RE: [Histonet] 88305TC starting to hit the fan...
Wow, I guess I should have considered radiology when I was going to college! Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Mon, 19 Nov 2012 15:56:26 -0600 From: jaylundg...@gmail.com To: twebs...@crh.org Subject: Re: [Histonet] 88305TC starting to hit the fan... CC: histonet@lists.utsouthwestern.edu Because there is a huge shortage of primary care docs as it is, which will only get worse when millions of uninsured people suddenly have insurance. So I guess they are trying to entice more med students into primary care. There is a push to train more physician's assistants too As it is, the top medical students want to go into something like radiology or dermatology so they can work banker's hours and make 5x as much money as a PCHP, and who can blame them? I friend of mine who is a radiology tech saw a locum radiologist's pay stub left on the fax machine (by accident), and said radiologist makes $280./hr. Jay A. Lundgren, M.S., HTL (ASCP) On Mon, Nov 19, 2012 at 3:25 PM, Webster, Thomas S. twebs...@crh.orgwrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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] 88305TC starting to hit the fan...
This statement is ridiculous and not worth responding to further than to say, clearly you don't understand the CMS process. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of David Kemler Sent: Monday, November 19, 2012 9:49 PM To: Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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 The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] 88305TC starting to hit the fan...
Very well said! René J. From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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] 88305TC starting to hit the fan...
Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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
RE: [Histonet] 88305TC starting to hit the fan...
But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] 88305TC starting to hit the fan...
The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] 88305TC starting to hit the fan...
Thank you René. Couldn't agree more. As a Stage 3C ovarian cancer patient, I would be bankrupt right now if not for insurance. I've been on/off chemotherapy for the past five years, and at nearly $4,000.00 a treatment, not to mention nearly $200,000.00 in surgery costs ... The monthly cost of insurance pales in comparison to the cost of a catastrophic illness. Hermina M. Borgerink, MA, HT(ASCP)HTL, QIHC Wake Forest University Primate Center Department of Pathology Medical Center Blvd. Winston-Salem, N C 27157 Tel. (336) 716-1538 Fax (336) 716-1515 Email: hborg...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 8:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] 88305TC starting to hit the fan...
Agreed! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 8:55 AM To: Davide Costanzo; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] 88305TC starting to hit the fan... Very well said! René J. From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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 The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] 88305TC starting to hit the fan...
Amen. I never voted for him -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of David Kemler Sent: Monday, November 19, 2012 8:49 PM To: Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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
RE: [Histonet] 88305TC starting to hit the fan...
And what about NO INCOMEan issue that many are currently facing. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick; David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This
Re: [Histonet] 88305TC starting to hit the fan...
If any of the histotechs who read these posts are in a situation where their local pathology lab may be closed because of Medicare cuts, let me know your contact info. Perhaps I could do something to keep that lab closure from happening. David M. Borel, MD Pathology Services, P.A./Dermatopathology Diagnostics 5650 SW 29th Street Topeka, KS 66614 Office 785-272-8246 Cell 785-249-2860 -Original Message- From: joelle weaver joellewea...@hotmail.com To: jaylundgren jaylundg...@gmail.com; twebster twebs...@crh.org Cc: histonet histonet@lists.utsouthwestern.edu Sent: Tue, Nov 20, 2012 2:27 am Subject: RE: [Histonet] 88305TC starting to hit the fan... ow, I guess I should have considered radiology when I was going to college! oelle Weaver MAOM, HTL (ASCP) QIHC Date: Mon, 19 Nov 2012 15:56:26 -0600 From: jaylundg...@gmail.com To: twebs...@crh.org Subject: Re: [Histonet] 88305TC starting to hit the fan... CC: histonet@lists.utsouthwestern.edu Because there is a huge shortage of primary care docs as it is, which will only get worse when millions of uninsured people suddenly have insurance. So I guess they are trying to entice more med students into primary care. There is a push to train more physician's assistants too As it is, the top medical students want to go into something like radiology or dermatology so they can work banker's hours and make 5x as much money as a PCHP, and who can blame them? I friend of mine who is a radiology tech saw a locum radiologist's pay stub left on the fax machine (by accident), and said radiologist makes $280./hr. Jay A. Lundgren, M.S., HTL (ASCP) On Mon, Nov 19, 2012 at 3:25 PM, Webster, Thomas S. twebs...@crh.orgwrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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 ___ istonet mailing list isto...@lists.utsouthwestern.edu ttp://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] 88305TC starting to hit the fan...
There are caps on what folks must pay, folks... please read the law. There are many good things about the new law. Also realize that all of the changes we're facing are not part of Obamacare. The Grandfather clause has been ending for years. Congress finally let it this year. Something had to change and change is hard. Let's work together with our Congress to adjust what needs to be adjusted as needed. Maybe they will begin to work together if we demand it. Happy Thanksgiving - we still have much to be thankful for!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick; David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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
RE: [Histonet] 88305TC starting to hit the fan...
Very well said Joyce. Thank you. Happy Thanksgiving to you. Best regards. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K. Sent: Tuesday, November 20, 2012 8:49 AM To: 'Rene J Buesa'; Bernice Frederick; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... There are caps on what folks must pay, folks... please read the law. There are many good things about the new law. Also realize that all of the changes we're facing are not part of Obamacare. The Grandfather clause has been ending for years. Congress finally let it this year. Something had to change and change is hard. Let's work together with our Congress to adjust what needs to be adjusted as needed. Maybe they will begin to work together if we demand it. Happy Thanksgiving - we still have much to be thankful for!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick; David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl
[Histonet] Question on frozen section IHC and tissue adhesion
Hi all, I am performing IHC on tissue that was formalin fixed for 48 hours and then embedded in OCT. I have been using Gold Plus slides from Thermo Fisher.I am staining rat spleen and mandibular lymph nodes. With a peroxidase method, the tissue completely digests off the slides as soon as I apply the peroxidase block (looks like pouring hydrogen peroxide on a cut - just turns white and bubbles off of the slide). I have tried various concentrations of peroxidase block with no luck. With the alkaline phos method, the tissue is staying adhered to the slide, but I am getting significant 'tissue lifting' which makes the pathologists interpretation very difficult. Is there anyone out there with experience in doing IHC on formalin fixed frozen sections that has experienced similar 'tissue lifting' problems? I have ran this antibody on this tissue with immunofluorescence successfully - that may be the only choice we have for this particular tissue. Would really like to be able to perform this staining with either an HRP or AP method for light microscopy if possible. Christina Thurby Bristol Myers Squibb 812-307-2093 This message (including any attachments) may contain confidential, proprietary, privileged and/or private information. The information is intended to be for the use of the individual or entity designated above. If you are not the intended recipient of this message, please notify the sender immediately, and delete the message and any attachments. Any disclosure, reproduction, distribution or other use of this message or any attachments by an individual or entity other than the intended recipient is prohibited. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] 88305TC starting to hit the fan...
Liverpool Care Pathway. Google it. Paula K. Pierce, HTL(ASCP)HT President Excalibur Pathology, Inc. 8901 S. Santa Fe, Suite G Oklahoma City, OK 73139 405-759-3953 Lab 405-759-7513 Fax www.excaliburpathology.com From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 8:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 ___ 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] 88305TC starting to hit the fan...
Let's be a little factual. The discussion to cut 88305 has been going on for years, even before the Accountable Care Act was passed. Lab fees (TC) and professional fees (PC) in general have been under the gun for cuts year after year. Health care is changing due to the unsustainable costs associated with providing services. The ACA did give the government a reason to take a hard look at many of the codes. 88305 hadn't been evaluated closely since 1999. It is debatable as to what data was used to develop a cost analysis for the work done to determine the cuts. 88305 is being cut by 51.7% on the TC side. Interestingly, the PC(26) side is being increased by 1.9%. Likewise, 88300 is being but 57.1%, 88302 is being cut 51% and 88304 is being cut 34.7%. All of them have slight increases for the PC side. Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 NEW EMAIL: joewal...@rrmc.org www.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Marsh, Nannette Sent: Tuesday, November 20, 2012 10:03 AM To: 'Weems, Joyce K.'; 'Rene J Buesa'; Bernice Frederick; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... Very well said Joyce. Thank you. Happy Thanksgiving to you. Best regards. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K. Sent: Tuesday, November 20, 2012 8:49 AM To: 'Rene J Buesa'; Bernice Frederick; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... There are caps on what folks must pay, folks... please read the law. There are many good things about the new law. Also realize that all of the changes we're facing are not part of Obamacare. The Grandfather clause has been ending for years. Congress finally let it this year. Something had to change and change is hard. Let's work together with our Congress to adjust what needs to be adjusted as needed. Maybe they will begin to work together if we demand it. Happy Thanksgiving - we still have much to be thankful for!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick; David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat.
Re: [Histonet] Question on frozen section IHC and tissue adhesion
Formalin fixed tissue is not adequate for frozen sectioning unless you place it in sucrose first before going into OCT and frozen sectioning. Spleen is particularly difficult for its high blood contents. Ideally you should try to obtain unfixed tissue. René J. From: Thurby, Christina christina.thu...@bms.com To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Tuesday, November 20, 2012 10:03 AM Subject: [Histonet] Question on frozen section IHC and tissue adhesion Hi all, I am performing IHC on tissue that was formalin fixed for 48 hours and then embedded in OCT. I have been using Gold Plus slides from Thermo Fisher. I am staining rat spleen and mandibular lymph nodes. With a peroxidase method, the tissue completely digests off the slides as soon as I apply the peroxidase block (looks like pouring hydrogen peroxide on a cut - just turns white and bubbles off of the slide). I have tried various concentrations of peroxidase block with no luck. With the alkaline phos method, the tissue is staying adhered to the slide, but I am getting significant 'tissue lifting' which makes the pathologists interpretation very difficult. Is there anyone out there with experience in doing IHC on formalin fixed frozen sections that has experienced similar 'tissue lifting' problems? I have ran this antibody on this tissue with immunofluorescence successfully - that may be the only choice we have for this particular tissue. Would really like to be able to perform this staining with either an HRP or AP method for light microscopy if possible. Christina Thurby Bristol Myers Squibb 812-307-2093 This message (including any attachments) may contain confidential, proprietary, privileged and/or private information. The information is intended to be for the use of the individual or entity designated above. If you are not the intended recipient of this message, please notify the sender immediately, and delete the message and any attachments. Any disclosure, reproduction, distribution or other use of this message or any attachments by an individual or entity other than the intended recipient is prohibited. ___ 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] 88305TC starting to hit the fan...
We can all see sour grapes about the election by simply turning on any news channel. Histonet should stay free of those entanglements and remain focused on discussion and problem solving. My opinion. Glen Dawson Janesville, WI Sent from my U.S. Cellular Android device - Reply message - From: David Kemler histot...@yahoo.com Date: Mon, Nov 19, 2012 8:49 pm Subject: [Histonet] 88305TC starting to hit the fan... To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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
RE: [Histonet] 88305TC starting to hit the fan...
Thank you for that Glen. I agree! Jen -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of ihcman2...@hotmail.com Sent: Tuesday, November 20, 2012 8:40 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... We can all see sour grapes about the election by simply turning on any news channel. Histonet should stay free of those entanglements and remain focused on discussion and problem solving. My opinion. Glen Dawson Janesville, WI Sent from my U.S. Cellular Android device - Reply message - From: David Kemler histot...@yahoo.com Date: Mon, Nov 19, 2012 8:49 pm Subject: [Histonet] 88305TC starting to hit the fan... To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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
RE: [Histonet] 88305TC starting to hit the fan...
CAP has a webinar on the web site that explains all this pretty well. Seems like the reimbursement was increased for 88307 and 88309, so that the overall decrease is 6% if I understood correctly. I need to meditate on it a bit. The problem with the 88305 code is that clinicians have taken it away from pathologists... I've been harping for years.. prostates being the biggest culprit for price increase. Shame, shame, shame - in Gomer Pyle speak.. !! :) Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Joe W. Walker, Jr. [mailto:joewal...@rrmc.org] Sent: Tuesday, November 20, 2012 10:24 AM To: Marsh, Nannette; Weems, Joyce K.; 'Rene J Buesa'; Bernice Frederick; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... Let's be a little factual. The discussion to cut 88305 has been going on for years, even before the Accountable Care Act was passed. Lab fees (TC) and professional fees (PC) in general have been under the gun for cuts year after year. Health care is changing due to the unsustainable costs associated with providing services. The ACA did give the government a reason to take a hard look at many of the codes. 88305 hadn't been evaluated closely since 1999. It is debatable as to what data was used to develop a cost analysis for the work done to determine the cuts. 88305 is being cut by 51.7% on the TC side. Interestingly, the PC(26) side is being increased by 1.9%. Likewise, 88300 is being but 57.1%, 88302 is being cut 51% and 88304 is being cut 34.7%. All of them have slight increases for the PC side. Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 NEW EMAIL: joewal...@rrmc.org www.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Marsh, Nannette Sent: Tuesday, November 20, 2012 10:03 AM To: 'Weems, Joyce K.'; 'Rene J Buesa'; Bernice Frederick; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... Very well said Joyce. Thank you. Happy Thanksgiving to you. Best regards. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K. Sent: Tuesday, November 20, 2012 8:49 AM To: 'Rene J Buesa'; Bernice Frederick; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... There are caps on what folks must pay, folks... please read the law. There are many good things about the new law. Also realize that all of the changes we're facing are not part of Obamacare. The Grandfather clause has been ending for years. Congress finally let it this year. Something had to change and change is hard. Let's work together with our Congress to adjust what needs to be adjusted as needed. Maybe they will begin to work together if we demand it. Happy Thanksgiving - we still have much to be thankful for!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick; David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people.
RE: [Histonet] 88305TC starting to hit the fan...
Histonet should stay free of those entanglements(political opinions) Funny, when I wrote that here 2 weeks before the election no one wanted to hear it. What has changed?? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Stanicar, Jennifer Sent: Tuesday, November 20, 2012 10:53 AM To: 'ihcman2...@hotmail.com'; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... Thank you for that Glen. I agree! Jen -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of ihcman2...@hotmail.com Sent: Tuesday, November 20, 2012 8:40 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... We can all see sour grapes about the election by simply turning on any news channel. Histonet should stay free of those entanglements and remain focused on discussion and problem solving. My opinion. Glen Dawson Janesville, WI Sent from my U.S. Cellular Android device - Reply message - From: David Kemler histot...@yahoo.com Date: Mon, Nov 19, 2012 8:49 pm Subject: [Histonet] 88305TC starting to hit the fan... To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to
[Histonet] 88305TC starting to hit the fan...
I won't disagree that family practice is low paying relative to some specialists. But, pathologists and laboratories already do enough to help the income of family practice physicians. Think about how much money they make from client billing the lab work. And now we have to put up with these huge cuts? Just doesn't seem fair. Why doesn't the government throw us a bone and make nationwide laws that ONLY the entity providing a service shall bill for it? Then we wouldn't have to deal with the profit sharing that goes on with client billing. 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] Re: Question on frozen section IHC and tissue adhesion
Hi Christina, I agree with Rene Buesa that ideally you should have added a cryoprotection step prior to freezing. If you snap freeze quickly enough though, you might have gotten away with no freezing artifact. An HE will tell you that. If it looks like a sponge, or like frost patterns, you might have a specimen that is useless. If not, proceed. You might try a couple things. First, cut as thin as you can. 4 microns if you can get away with it. Air dry at least one hour after sectioning, preferably overnight. If you use peroxidase block, dilute your solution to 0.3% and increase your time to 30 minutes. This provides a more gentle approach to endogenous peroxidase blocking. If you can keep the sections on by doing the first two things listed, you can probably use the Alk Phos detection method and not have to worry about using H2O2. What is the difference in your fluorescence and your chromogen technique besides the H2O2? Fewer steps and washes? Make sure your buffer rinses are done gently, maybe in a coplin jar instead of squirting with a squeeze bottle. Good luck! Teri Johnson, HT(ASCP)QIHC GNF Histology Lab Manager Genomics Institute of the Novartis Research Foundation 858-332-4752 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] remve from the list
Would you please remove my name and e -address from the histonet list/ Thank you, Sadeq Kharzai - Confidentiality Notice: The following mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. The recipient is responsible to maintain the confidentiality of this information and to use the information only for authorized purposes. If you are not the intended recipient (or authorized to receive information for the intended recipient), you are hereby notified that any review, use, disclosure, distribution, copying, printing, or action taken in reliance on the contents of this e-mail is strictly prohibited. If you have received this communication in error, please notify us immediately by reply e-mail and destroy all copies of the original message. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Pa Leeeze
Wow, How disappointing. Looking for constructive ways to keep my lab open and I get political stuff. Did you all go crazy in the 80's with Ronald Ray-gun and the DRG's? Too young? Bruce Gapinsk HT (ASCP) Chief Histologist Marin Medical Laboratories PathGroup SF Important Notice: This e-mail is intended for the use of the person to whom it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you have received this e-mail in error, please destroy this message and contact the Security Officer at PathGroup, Inc immediately at 615-562-9255. Thank you ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] 88305TC starting to hit the fan...
Me too!! Mind you I am not in the states and not in a private health care service job. Peter Peter L Craven FIBMS Pathology Department Raigmore Hospital Old Perth Road Inverness IV2 3UJ Tel 01463 704269 email peter.cra...@nhs.net From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Stanicar, Jennifer [jstani...@communitymed.org] Sent: 20 November 2012 03:52 PM To: 'ihcman2...@hotmail.com'; David Kemler; Fellow HistoNetters Subject: RE: [Histonet] 88305TC starting to hit the fan... Thank you for that Glen. I agree! Jen -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of ihcman2...@hotmail.com Sent: Tuesday, November 20, 2012 8:40 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... We can all see sour grapes about the election by simply turning on any news channel. Histonet should stay free of those entanglements and remain focused on discussion and problem solving. My opinion. Glen Dawson Janesville, WI Sent from my U.S. Cellular Android device - Reply message - From: David Kemler histot...@yahoo.com Date: Mon, Nov 19, 2012 8:49 pm Subject: [Histonet] 88305TC starting to hit the fan... To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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 may contain confidential information. If you are not the intended recipient please inform the sender that you have received the message in error before deleting it. Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents: to do so is strictly prohibited and may be unlawful. Thank you for your co-operation. NHSmail is the secure email and directory service available for all NHS staff in
Re: [Histonet] 88305TC starting to hit the fan...
Tell them Rene! Too many Fox News listeners here I suspect. Sent from my iPhone On Nov 20, 2012, at 6:05 AM, Rene J Buesa rjbu...@yahoo.com wrote: The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr 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 ___ 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] 88305TC starting to hit the fan...
This is not a political forum. Keep your anti-President talk off this site. Sent from my iPhone On Nov 19, 2012, at 6:49 PM, David Kemler histot...@yahoo.com wrote: Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinars.html_state=maximized_pageLabel=cntvwr 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
Re: [Histonet] 88305TC starting to hit the fan...
Nicely stated! Sent from my iPhone On Nov 20, 2012, at 6:49 AM, Weems, Joyce K. joyce.we...@emoryhealthcare.org wrote: There are caps on what folks must pay, folks... please read the law. There are many good things about the new law. Also realize that all of the changes we're facing are not part of Obamacare. The Grandfather clause has been ending for years. Congress finally let it this year. Something had to change and change is hard. Let's work together with our Congress to adjust what needs to be adjusted as needed. Maybe they will begin to work together if we demand it. Happy Thanksgiving - we still have much to be thankful for!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick; David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webinar s.html_state=maximized_pageLabel=cntvwr CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the
RE: [Histonet] 88305TC starting to hit the fan...
Pardon me? What do you mean by that? Jeanine H. Bartlett Centers for Disease Control and Prevention Infectious Diseases Pathology Branch 404-639-3590 jeanine.bartl...@cdc.hhs.gov -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davide Costanzo Sent: Tuesday, November 20, 2012 10:31 AM To: Rene J Buesa Cc: Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell them Rene! Too many Fox News listeners here I suspect. Sent from my iPhone On Nov 20, 2012, at 6:05 AM, Rene J Buesa rjbu...@yahoo.com wrote: The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverri d e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPt l t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webina r s.html_state=maximized_pageLabel=cntvwr 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] 88305TC starting to hit the fan...
Are we a bunch of catty 13 year olds or can we stick to Healthcare? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davide Costanzo Sent: Tuesday, November 20, 2012 10:31 AM To: Rene J Buesa Cc: Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell them Rene! Too many Fox News listeners here I suspect. Sent from my iPhone On Nov 20, 2012, at 6:05 AM, Rene J Buesa rjbu...@yahoo.com wrote: The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick b-freder...@northwestern.edu To: Rene J Buesa rjbu...@yahoo.com; David Kemler histot...@yahoo.com; Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Tuesday, November 20, 2012 9:00 AM Subject: RE: [Histonet] 88305TC starting to hit the fan... But can they afford to buy it 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 Rene J Buesa Sent: Tuesday, November 20, 2012 7:58 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the fan... Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler histot...@yahoo.com To: Fellow HistoNetters Histonet@Lists.UTSouthwestern.edu Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I think more people should have paid attention to Obamacare two years ago when it was being shoved down eveyones throat. Oh well.. as old saying goes...You ain't seen nottin' yet! I'm just amazed that there are so many in the profession who are surprised about the changes beginning to take place, there are many, many more to come in 2013 14 and all of them affect your job or lack thereof. :) Everyone had the opportunity to change things on November 6th - they chose not to. So, you live with it. Yours, David From: Davide Costanzo pathloc...@gmail.com To: Webster, Thomas S. twebs...@crh.org Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to take issue with the shift wealth from specialists to family practice - family practice docs have been the frontline of medicine, all the while earning less than a quarter of what specialists earn. It's about time they get a boost. Too many specialists earn over a million a year, while the family practice guys/ladies can barely pay their student loans. Sent from my iPhone On Nov 19, 2012, at 1:25 PM, Webster, Thomas S. twebs...@crh.org wrote: CAP had a webinar last week about the cut. These are some very scary times. For some reason the government has decided to shift wealth from specialists to family practice. I am becoming more angry with the affordable care act everyday. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverri d e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPt l t%7BactionForm.contentReference%7D=advocacy%2Fadvocacy_related_webina r s.html_state=maximized_pageLabel=cntvwr 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
[Histonet] 88305
Looks like rough seas ahead. Raising my research fees 33%. Investing to start a new patient center to do more procedures. After that we may have to get creative. Steve Steve A. McClain, MD McClain Labs, LLC 45 Manor Road, Smithtown, NY 11787 631 361 4000 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Histonet Digest, Vol 108, Issue 26
Hi Christina, try post fixing the FS slides in ice cold acetone (in a freezer) for 30 minutes. That is what was reccommend to me when I was trying to do IHC on ThinPrep slides. Cassandra Davis cda...@che-east.org 302-575-8095 Saint Francis Hospital Saintfrancishealthcare.org Saint Francis Facebook Page RE: Hi all, I am performing IHC on tissue that was formalin fixed for 48 hours and then embedded in OCT. I have been using Gold Plus slides from Thermo Fisher.I am staining rat spleen and mandibular lymph nodes. With a peroxidase method, the tissue completely digests off the slides as soon as I apply the peroxidase block (looks like pouring hydrogen peroxide on a cut - just turns white and bubbles off of the slide). I have tried various concentrations of peroxidase block with no luck. With the alkaline phos method, the tissue is staying adhered to the slide, but I am getting significant 'tissue lifting' which makes the pathologists interpretation very difficult. Is there anyone out there with experience in doing IHC on formalin fixed frozen sections that has experienced similar 'tissue lifting' problems? I have ran this antibody on this tissue with immunofluorescence successfully - that may be the only choice we have for this particular tissue. Would really like to be able to perform this staining with either an HRP or AP method for light microscopy if possible. Christina Thurby Bristol Myers Squibb 812-307-2093 Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Help needed with mouse brain
Greetings, We are currently trying to optimize our processing protocols for mouse tissue on a VIP 6 processor. Of particular concern to us is mouse brain processing. For the mouse brain we have noticed fraying of the edge of the brain. The fraying looks a lot like what we see when tissue is over processed. The brains cut as if they are overprocessed; they are brittle and crunch when they hit the blade. At times they roll up and create a hole in the ribbon as our histologists cuts them. Along with the fraying edges we noticed that the middle of the brain looks underprocessed. When the section is placed on the waterbath the section wrinkles greatly and spreads considerably, and if left longer than a few seconds explodes. We have tried several protocols, and we see this effect. The brains we are using are cut at about 4 mm thick, and they are sectioned at 5 microns at a temperature of 42 degrees. Below are links to 3 images of a brain. Image 1 shows the edge fraying. Image 2 show the wrinkles in the tissue. The tissue was left as long as possible on the waterbath to remove wrinkles and avoid breaking apart. Image 3 shows the brain breaking apart before the wrinkles have had a chance to work their way out. Does anyone know what is causing this issue? Also, I have put together a document of all the protocols we have ran with images of the results that I can send to you. Thank you in advance. https://dl.dropbox.com/u/25427596/Histology/IMG_1682.JPG https://dl.dropbox.com/u/25427596/Histology/Wrinkles.jpg https://dl.dropbox.com/u/25427596/Histology/Center.jpg With Kindest Regards, D'Andreas Williams Research Associate Cell Biology Bioimaging Core Pennington Biomedical Research Center dandreas.willi...@pbrc.edu ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Pa Leeeze
Like it or not, politics played a part in the cut of 88305. So did POLs, CAP and a host of other factors. Finger pointing in time of uncertainty somehow makes us all feel better, but it doesn't give us concrete ways of addressing the problem. Histology has enjoyed a fairly long period of great reimbursement, reasonable per-test costs, and a certain amount of security in that what we do is unique. That is all changing, but was likely to change at least some no matter who was elected to do whatever. Remember the panic when DRG's first arrived? There is no doubt that labs are going to have to get leaner, but this was already a trend. Find reasonable ways to cut costs. I know. We've been doing this for years But it needs to go further. Some people will lose their jobs. I may well be one of them and I don't like it, but it is a reality. If I go down, it will not be for lack of trying to maintain. 88305 cuts are big but there are a lot of clinical services getting cuts as well. Hospitals need to do what they can to keep the doors open for the benefit of the patient. Pay cuts, bonuses+/-, benefits, hiring freezes, capital freezes are all looming on the horizon. If at all possible, fight them, but do not exhaust yourselves. It's a new world - and it will sometimes be ugly. Blame the Democrats or the Republicans, Wall Street or Main Street, but figure out how to adapt. OK. So What can we do to ride out the storm? 1. Find a marketing advantage. POLs and certain smaller private labs cannot remain the bargain they once were. My lab is expectiing to get back some of what we lost to them a few years back. We are the only game in our town Why are we losing business to labs in other areas? It should all be staying here. 2. Become politically active. Demand better from your elected officials and from your professional organizations that are lobbyists(sp). If they can't do the job, use your vote or your membership fees to fire them OR run for office yourself. Become an activist in your professional organization. 3. Maintain high standards. Cut-backs and performance improvement need not automatically equate to less quality. I hate it when people assume that shaving a couple of minutes must necessitate poor cutting. How close to borderline is your current quality if this is your attitude. Yes, that was snarky, but think about it. 4. Remember the mantra of the Hitchhikers Guide to the Universe: DON'T PANIC. When you are caught up in a panic mentality, thinking and problem solving suffer. We need our heads in the game if we are going to come out on top. (How's that for my best Zig Zigler impersonation)? Above all - have a nice day and thank you for letting me vent a bit. Bill -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bruce Gapinski Sent: Tuesday, November 20, 2012 10:37 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Pa Leeeze Wow, How disappointing. Looking for constructive ways to keep my lab open and I get political stuff. Did you all go crazy in the 80's with Ronald Ray-gun and the DRG's? Too young? Bruce Gapinsk HT (ASCP) Chief Histologist Marin Medical Laboratories PathGroup SF Important Notice: This e-mail is intended for the use of the person to whom it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you have received this e-mail in error, please destroy this message and contact the Security Officer at PathGroup, Inc immediately at 615-562-9255. Thank you ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This electronic mail and any attached documents are intended solely for the named addressee(s) and contain confidential information. If you are not an addressee, or responsible for delivering this email to an addressee, you have received this email in error and are notified that reading, copying, or disclosing this email is prohibited. If you received this email in error, immediately reply to the sender and delete the message completely from your computer system. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Pa Leeeze
Well put. I do think too many are panic stricken over losing a job. The work will still be there, but it might be at a different location. Physicians are not going to stop doing biopsies because the pay has been cut to the lab. The only thing that may cost a few jobs is if over-utilization is curbed. However, in my opinion that is not a large enough number to cause widespread panic among lab employees. If POL's begin closing, the work will return elsewhere. Those techs are free to apply for those jobs, and there will likely be a new job elsewhere for every one cut at your current practice. In my personal opinion, I think PA's should be far more concerned than techs. We could see a surge in the number of grossing techs out there, and a decline in the use of NAACLS trained PA's where the biopsy rate is high. So for all those techs that are worried, think positively - you may just experience a surge in job opportunities, and jobs with more attractive shifts. David On Tue, Nov 20, 2012 at 12:25 PM, O'Donnell, Bill billodonn...@catholichealth.net wrote: Like it or not, politics played a part in the cut of 88305. So did POLs, CAP and a host of other factors. Finger pointing in time of uncertainty somehow makes us all feel better, but it doesn't give us concrete ways of addressing the problem. Histology has enjoyed a fairly long period of great reimbursement, reasonable per-test costs, and a certain amount of security in that what we do is unique. That is all changing, but was likely to change at least some no matter who was elected to do whatever. Remember the panic when DRG's first arrived? There is no doubt that labs are going to have to get leaner, but this was already a trend. Find reasonable ways to cut costs. I know. We've been doing this for years But it needs to go further. Some people will lose their jobs. I may well be one of them and I don't like it, but it is a reality. If I go down, it will not be for lack of trying to maintain. 88305 cuts are big but there are a lot of clinical services getting cuts as well. Hospitals need to do what they can to keep the doors open for the benefit of the patient. Pay cuts, bonuses+/-, benefits, hiring freezes, capital freezes are all looming on the horizon. If at all possible, fight them, but do not exhaust yourselves. It's a new world - and it will sometimes be ugly. Blame the Democrats or the Republicans, Wall Street or Main Street, but figure out how to adapt. OK. So What can we do to ride out the storm? 1. Find a marketing advantage. POLs and certain smaller private labs cannot remain the bargain they once were. My lab is expectiing to get back some of what we lost to them a few years back. We are the only game in our town Why are we losing business to labs in other areas? It should all be staying here. 2. Become politically active. Demand better from your elected officials and from your professional organizations that are lobbyists(sp). If they can't do the job, use your vote or your membership fees to fire them OR run for office yourself. Become an activist in your professional organization. 3. Maintain high standards. Cut-backs and performance improvement need not automatically equate to less quality. I hate it when people assume that shaving a couple of minutes must necessitate poor cutting. How close to borderline is your current quality if this is your attitude. Yes, that was snarky, but think about it. 4. Remember the mantra of the Hitchhikers Guide to the Universe: DON'T PANIC. When you are caught up in a panic mentality, thinking and problem solving suffer. We need our heads in the game if we are going to come out on top. (How's that for my best Zig Zigler impersonation)? Above all - have a nice day and thank you for letting me vent a bit. Bill -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bruce Gapinski Sent: Tuesday, November 20, 2012 10:37 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Pa Leeeze Wow, How disappointing. Looking for constructive ways to keep my lab open and I get political stuff. Did you all go crazy in the 80's with Ronald Ray-gun and the DRG's? Too young? Bruce Gapinsk HT (ASCP) Chief Histologist Marin Medical Laboratories PathGroup SF Important Notice: This e-mail is intended for the use of the person to whom it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you have received this e-mail in error, please destroy this message and contact the Security Officer at PathGroup, Inc immediately at 615-562-9255. Thank you ___ Histonet mailing list
RE: [Histonet] Pa Leeeze
True, things will change and despite all the angst probably for the better for medical care overall. Listen to these two podcasts from the Commonwealth Club of California for some REAL insight into the current state of medicine (or get the book of the first speaker) 1) http://www.commonwealthclub.org/events/2012-03-19/dr-david-healy-eclipse-medical-care Dr. Otis Brawley: Fighting Patient Mistreatment in America [and by mistreatment he does not mean LACK of treatment!!] Otis Brawley, Chief Medical Officer and Executive Vice President, American Cancer Society; Co-author, How We Do Harm: A Doctor Breaks Ranks About Being Sick in America Finance, Brawley asserts, is inextricably linked to health care in America's current system. Even the very procedures patients undergo, he says, are frequently determined more by doctors' expected payment for performing them than their actual appropriateness in mitigating the ailment with which the patient is afflicted. Brawley will discuss the extent of this problem as well as possible solutions. 2) http://www.commonwealthclub.org/events/2012-03-19/dr-david-healy-eclipse-medical-care Dr. David Healy: Eclipse of Medical Care David Healy, MD, Cardiff University We live in an evidence-based medicine world. Healy sees increasing signs of a mismatch between what is passing as evidence and the real data from studies. As a result, patients and doctors are both increasingly invisible in the clinical encounter, and doctors are losing the ability to care for patients. Join us as Healy explains his theories behind this flawed system and the actions that he believes must be taken to right the problems we are facing. Tim Morken UCSF Medical Center -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davide Costanzo Sent: Tuesday, November 20, 2012 1:03 PM To: O'Donnell, Bill Cc: histonet@lists.utsouthwestern.edu; Bruce Gapinski Subject: Re: [Histonet] Pa Leeeze Well put. I do think too many are panic stricken over losing a job. The work will still be there, but it might be at a different location. Physicians are not going to stop doing biopsies because the pay has been cut to the lab. The only thing that may cost a few jobs is if over-utilization is curbed. However, in my opinion that is not a large enough number to cause widespread panic among lab employees. If POL's begin closing, the work will return elsewhere. Those techs are free to apply for those jobs, and there will likely be a new job elsewhere for every one cut at your current practice. In my personal opinion, I think PA's should be far more concerned than techs. We could see a surge in the number of grossing techs out there, and a decline in the use of NAACLS trained PA's where the biopsy rate is high. So for all those techs that are worried, think positively - you may just experience a surge in job opportunities, and jobs with more attractive shifts. David On Tue, Nov 20, 2012 at 12:25 PM, O'Donnell, Bill billodonn...@catholichealth.net wrote: Like it or not, politics played a part in the cut of 88305. So did POLs, CAP and a host of other factors. Finger pointing in time of uncertainty somehow makes us all feel better, but it doesn't give us concrete ways of addressing the problem. Histology has enjoyed a fairly long period of great reimbursement, reasonable per-test costs, and a certain amount of security in that what we do is unique. That is all changing, but was likely to change at least some no matter who was elected to do whatever. Remember the panic when DRG's first arrived? There is no doubt that labs are going to have to get leaner, but this was already a trend. Find reasonable ways to cut costs. I know. We've been doing this for years But it needs to go further. Some people will lose their jobs. I may well be one of them and I don't like it, but it is a reality. If I go down, it will not be for lack of trying to maintain. 88305 cuts are big but there are a lot of clinical services getting cuts as well. Hospitals need to do what they can to keep the doors open for the benefit of the patient. Pay cuts, bonuses+/-, benefits, hiring freezes, capital freezes are all looming on the horizon. If at all possible, fight them, but do not exhaust yourselves. It's a new world - and it will sometimes be ugly. Blame the Democrats or the Republicans, Wall Street or Main Street, but figure out how to adapt. OK. So What can we do to ride out the storm? 1. Find a marketing advantage. POLs and certain smaller private labs cannot remain the bargain they once were. My lab is expectiing to get back some of what we lost to them a few years back. We are the only game in our town Why are we losing business to labs in other areas? It should all be staying here. 2. Become politically active. Demand better from your elected officials
[Histonet] Tissue Processors
Does anyone have the Thermo Shandon Excelsior or the Leica ASP300 S tissue processors? What do you like or not like about the one you have? Thanks Rhonda Gregoire, R.T. Charge Technologist Clinical Pathology/TSE Section Veterinary Diagnostic Services Manitoba Agriculture, Food and Rural Initiatives 545 University Crescent Winnipeg, MB R3T 5S6 phone 204-945-7641 fax 204-945-7646 email rhonda.grego...@gov.mb.camailto:rhonda.grego...@gov.mb.ca ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Pa Leeeze
There could be some positives- thanks for reminding us! This has been coming down the pike for awhile. I think that those who have been watching the horizon and looking ahead saw this change and many more to come. If you have been working on yourself, building your skills and knowledge, and also within your lab for awhile to work smarter and leaner, you will be prepared,-even if you still have to continue to step it up. Those who have been sleeping at the wheel may suffer some. But I think someone said this eariler, what we had been doing overall in healthcare could not be sustained, it was a system that was bound to flux. Politics probably have played a part in specific events, as so often is the case. But changes were coming regardless, so we might as well use our wits to work with it. Going into panic mode certainly won't help, well said by all. I will be curious to see how it plays out. I feel prepared to do what is needed. I agree getting involved in the process, and keeping a nimble mindset is a good start. Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Tue, 20 Nov 2012 13:03:14 -0800 From: pathloc...@gmail.com To: billodonn...@catholichealth.net Subject: Re: [Histonet] Pa Leeeze CC: histonet@lists.utsouthwestern.edu; bgapin...@pathgroup.com Well put. I do think too many are panic stricken over losing a job. The work will still be there, but it might be at a different location. Physicians are not going to stop doing biopsies because the pay has been cut to the lab. The only thing that may cost a few jobs is if over-utilization is curbed. However, in my opinion that is not a large enough number to cause widespread panic among lab employees. If POL's begin closing, the work will return elsewhere. Those techs are free to apply for those jobs, and there will likely be a new job elsewhere for every one cut at your current practice. In my personal opinion, I think PA's should be far more concerned than techs. We could see a surge in the number of grossing techs out there, and a decline in the use of NAACLS trained PA's where the biopsy rate is high. So for all those techs that are worried, think positively - you may just experience a surge in job opportunities, and jobs with more attractive shifts. David On Tue, Nov 20, 2012 at 12:25 PM, O'Donnell, Bill billodonn...@catholichealth.net wrote: Like it or not, politics played a part in the cut of 88305. So did POLs, CAP and a host of other factors. Finger pointing in time of uncertainty somehow makes us all feel better, but it doesn't give us concrete ways of addressing the problem. Histology has enjoyed a fairly long period of great reimbursement, reasonable per-test costs, and a certain amount of security in that what we do is unique. That is all changing, but was likely to change at least some no matter who was elected to do whatever. Remember the panic when DRG's first arrived? There is no doubt that labs are going to have to get leaner, but this was already a trend. Find reasonable ways to cut costs. I know. We've been doing this for years But it needs to go further. Some people will lose their jobs. I may well be one of them and I don't like it, but it is a reality. If I go down, it will not be for lack of trying to maintain. 88305 cuts are big but there are a lot of clinical services getting cuts as well. Hospitals need to do what they can to keep the doors open for the benefit of the patient. Pay cuts, bonuses+/-, benefits, hiring freezes, capital freezes are all looming on the horizon. If at all possible, fight them, but do not exhaust yourselves. It's a new world - and it will sometimes be ugly. Blame the Democrats or the Republicans, Wall Street or Main Street, but figure out how to adapt. OK. So What can we do to ride out the storm? 1. Find a marketing advantage. POLs and certain smaller private labs cannot remain the bargain they once were. My lab is expectiing to get back some of what we lost to them a few years back. We are the only game in our town Why are we losing business to labs in other areas? It should all be staying here. 2. Become politically active. Demand better from your elected officials and from your professional organizations that are lobbyists(sp). If they can't do the job, use your vote or your membership fees to fire them OR run for office yourself. Become an activist in your professional organization. 3. Maintain high standards. Cut-backs and performance improvement need not automatically equate to less quality. I hate it when people assume that shaving a couple of minutes must necessitate poor cutting. How close to borderline is your current quality if this is your attitude. Yes, that was snarky, but think about it. 4. Remember the mantra of the Hitchhikers Guide to the Universe: DON'T PANIC. When you are caught up in a panic mentality, thinking and problem
RE: [Histonet] Pa Leeeze
There are cuts coming to IHC in 2014 - just be prepared for that as well. j Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of joelle weaver Sent: Tuesday, November 20, 2012 5:34 PM To: pathloc...@gmail.com; billodonn...@catholichealth.net Cc: histonet@lists.utsouthwestern.edu; bgapin...@pathgroup.com Subject: RE: [Histonet] Pa Leeeze There could be some positives- thanks for reminding us! This has been coming down the pike for awhile. I think that those who have been watching the horizon and looking ahead saw this change and many more to come. If you have been working on yourself, building your skills and knowledge, and also within your lab for awhile to work smarter and leaner, you will be prepared,-even if you still have to continue to step it up. Those who have been sleeping at the wheel may suffer some. But I think someone said this eariler, what we had been doing overall in healthcare could not be sustained, it was a system that was bound to flux. Politics probably have played a part in specific events, as so often is the case. But changes were coming regardless, so we might as well use our wits to work with it. Going into panic mode certainly won't help, well said by all. I will be curious to see how it plays out. I feel prepared to do what is needed. I agree getting involved in the process, and keeping a nimble mindset is a good start. Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Tue, 20 Nov 2012 13:03:14 -0800 From: pathloc...@gmail.com To: billodonn...@catholichealth.net Subject: Re: [Histonet] Pa Leeeze CC: histonet@lists.utsouthwestern.edu; bgapin...@pathgroup.com Well put. I do think too many are panic stricken over losing a job. The work will still be there, but it might be at a different location. Physicians are not going to stop doing biopsies because the pay has been cut to the lab. The only thing that may cost a few jobs is if over-utilization is curbed. However, in my opinion that is not a large enough number to cause widespread panic among lab employees. If POL's begin closing, the work will return elsewhere. Those techs are free to apply for those jobs, and there will likely be a new job elsewhere for every one cut at your current practice. In my personal opinion, I think PA's should be far more concerned than techs. We could see a surge in the number of grossing techs out there, and a decline in the use of NAACLS trained PA's where the biopsy rate is high. So for all those techs that are worried, think positively - you may just experience a surge in job opportunities, and jobs with more attractive shifts. David On Tue, Nov 20, 2012 at 12:25 PM, O'Donnell, Bill billodonn...@catholichealth.net wrote: Like it or not, politics played a part in the cut of 88305. So did POLs, CAP and a host of other factors. Finger pointing in time of uncertainty somehow makes us all feel better, but it doesn't give us concrete ways of addressing the problem. Histology has enjoyed a fairly long period of great reimbursement, reasonable per-test costs, and a certain amount of security in that what we do is unique. That is all changing, but was likely to change at least some no matter who was elected to do whatever. Remember the panic when DRG's first arrived? There is no doubt that labs are going to have to get leaner, but this was already a trend. Find reasonable ways to cut costs. I know. We've been doing this for years But it needs to go further. Some people will lose their jobs. I may well be one of them and I don't like it, but it is a reality. If I go down, it will not be for lack of trying to maintain. 88305 cuts are big but there are a lot of clinical services getting cuts as well. Hospitals need to do what they can to keep the doors open for the benefit of the patient. Pay cuts, bonuses+/-, benefits, hiring freezes, capital freezes are all looming on the horizon. If at all possible, fight them, but do not exhaust yourselves. It's a new world - and it will sometimes be ugly. Blame the Democrats or the Republicans, Wall Street or Main Street, but figure out how to adapt. OK. So What can we do to ride out the storm? 1. Find a marketing advantage. POLs and certain smaller private labs cannot remain the
