worked in labs already where because of cost operational cost alone, then add staff, the budget was treading the red. I have spent the last few years squeezing blood from turnips. It seems once again the lab has gotten the shaft. It is very disapointing that CAP during its battle managed to get the Pathologist PC a 2% increase, but such a huge HUGE decrease for our TC. Someone please tell me a joke or something. Perferably one where a woman walks in a bar. From: Jesus Ellin jel...@yumaregional.org To: 'Kim Donadio' one_angel_sec...@yahoo.com; Bernice Frederick b-freder...@northwestern.edu; Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 1:09 PM Subject: RE: [Histonet] Devasting news on 88305TC component This is for all of not matter if you are a POL, Hospital, and Reference. But read the remainder of the other cuts that are coming down. We just need to do things smarter and also look at our process to improve, I still think we have a outlook,, it is not as bright in the past though. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kim Donadio Sent: Monday, November 05, 2012 9:33 AM To: Bernice Frederick; Webster, Thomas S.; 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] Devasting news on 88305TC component 88305 is the most common code anywhere, hospitals POL. From: Bernice Frederick b-freder...@northwestern.edu To: Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 11:22 AM Subject: RE: [Histonet] Devasting news on 88305TC component Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. Bernice Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. Thank You.
RE: [Histonet] slide and cassette labeler
Mary, Look into Primera Technologies. They have a slide printer that would be ideal for your situation. The distributer for them is Creative Waste Solutions http://cwsincorp.com/ Talk to Rex. We've had the slide printer for a while now and really like it. Rumor has it that they may be coming out with a cassette printer in the near future too. http://www.primerahealthcare.com/signature-slide-printer.html -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mary Fontaine Sent: Monday, November 05, 2012 2:50 PM To: histonet Cc: Daniel Jones Subject: [Histonet] slide and cassette labeler Our hospital will be looking into a cassette =d slide labeler. We are a small lab with a volume of about 4000 surgicals= would appreciate any suggestions on the company and model that has workí will for others. This may be a stand alone saystem that is not hook up t=he hospital system .Thank you [1]mary.fonta...@vrh.org References 1. 3Dmailto:mary.fonta...@vrh.org; ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] IHC negative controls
The thing is in my opinion that having the backing of CAP on this issue is a good argument to make to CLIA for why you are not doing negatives for polymer based detection IHC work, at least you will have some documentation to cover your decision. Patsy Ruegg, HT(ASCP)QIHC Ruegg IHC Consulting, LLC 40864 Arkansas Ave Bennett, CO 80102 Phone: 303-644-4538 Fax: 720-859-4110 pru...@ihctech.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Friday, October 26, 2012 9:45 AM To: Glen Dawson; histonet Subject: RE: [Histonet] IHC negative controls Can anyone tell me if JHACO CLIA are deferring to CAP's judgment that a negative control is not needed when utilizing a polymer detection? I assume that this is the case, but I'd like to be sure. Short answer: Don't bet the farm on it. Each enforces CLIA regulations but have different methods of doing so. There is no reason to think that JC or CAP will defer to the other in any particular situation. They really don't have anything to do with one another. My experience is that CAP is more lab-method oriented while JC is more total-process (patient admission to final result ) oriented. Long answer: Let's clarify this. CLIA is the law administered by the Centers for Medicare and Medicaid Services (CMS). The Joint Commission and CAP are two different, independent accrediting agencies deemed by CMS to enforce the CLIA regulations. CMS/ CLIA does not defer to CAP or JC, rather CMS deems JC and CAP to be their agent to accredit laboratories according to the CLIA law. CAP and JC cannot enforce anything without CMS/CLIA approval. The fact that CAP allows labs to leave out negative controls in certain situations may be approved by CMS/ CLIA regulators, but it does not follow that CLIA or JC inspectors will follow the same rational. JC is totally independent and can make their own interpretation of the CLIA regulations, which CMS can approve, even if they are different than what CAP allows, as long as it is within the scope of the CLIA regulations. JC can simply interpret it differently and require negative controls (I don't know if that is the case; I haven't yet looked over the new checklist this year). Tim Morken Department of Pathology UC San Francisco Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Glen Dawson Sent: Friday, October 26, 2012 6:45 AM To: histonet Subject: [Histonet] IHC negative controls All, Can anyone tell me if JHACO CLIA are deferring to CAP's judgement that a negative control is not needed when utilizing a polymer detection? I assume that this is the case, but I'd like to be sure. Thank-you in advance, Glen Dawson BS, HT(ASCP), QIHC Histology Technical Specialist Janesville, WI ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] cutting bone with metal
Bone with metal implants will require ground sections prepared from methyl methacrylate embedded samples, microtome sections even using tungsten carbide knives and MMA embedding cannot usually be done in my experience. Patsy Ruegg, HT(ASCP)QIHC Ruegg IHC Consulting, LLC 40864 Arkansas Ave Bennett, CO 80102 Phone: 303-644-4538 Fax: 720-859-4110 pru...@ihctech.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lee Peggy Wenk Sent: Friday, October 26, 2012 3:16 AM To: histonet@lists.utsouthwestern.edu; Jennifer MacDonald Subject: Re: [Histonet] cutting bone with metal Talk with Jack Ratliff, Chair of the NSH Hard Tissue Committee. Jack L. Ratliff 615-236-4901 ratliffj...@gmail.com The answer is Yes, histologic sections can be made, but need plastic resins (methyl methracylate or glycol methacrylate or something similar) and special microtomes and knives. If the researcher's lab doesn't do this technique, Jack can let him know who does, and the tissue can be sent out to the specialty lab. Paraffin blocks on regular histology microtomes won't cut it - literally and figuratively. Peggy Wenk, HTL(ASCP)SLS Beaumont Hospital Royal Oak, MI 48073 The opinions expressed are my own, and do not reflect on Beaumont Hospital. -Original Message- From: Jennifer MacDonald Sent: Thursday, October 25, 2012 11:38 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] cutting bone with metal I have been asked the following question. I do not have an answer and was hoping someone in the Histonet community did. Thanks. There is a researcher who is doing orthopedic procedures on broken rat tibias. The researcher is repairing the tibias with metal rods or plates.not sure which (and the doctor isn't sure what kind of metal either). The researcher wants to know if it is possible to make histologic sections of the repaired tibias with the metal intact ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Devasting news on 88305TC component
I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20proposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] IHC negative controls
Could be, but my point, maybe not clear in my answer, is that you should check with your accrediting agency before an inspection and not assume that they will follow what CAP has said it will do. Tim -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy Ruegg Sent: Monday, November 05, 2012 12:56 PM To: Morken, Timothy; 'Glen Dawson'; 'histonet' Subject: RE: [Histonet] IHC negative controls The thing is in my opinion that having the backing of CAP on this issue is a good argument to make to CLIA for why you are not doing negatives for polymer based detection IHC work, at least you will have some documentation to cover your decision. Patsy Ruegg, HT(ASCP)QIHC Ruegg IHC Consulting, LLC 40864 Arkansas Ave Bennett, CO 80102 Phone: 303-644-4538 Fax: 720-859-4110 pru...@ihctech.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Friday, October 26, 2012 9:45 AM To: Glen Dawson; histonet Subject: RE: [Histonet] IHC negative controls Can anyone tell me if JHACO CLIA are deferring to CAP's judgment that a negative control is not needed when utilizing a polymer detection? I assume that this is the case, but I'd like to be sure. Short answer: Don't bet the farm on it. Each enforces CLIA regulations but have different methods of doing so. There is no reason to think that JC or CAP will defer to the other in any particular situation. They really don't have anything to do with one another. My experience is that CAP is more lab-method oriented while JC is more total-process (patient admission to final result ) oriented. Long answer: Let's clarify this. CLIA is the law administered by the Centers for Medicare and Medicaid Services (CMS). The Joint Commission and CAP are two different, independent accrediting agencies deemed by CMS to enforce the CLIA regulations. CMS/ CLIA does not defer to CAP or JC, rather CMS deems JC and CAP to be their agent to accredit laboratories according to the CLIA law. CAP and JC cannot enforce anything without CMS/CLIA approval. The fact that CAP allows labs to leave out negative controls in certain situations may be approved by CMS/ CLIA regulators, but it does not follow that CLIA or JC inspectors will follow the same rational. JC is totally independent and can make their own interpretation of the CLIA regulations, which CMS can approve, even if they are different than what CAP allows, as long as it is within the scope of the CLIA regulations. JC can simply interpret it differently and require negative controls (I don't know if that is the case; I haven't yet looked over the new checklist this year). Tim Morken Department of Pathology UC San Francisco Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Glen Dawson Sent: Friday, October 26, 2012 6:45 AM To: histonet Subject: [Histonet] IHC negative controls All, Can anyone tell me if JHACO CLIA are deferring to CAP's judgement that a negative control is not needed when utilizing a polymer detection? I assume that this is the case, but I'd like to be sure. Thank-you in advance, Glen Dawson BS, HT(ASCP), QIHC Histology Technical Specialist Janesville, WI ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] IHC negative controls
So true! Patsy Ruegg, HT(ASCP)QIHC Ruegg IHC Consulting, LLC 40864 Arkansas Ave Bennett, CO 80102 Phone: 303-644-4538 Fax: 720-859-4110 pru...@ihctech.net -Original Message- From: Morken, Timothy [mailto:timothy.mor...@ucsfmedctr.org] Sent: Monday, November 05, 2012 2:10 PM To: Patsy Ruegg; 'Glen Dawson'; 'histonet' Subject: RE: [Histonet] IHC negative controls Could be, but my point, maybe not clear in my answer, is that you should check with your accrediting agency before an inspection and not assume that they will follow what CAP has said it will do. Tim -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy Ruegg Sent: Monday, November 05, 2012 12:56 PM To: Morken, Timothy; 'Glen Dawson'; 'histonet' Subject: RE: [Histonet] IHC negative controls The thing is in my opinion that having the backing of CAP on this issue is a good argument to make to CLIA for why you are not doing negatives for polymer based detection IHC work, at least you will have some documentation to cover your decision. Patsy Ruegg, HT(ASCP)QIHC Ruegg IHC Consulting, LLC 40864 Arkansas Ave Bennett, CO 80102 Phone: 303-644-4538 Fax: 720-859-4110 pru...@ihctech.net -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy Sent: Friday, October 26, 2012 9:45 AM To: Glen Dawson; histonet Subject: RE: [Histonet] IHC negative controls Can anyone tell me if JHACO CLIA are deferring to CAP's judgment that a negative control is not needed when utilizing a polymer detection? I assume that this is the case, but I'd like to be sure. Short answer: Don't bet the farm on it. Each enforces CLIA regulations but have different methods of doing so. There is no reason to think that JC or CAP will defer to the other in any particular situation. They really don't have anything to do with one another. My experience is that CAP is more lab-method oriented while JC is more total-process (patient admission to final result ) oriented. Long answer: Let's clarify this. CLIA is the law administered by the Centers for Medicare and Medicaid Services (CMS). The Joint Commission and CAP are two different, independent accrediting agencies deemed by CMS to enforce the CLIA regulations. CMS/ CLIA does not defer to CAP or JC, rather CMS deems JC and CAP to be their agent to accredit laboratories according to the CLIA law. CAP and JC cannot enforce anything without CMS/CLIA approval. The fact that CAP allows labs to leave out negative controls in certain situations may be approved by CMS/ CLIA regulators, but it does not follow that CLIA or JC inspectors will follow the same rational. JC is totally independent and can make their own interpretation of the CLIA regulations, which CMS can approve, even if they are different than what CAP allows, as long as it is within the scope of the CLIA regulations. JC can simply interpret it differently and require negative controls (I don't know if that is the case; I haven't yet looked over the new checklist this year). Tim Morken Department of Pathology UC San Francisco Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Glen Dawson Sent: Friday, October 26, 2012 6:45 AM To: histonet Subject: [Histonet] IHC negative controls All, Can anyone tell me if JHACO CLIA are deferring to CAP's judgement that a negative control is not needed when utilizing a polymer detection? I assume that this is the case, but I'd like to be sure. Thank-you in advance, Glen Dawson BS, HT(ASCP), QIHC Histology Technical Specialist Janesville, WI ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Background staining on H pylori
Hi, I'm getting a lot of background staining on my HP's. We use a Ventana BenchmarkXT with ultraView DAB. The problem seems to be escalating of late, and I'm not sure why. We use Hollande's on our GI biopsies, and run them on a shorter run. Nothing has changed in the processing of the specimens, or the IHC procedure. The antibody dispenser is a newer lot, but not brand new, as we get the larger size due to the high volume of HP's we run. Any ideas? Deloris Carter HT(ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Background staining on H pylori
It might be the antibody itself. We are seeing the same problem. My doctor also thinks that our antibody is picking up normal flora also. Now, when I QC the slides I have to go by morphology. We have a couple of reps coming by to boast about their HP. Let you know how that works out. Joe -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Deloris Carter Sent: Monday, November 05, 2012 5:16 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Background staining on H pylori Hi, I'm getting a lot of background staining on my HP's. We use a Ventana BenchmarkXT with ultraView DAB. The problem seems to be escalating of late, and I'm not sure why. We use Hollande's on our GI biopsies, and run them on a shorter run. Nothing has changed in the processing of the specimens, or the IHC procedure. The antibody dispenser is a newer lot, but not brand new, as we get the larger size due to the high volume of HP's we run. Any ideas? Deloris Carter HT(ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component
I was working with a dermpath, who's friend is a dermatologist setting up their lab. They stopped dead in their tracks. I mean 88305s would be their bread and butter. Joe -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Friday, November 02, 2012 12:26 PM To: Nails, Felton; 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component EXACTLY SO! POLs started to offer better prices to interested colleagues and by doing so work started to drain into POLs with the pointed out result = less work for Reference labs. Do you think that large ref. labs like Quest or Lab.Corp were going to take that drainage sitting on their hands? Sure not! They are business with billions at stake and money to lobby. This is the result. Blame the power of the lobbyists! Policies and even sometimes democracy is tainted by big money. Tell that to the Supreme Court that has ruled that a large company is a person. René J. From: Nails, Felton flna...@texaschildrens.org To: 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:01 PM Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ This message is confidential, intended only for the named
[Histonet] cost per HE
Depending on how I dice up labor and materials, I come up with a cost per slide (HE), from receipt of specimen to the slide in the Path's hands ranging everywhere from $6 to $9/ slide. HELP? How do you distill your cost per slide?? Thanks, Cheryl ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: AW: [Histonet] overfixation with formalin C.Fox pdf article
Hi everyone- A number of people wanted a copy of the Fox article. Hopefully anyone who emailed me directly got their pdf since I don't think the histonet accepts group attachments. In case anyone else wants this great reference, I posted it on my blog in a post hopefully viewable at the following URL http://histologyconnection.com/?attachment_id=201 Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Sun, 4 Nov 2012 22:23:36 -0300 From: late...@montevideo.com.uy To: Histonet@lists.utsouthwestern.edu Subject: RE: AW: [Histonet] overfixation with formalin C.Fox pdf article CC: Histonet@lists.utsouthwestern.edu On 04/11/2012 at 07:01 p.m. joelle weaver wrote: I will be pleased if someone could send to me a pdf copy of C.Fox article. Thanks in advance, Carlos Defeo Histotechnologist Montevideo,Uruguay http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
