[Histonet] Consulting
Ryan Jade, I am inquiring if you may have found a consultant to help you with your dermatology laboratory? Laboratory Concepts, LLC can help you with your needs. I would be happy to speak with you in detail offline. Regards, Amy Farnan a.far...@yahoo.com Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] 88342 billing
Hi Victor, I am coming in late on this conversation regarding billing of 88342. You can only bill a single specimen once for an antibody. If you were performing multiple antibodies then you can charge 88342 x the number of antibodies. If you charge more it can be considered fraud so be careful. A great publication for these types of questions is called Coding Alert. It talks about all these types of issues and new cpt's etc. One other suggestion that I noted in a response is if its a self bill or I should say a client bill is to bill them the number of times you stained it as long as its not insurance. This is also fraud. You can not change your billing depending on if a patient's insurance is being billed or not. Amy Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] sentinel lymph node melanoma protocols
Good morning everyone, I am curious to see what the standard protocol is on sentinel lymph node for melanomas. I need to establish a protocol at my institution and I have been reading a lot of literature and it seems to be a wide variety of thinking out there from bread loafing the lymph node first then cutting multiple HE sections and IHC in between to bivalving. Some of the protocols call for up to as many as 46 HE sections at 3 microns but it doesn't say where to take the sections for the IHC (S100, pan-melan cocktail). Would any of you like to share your protocols? thank you- Amy Farnan Histology Supervisor Northeast Health Albany, New York Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Follicular staining of Melan A in lymph nodes
Good afternoon everyone, I am having a strange staining pattern that I have not seen before and I was hoping someone in histo land may be able to help. I am seeing Melan A staining in the follicles only in a sentinel node. There is no background and the staining is cytoplasmic. The node is actually negative for tumor and the staining is restricted to the follicles. I have looked online for any articles that may explain this but I haven't seen anything that would explain. thanks- Amy Farnan Histology Supervisor Northeast Health Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] New York State Histotechnology Annual Spring Symposium Program
is routine troubleshooting in the lab. Staff shortages, pressure on pathologists and lab professionals by clinicians, and/or specimen diagnosis quotas allow laboratory validation standards to be completed on a stain or protocol/process developed by another entity other than the end-user. Commercial batches are manufactured in such large quantities, that a reduction in lot to lot variation makes validation more accurate and allows for accurate reproducibility of the stain process, regardless of which end user is performing the staining process: the human and/or the analyzer. 5) Susan Ryan, HTL(ASCP), Genzyme, Inc. Talk Title: Hard, Harder and Hardest: Choosing the right process for your bone project Abstract: Processing tissue containing bone and cartilage has challenged histologists throughout the years. It is our responsibility to understand these challenges, know the tissue and cell components and provide the pathologist and/or investigator with quality stained slides. In recent years digital pathology has created new opportunities for routine labs to incorporate different processing methods for bone. In this workshop we will discuss decalcified (paraffin and frozen) and undecalcified (methyl methacrylate and Epon) methods for processing bone that best fits the diagnosis and or analysis. Detailed protocols will be presented pertaining to processing and staining of samples containing bone and cartilage. We will discuss the common problems with both methods and share some of the “tricks of the trade”. We will focus on aiding pathologists and/or investigators with understanding diseases such as rheumatoid arthritis, osteoarthritis, renal osteodystrophy and osteoporosis. Upon completion participants will 1) identify tissue components and cells 2) identify which processing procedure best fits the diagnosis or analysis 3) identify the staining differences in each processing methods 4) identify artifacts in each method. 6) Amy Farnan, HT (ASCP) Title: Supervisor, Histology: Albany Memorial Hospital/Samaritan Hospital, North East Health Talk Title: Formalin Recycling: “Is your lab safe? Abstract: The recycler is installed; everyone has been trained on its use and its go time right? Wrong! How many of you that have a recycler had safety training before you started using the recycler? In this seminar learn what measures your lab should have in place to keep your employee’s safe and the histology laboratory regulatory compliant. Participating vendors to date: Neogenomics laboratories Tech One Biomedical Services Azer Scientific Electron Microscopy Sciences Source Medical Products Polysciences Leica Biosystems Sakura VWR International Newcomer Supply Poly Scientific Registration: 7:30 am to 10:00 am First session commences at 8:00 am Registration price includes: All sessions and lunch. $100.00 /member $135.00/non-member $60.00/ student Desmond room rates: $129.00/ night When booking your room reference group ID# 11O344 (O not a zero) Booking deadline is April 21, 2011 Desmond contact number: 1-800-448-3500 www.desmondhotelsalbany.com Hope to see you all there!! Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] NYSHS Meeting
Hello vendors! The NYSHS State Meeting is being held May 14th at the Desmond in Albany. If you would like to represent your company at our meeting and rent a booth please contact our vendor co-ordinator Linda Chen at kook...@hotmail.com for more information. Thank you Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] AFB stain
Have any of you know heard of AFB will picking up in any other organisms beside mycobacterium? Amy Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] mislabeling of slides and blocks
Well, thank you to those that shared your policies. To those that just shared criticizism I wish you had shared your policies as well. It would have been more helpful and maybe others would have benefited as well. Remember folks the histonet if for sharing information not negativity. Again, thank you to those that shared or emailed me offline. Goins, Tresa tgo...@mt.gov 10/09/10 1:08 PM If mistakes occur, the lab protocols must be altered to prevent the mistakes. If personnel can not or will not follow protocol to eliminate mistakes, then employment must be terminated. This is not being picky or unreasonable - ask any potential cancer patient relying on an accurate diagnosis. Tresa Goins Bozeman, Montana From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of sgoe...@xbiotech.com [sgoe...@xbiotech.com] Sent: Friday, October 08, 2010 1:30 PM To: Amy Farnan Cc: histonet@lists.utsouthwestern.edu; Sherry Dean Subject: RE: [Histonet] mislabeling of slides and blocks Currrently I am working in a lab where I am the only tech., but in previous labs when mislabeling happened, the tech would be written up for it after one formal verbal warning. If they were written up 3 times in 6 months, then a suspension was possible (although never happens), then if the problem continued could lead to being fired. So, basically you would have to mislabel something or another 6 times in one year to be fired. Again...just my opinion... Sarah Goebel, B.A., HT (ASCP) Histotechnician XBiotech USA Inc. 8201 East Riverside Dr. Bldg 4 Suite 100 Austin, Texas 78744 (512)386-5107 Original Message Subject: RE: [Histonet] mislabeling of slides and blocks From: Amy Farnan farn...@nehealth.com Date: Fri, October 08, 2010 10:52 am To: Janice A Mahoney janice.maho...@alegent.org, sgoe...@xbiotech.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu, Sherry Dean sherry.d...@ventana.roche.com Sarah, What is your policy? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] mislabeling of slides and blocks
Hello everyone, I was wondering if you could share your policy for employee infractions of mislabeling blocks and slides? I would like to get an idea of what the standard is out there. Any help would be appreciated. Thank you Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] mislabeling of slides and blocks
Sarah, What is your policy? Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] ink on film coverslips
Hi everyone, I am trying to completely remove the dotting ink from our slides. I have tried alcohol and it takes off the blue dotting ink but the green ink leaves a yellow faded dot on the cover slip. The cover slips that we use are the film coverslip so I think the ink gets absorbed somehow. Do you have any ideas that may take the ink off of the cover slips? I would like to avoid taking the coverslip off the slide if possible. Thank you, Amy Farnan Northeast Health Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Clo Test CPT
Hi everyone, I am looking to see what CPT code everyone is using for reading Clo Tests in the pathology department. I have heard of using 87081 but I am not sure if this is accurate as this is for culture and the CLO is biochemical reaction not a culture. Currently I have been using 88300 gross only. Any help would be appreciated. Thank you, Amy Farnan Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] bone marrow fixative
Acetic Zinc Formalin Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] bone marrow fixative
Good afternoon everyone, In past years our lab used B-5 fixative on bone marrow biopsies for better immunostaining. With the chemical hazards of B-5 we switched to AZF fixative and have been using this for the past few years. I am just curious what everyone else is using for fixative on their bone marrows and how is your immunoreactivity? Maybe a better question is what is the preferred fixative for bone marrows? Have a nice day, Amy Farnan Histology Supervisor Northeast Health Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Re: Histonet Digest, Vol 73, Issue 18
I have a Leica Bond and I have had a couple of small issues but I think that is par for the course with any instrument. Nothing is full proof. I run a small lab that processes 20,000 surgicals a year. The Bond seemed more economical for my situation without compromising quality. I have had the instrument for 1.5 years and I would purchase another. histonet-requ...@lists.utsouthwestern.edu 12/11/2009 1:05 pm Send Histonet mailing list submissions to histonet@lists.utsouthwestern.edu To subscribe or unsubscribe via the World Wide Web, visit http://lists.utsouthwestern.edu/mailman/listinfo/histonet or, via email, send a message with subject or body 'help' to histonet-requ...@lists.utsouthwestern.edu You can reach the person managing the list at histonet-ow...@lists.utsouthwestern.edu When replying, please edit your Subject line so it is more specific than Re: Contents of Histonet digest... Today's Topics: 1. RE: fish scales (Josie Britton) 2. RE: Leica vs Ventana (Karin Groeger) 3. alternates to absolute ethanol (Michael W. Folsom) 4. RE: maximum block cutting (Rene J Buesa) 5. Re: alternates to absolute ethanol (Rene J Buesa) 6. one more question about reagent alcohol (Michael W. Folsom) 7. RE: alternates to absolute ethanol (Owen, Michael P) 8. Re: maximum block cutting (Rene J Buesa) 9. RE: alternates to absolute ethanol (Rene J Buesa) 10. Re: maximum block cutting (jel...@yumaregional.org) 11. Re: Leica vs Ventana (Akemi Allison) -- Message: 1 Date: Fri, 11 Dec 2009 10:34:46 -0500 From: Josie Britton jcbrit...@cheshire-med.com Subject: RE: [Histonet] fish scales To: Josie Britton jcbrit...@cheshire-med.com, Perry, Margaret margaret.pe...@sdstate.edu, histonet@lists.utsouthwestern.edu Message-ID: f644cd64b2313f43bb3d2496b454cdac038c2...@cmc-ex01.cheshire-med.com Content-Type: text/plain; charset=us-ascii Oh, I forgot to mention we do this after we face the block. We put a little swirl on the block face and let it soak for 10-30+ minutes depending on spec. You can usually get a ribbon, then you have to re-soak for another ribbon. I hope this helps! Josie Britton HT -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Josie Britton Sent: Friday, December 11, 2009 10:31 AM To: Perry, Margaret; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] fish scales Nair hair remover works great on toenails! Josie Britton HT -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Perry, Margaret Sent: Thursday, December 10, 2009 3:32 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] fish scales We are trying to cut fish scales that have been decalcified. They are chunking out when we try to cut them. I think we need to soften the keratin and I looked in the archives for the right dilution of ammonium hydroxide to use. One post said 5% the other said straight. What dilution do you recommend? I'm think it would probably be the same as what you use on toenails. Margaret Perry HT(ASCP) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet CONFIDENTIALITY NOTICE: This electronic message, including any attachments, is for the sole use of the intended recipients and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by electronic mail and destroy all copies of the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet CONFIDENTIALITY NOTICE: This electronic message, including any attachments, is for the sole use of the intended recipients and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by electronic mail and destroy all copies of the original message. -- Message: 2 Date: Fri, 11 Dec 2009 07:48:36 -0800 From: Karin Groeger kgroe...@uslabs.net Subject: RE: [Histonet] Leica vs Ventana To: Mahoney,Janice A janice.maho...@alegent.org,Houston, Ronald ronald.hous...@nationwidechildrens.org, Edwards,Richard E. r...@leicester.ac.uk, Sebree Linda A lseb...@uwhealth.org, Kathleen Boozer booze...@ah.org, histonet@lists.utsouthwestern.edu Message-ID:
[Histonet] job opening
Albany Memorial Hospital Albany, NY Full time Histotechnician position available 6:30 am to 2:30 pm, Mon - Friday, no weekends. Must be NYS licensed and have ASCP certification. Responsibilities include, routine histology, IHC, ISH, special stains and frozen sectioning. If interested please submit a resume to: Amy Farnan Histology Supervisor farn...@nehealth.com Disclaimer: The information in this message is confidential. If you are not the intended recipient, do not disclose, copy, or distribute this message, and please immediately contact the sender. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
