RE: [Histonet] (no subject)

2013-09-11 Thread CHRISTIE GOWAN
Hi Clay,

Most hospitals have a tissue committee that makes decisions about surgical 
specimens. These decisions become hospital policy. Most hospitals state that 
once a specimen is removed it essentially becomes the property of the hospital. 
Release of specimens is usually after it has been accessioned and grossed in 
for pathology reveiw. There is usually a form for that type of release. The 
hospital would be at risk if they let the specimen leave without following 
hospital policy. I am not saying it is right or wrong but I can see the logic 
in it. Once the specimen has been processed through the hospitals pathology 
department then blocks and slides can be requested for 2nd opinions. Good luck 
in your search for answers.

Christie Gowan

 

To: histonet@lists.utsouthwestern.edu
Date: Thu, 12 Sep 2013 12:38:10 +
From: claymi...@hotmail.com
Subject: [Histonet] (no subject)

 
 
 
I need a little help on a Patient’s rights question.
 
 
It is my understanding that when a patient has a procedure, the patient has the 
right to request that those specimens be examined by a laboratory of their 
choosing.  i.e. EGD, colonoscopy, etc
 
 
I am in Arkansas.  
 
 
My father had a procedure yesterday at a local hospital.  I manage a pathology 
laboratory that specializes in the type of tissue that the procedure procured.  
When it was requested that the tissue be sent to my laboratory, the hospital 
staff refused to fulfill the request.  We asked multiple times for a release 
form so my father could take his tissue with him.  The administration employee 
we spoke to said there was no such thing and that patients were not allowed to 
take their specimens. One employee going so far as stating that if we wanted 
the tissue sent somewhere aside from their contracted laboratory, that the 
procedure would be canceled and my father would have to go somewhere else.   My 
father, not wanting to cause a fuss, let the issue go.   
 
 
Questions: 
 
Is it legal for a hospital to require that tissue specimens be sent to a lab 
they are contracted with? 
 
 
Are there any other actions we could have taken to make our requests be honored?
 
 
 
This is not meant to insult the hospital, but to give an explanation of the 
situation for context in answering the questions.

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[Histonet] Alport Syndrome

2013-06-28 Thread CHRISTIE GOWAN
Is anyone using the Fluorchrome-Conjugated MoAbs for Alport Syndrome 
distributed by Cosmo Bio Co., LTD.?

We are using it on cryostat sections of renal tissue and the Texas Red 
fluorochrome seems to be extremely robust while the FITC-conjugated-anti 
alpha2(IV) is weak. I would be interested to hear your outcomes/solutions. 

 

Christie Gowan HT (ASCP)
UAB Hospital Surgical Pathology
Supervisor Lab Services
205-934-4991
cgo...@uabmc.edu
 
  
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[Histonet] TBS Slide Printer

2012-11-14 Thread CHRISTIE GOWAN
I am posting a question for a friend. She is looking for feedback on the TBS 
Shurmark slide marking instrument. All comments are appreciated. Thanks.
Christie  
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RE: [Histonet] Dako vs Ventana IHC systems

2012-10-29 Thread CHRISTIE GOWAN

Hi Joe,
When searching for an automated IHC stainer, you need to shop based on your 
facility and it's needs. We recently went through the whole shopping around 
experience and because we are such a large facility, we have the Ventana Ultra 
as well as an XT and the New Dako Link. We use the Ventana Ultra for single 
piece flow and it really changed the dynamic of our lab. We also use the 
Ventana for all our automated probes including the dual Her2/Chr17 CISH. The 
Dako's (we have 2) we use for all those things that we do not run on the Ultra 
or Benchmark XT. About 50/50 on each system. We also do a lot of research for 
the UAB campus and it is nice to have the more open DAKO systems. We have 3 
very experienced IHC techs working in the lab which lends a lot of consistency 
to the staining. I say this because if you rotate people through the lab or 
your staff is less experienced then you want something that is easy and 
consistent. We will probably always have the Ventana systems in our lab so not 
much shopping around for a more or less closed system (there is always debate 
over the open/closed thing) However, shopping around for a more open system can 
be a little harder. We demo'ed the bond, Biocare, Dako and Labvision. We 
narrowed it down to Biocare and Dako based on ease of use, speed and capacity 
and reagents/antibodies. Once we had narrowed it down to the 2 companies, then 
we started looking at packages. Dako delivered the best package and because 
Dako already had a presence in our Histology lab (Artisan Special Stainer) and 
we knew their service was always prompt (we always struggled with this with 
Leica) We chose Dako and replaced our 2 older Labvisions with Autostainer 
Links. 
If you have any questions you can let me know via email and I will give you our 
contact info. Best of luck to you.
Christie Gowan
UAB Hospital
Birmingham, AL
 

> From: joewal...@rrmc.org
> To: terri.br...@northside.com; lseb...@uwhealth.org; 
> lynn.bur...@illinois.gov; gth...@pcasoutheast.com; 
> histonet@lists.utsouthwestern.edu
> Date: Mon, 29 Oct 2012 14:38:20 +
> Subject: RE: [Histonet] Dako vs Ventana IHC systems
> CC: 
> 
> Which Dako and Ventana machines are you all using? We are in the market for a 
> new IHC stainer and the new Ventana BenckMark Ultra machine looks interesting.
> 
> 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 Terri Brown
> Sent: Monday, October 29, 2012 10:26 AM
> To: Sebree Linda A; Burton, Lynn; Gloria Tharp; 
> histonet@lists.utsouthwestern.edu
> Subject: RE: [Histonet] Dako vs Ventana IHC systems
> 
> We had Ventana and changed to Dako. The Dako phone tech support is
> excellent and we never wait long for in house service. Our
> pathologists love the turnaround time with the open system and the stain 
> quality.
> 
> Terri H. Brown, HT (ASCP)
> Pathology Laboratory Manager
> Northside Hospital Atlanta
> terri.br...@northside.com
> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A
> Sent: Friday, October 26, 2012 4:52 PM
> To: 'Burton, Lynn'; Gloria Tharp; histonet@lists.utsouthwestern.edu
> Subject: RE: [Histonet] Dako vs Ventana IHC systems
> 
> I concur with Lynn; we've been dealing with Ventana 19 years.
> 
> 
> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burton, Lynn
> Sent: Friday, October 26, 2012 3:47 PM
> To: Gloria Tharp; histonet@lists.utsouthwestern.edu
> Subject: RE: [Histonet] Dako vs Ventana IHC systems
> 
> We have been dealing with Ventana for at least 10 years with very good 
> service and reliability. Their phone tech support is excellent and we have 
> never waited long for in house service.
> Lynn Burton
> Lab Associate
> Animal Disease Lab
> Galesburg, Il
> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gloria Tharp
> Sent: Friday, October 26, 2012 2:38 PM
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Dako vs Ventana I

RE: [Histonet] Productivity

2012-08-20 Thread CHRISTIE GOWAN

Hi Karen,
The best way to communicate with management is through data. If you have access 
to say the last 3 years of blocks and or slides cut and you compare it to 
accessions or cpt codes then you have a roadmap of where you have been in the 
past and where you are now. Do you have more or less employees and is this a 
temporary lull in numbers or has this dip occurred before. At least you will be 
able to formulate a more informed response to their request for cutting back 
hours. This is always a complicated issue and we have seen an increase in case 
complexity as well in our institution so our numbers of blocks vs. specimen 
count is skewed as well. Tell them you will cut hours but you will need all new 
equipment to continue to meet your deadlines! Ha!. Let us know how it turns out 
and good luck!
 
Christie Gowan, HT (ASCP)
UAB Hospital
Histology Supervisor
Surgical Pathology
205 934 4991
cgo...@uabmc.edu
 

> From: karen.heckf...@dignityhealth.org
> To: histonet@lists.utsouthwestern.edu
> Date: Mon, 20 Aug 2012 10:42:39 -0700
> Subject: [Histonet] Productivity
> 
> Good Morning,
> I know we have been over this before, how does your lab measure productivity? 
> Are you going by block and slide or by CPT code? I have been told by the 
> "Suits" that we can only measure productivity by per specimen or CPT code 
> with no weight and value. As you know when you get a big case you can have a 
> bunch of blocks on it therefore a bunch of slides. I do everything from GI 
> specimens to big breast cases. They will tell me that our productivity is 
> down and we need to cut hours. I just do not know exactly how to drill it in 
> to them that things are not always as they appear on paper. I am talking in 
> circles until I am blue in the face...AUGH!!
> 
> 
> Karen Heckford HT ASCP CE
> Lead Histology Technician
> St. Mary's Medical Center
> 450 Stanyan St.
> San Francisco, Ca. 94117
> 415-668-1000 ext. 6167
> karen.heckf...@dignityhealth.org
> Caution: This email message, including all content and attachments, is 
> CONFIDENTIAL and may be of a nature that is LEGALLY PRIVILEGED. The 
> information contained in this email message is intended only for the 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 have received this document in error. Any further review, 
> dissemination, distribution, or copying of this message is strictly 
> prohibited. If you have received this communication in error, please notify 
> us immediately by reply email. Thank you."
> 
> 
> 
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RE: [Histonet] Symphony Issues

2012-07-31 Thread CHRISTIE GOWAN

Hi Nita,
We had a similar problem and our Technical Service rep narrowed it down to 
where the coverslippers were actually manufactured. After changing out the 
coverslipper 3 times, he ordered a new one directly from Tuscon and we have not 
had the problem again. So far as humidity goes, there could be a number of 
issues. The first thing you need to check is with your engineers to make sure 
they are not pumping moisture into the air. Many hospitals do this so that is 
where I would start. Also, keep that filter changed regularly. I wish you luck 
and hope you can make it work for you.
Christie
 

Date: Tue, 31 Jul 2012 11:05:41 -0500
From: nsea...@swmail.sw.org
To: histonet@lists.utsouthwestern.edu; pwebs...@swmail.sw.org
CC: 
Subject: [Histonet] Symphony Issues

This inquiry is from the lead histotech inour lab:
 
Is anyone having problems with moisture on the slide, bubbles and misaligned 
coverslips or multiple coverslips. If so, what are they being told from 
Ventana? What have they done to resolve issues?
 
 
Can you respond to her directly @ pwebs...@swmail.sw.org 
 
Thanks
 
Nita Searcy, HT/HTL (ASCP)
Scott and White Hospital
Division Manager, Anatomic Pathology
2401 S. 31st. Street 
254-724-2438
Temple, Texas, 76502
nsea...@swmail.sw.org
 
 
254-724-2438
 

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RE: [Histonet] Re: Inking Skin

2012-07-28 Thread CHRISTIE GOWAN

Thanks for all the info everyone. The tattoo ink sounds intriguing. We don't 
seem to have a problem getting full sections on any other derm specimens so I 
think it is specimen specific or technique specific meaning that the epithelial 
layer of these samples vary in thickness so I will keep you all posted as to 
the outcome as I know you are all waiting with anticipation
Thanks again
Christie
 

> Date: Sat, 28 Jul 2012 13:49:23 -0400
> From: rsrichm...@gmail.com
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Re: Inking Skin
> 
> Christie Gowan at UAB Hospital. Birmingham, Alabama asks:
> 
> >>My derm pathologist has requested that we ink the epithelium on MOHs derm 
> >>cases (new pathologist). We process many derm specimens a day but it seems 
> >>we are having trouble getting full epithelium on our cases that come over 
> >>from the MOHs clinic. I am not sure that inking the skin will help with the 
> >>problem but let's just say that if we do decide to ink the surface of these 
> >>specimens, does anyone know of an ink that will actually stick to skin?
> 
> Your new pathologist should be able to specify what he wants. About
> time they started teaching pathology residents where slides come from.
> 
> Mohs is somebody's name, not an acronym. Specifically Frederic Mohs,
> an American surgeon (1910-2002):
> http://en.wikipedia.org/wiki/Frederic_E._Mohs
> 
> You need a particulate ink that will stick to the specimen, withstand
> frozen section or paraffin processing, and be visible on the slide.
> 
> Particulate marking inks for surgical pathology are made by a variety
> of manufacturers. I prefer the Davidson marking inks, but there are
> several other brands. They come in at least seven colors. A wooden
> case that keeps the tall narrow bottles from tipping over is usually
> included.
> 
> Tattoo inks are cheap and come in an almost unlimited variety of
> colors, and in the one lab I've used them in work extremely well. The
> downside is you have to read some pretty appalling catalogs if you
> don't like tattoos and piercings (gimme a break, I'm 73 years old.)
> 
> You can get ordinary India ink (which by definition is black) very
> easily. I didn't know that craft stores like Hobby Lobby offer a
> variety of colored particulate inks - I'd want to know exactly what to
> buy, to make sure I got a suitable colored ink that would show up on
> the slide.
> 
> All of these inks have a good shelf life if you keep them tightly
> capped except when you're actually using them. If they become
> excessively viscous or solidify, they need to be thrown out.
> 
> The specimen must be blotted thoroughly dry before inking, and the ink
> blotted off afterwards. If you do this you won't need to use anything
> to "set" the ink. I never use these fixatives. If you do want to use
> such a fixing solution, 2 or 3% acetic acid (diluted from glacial
> acetic acid) or half strength ordinary grocery store white vinegar is
> supposed to work as well as anything. It's unnecessary to use Bouin's
> fixative or acetone, both of which are serious hazmats.
> 
> Bob Richmond
> Samurai Pathologist
> Knoxville TN
> 
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RE: [Histonet] Inking Skin

2012-07-27 Thread CHRISTIE GOWAN

Just to clarify:
We do ink our excisions as described below in Cindi's response howerver, our 
MOHs specimens come to us mounted on a pieces of sturdy paper and are processed 
in place. We only describe them at gross and then directly place the paper and 
skin into a cassette for processing. The specemins are skin side up and then 
placed on edge when embedded. The clinician has stated that he will ink the 
skin for us so we have a better success rate at getting a full epithelial 
section at microtomy. Thanks Cindi for your input. We actually use a diluted 
acetic acid solution to set our inks which is the same thing as vinegar. 
Christie
 

> Date: Fri, 27 Jul 2012 15:38:49 -0400
> From: robin...@mercyhealth.com
> To: christiego...@msn.com
> Subject: Re: [Histonet] Inking Skin
> 
> We use cotton swabs dipped in india ink in a variety of colors (purchased 
> from the local Hobby Lobby) and set it with vinegar. We ink the resected 
> margin not the skin. If there is no orientation we use black. If we have 
> orientation we use at least three colors. The ellipse is inked with one color 
> from tip to tip on one half. The other half is divided between two colors. We 
> cut perpendicular to the side with the solid color so each cross section has 
> two colors on it.
> 
> 
> Cindi Robinson HT(ASCP)
> Mercy Medical Center
> Dunes Medical Laboratories
> 350 W Anchor Dr
> Dakota Dunes SD 57049
> phone-712-279-2768
> robin...@mercyhealth.com
> 
> 
> >>> CHRISTIE GOWAN  7/27/2012 2:25 PM >>>
> 
> Dear Colleagues,
> My derm pathologist has requested that we ink the epithelium on MOHs derm 
> cases (new pathologist). We process many derm specimens a day but it seems we 
> are having trouble getting full epithelium on our cases that come over from 
> the MOHs clinic. I am not sure that inking the skin will help with the 
> problem but let's just say that if we do decide to ink the surface of these 
> specimens, does anyone know of an ink that will actually stick to skin? I 
> would appreciate anyones input. Thanks and have a great weekend.
> Christie Gowan
> UAB Hospital
> Birmingham, Alabama ___
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[Histonet] Inking Skin

2012-07-27 Thread CHRISTIE GOWAN

Dear Colleagues,
My derm pathologist has requested that we ink the epithelium on MOHs derm cases 
(new pathologist). We process many derm specimens a day but it seems we are 
having trouble getting full epithelium on our cases that come over from the 
MOHs clinic. I am not sure that inking the skin will help with the problem but 
let's just say that if we do decide to ink the surface of these specimens, does 
anyone know of an ink that will actually stick to skin? I would appreciate 
anyones input. Thanks and have a great weekend.
Christie Gowan
UAB Hospital
Birmingham, Alabama   
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RE: [Histonet] Re[2]:

2012-03-27 Thread CHRISTIE GOWAN

Their email accounts have been hacked and all their addresses stolen. They need 
to report and change email login and password. This happened to me last year 
and I was sending out Viagra deals to all my contacts including histonet. 
 

> Date: Tue, 27 Mar 2012 12:12:23 -0500
> From: ander...@umn.edu
> To: histonet@lists.utsouthwestern.edu
> Subject: Re: [Histonet] Re[2]:
> 
> I agree~~they need to be deleted from Histonet !! Getting them several 
> times daily !
> 
> 
> On 3/27/2012 12:05 PM, Kara Lee wrote:
> > I am getting these constantly as well. Very annoying.
> >
> >> Date: Tue, 27 Mar 2012 11:58:39 -0500
> >> From: jmitch...@uwhealth.org
> >> To: histonet@lists.utsouthwestern.edu
> >> Subject: RE: [Histonet] Re[2]:
> >>
> >> How about these postings to histonet? Is everyone else getting these
> >> from Tuyen Nguyen& Diamond Ranch Music? If so - can these people/email
> >> addresses be deleted from the histonet service?
> >>
> >> A little redneck humor is one thing - but the love boutique sex shop is
> >> another.
> >>
> >> Jean Mitchell
> >>
> >> -Original Message-
> >> From: histonet-boun...@lists.utsouthwestern.edu
> >> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tuyen
> >> Nguyen
> >> Sent: Tuesday, March 27, 2012 11:23 AM
> >> To: histonet@lists.utsouthwestern.edu; boost...@diamondranchmusic.org
> >> Subject: [Histonet] Re[2]:
> >>
> >>
> >> Welcome, friend!
> >> http://loveboutiquesexshop.com/contact.php?yfupu=65&ugazylycy=167&myroli
> >> ma=28
> >>
> >> ___
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> >> Histonet@lists.utsouthwestern.edu
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> >>
> >> ___
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> > http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> 
> 
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RE: [Histonet] Ventana XT Closed System misnomer

2012-02-17 Thread CHRISTIE GOWAN

Eric, I wouldn't say my mind is closed on the issue and I appreciate your 
thoughts and opinions. I agree wholeheartedly about the advantages of the XT 
and to say that the Benchmark XT is a closed system is simply to state that it 
is more "closed" regarding reagents than some systems (open) where the reagents 
are purchsed from various vendors in whatever form you choose.  Some people who 
use all non-Ventana antibodies may find this as a "con" vs. a "pro" when it 
comes to considering purchasing an XT for their lab. Thanks.
Christie Gowan HT(ASCP)
 
 

> Date: Thu, 16 Feb 2012 15:41:35 -0500
> From: gagn...@kgh.kari.net
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Ventana XT Closed System misnomer
> 
> Responding to Del who asked about pros/cons of Ventana BenchMark XT:
> 
> 
> 
> Ventana is often equated with 'closed system'. This is a misnomer. The
> only thing I regard as closed (besides some colleagues' minds on this
> issue) is the detection system kit and bulk reagents that are used on
> the instrument. While these are proprietary, they are also of extremely
> high quality, resiliency, consistency, and in my opinion, dependability.
> Preparing one's own reagents can lead to a lack of consistency of
> staining, and we have confidence in Ventana reagents.
> 
> 
> 
> As others have correctly noted...other non-Ventana antibodies can be
> used in Ventana dispensers. We use an equal mix of ready-to-use
> antibodies with our own diluted antibodies from other suppliers. How is
> this a closed system? 
> 
> 
> 
> Pre-treatments can also be used in Ventana dispensers. There is a range
> of non-ab reagents such as hematoxylins and proteases. There are a
> range of detection system kits as well - at least four that I can think
> of.
> 
> 
> 
> Perhaps this sounds like my personal crusade, as a Ventana user; to try
> to demolish the 'closed system' myth. In my professional interactions
> with non-Ventana users, this is often heard as a derogatory, negative
> reaction to Ventana, which I certainly speak truth to at every
> opportunity.
> 
> 
> 
> Del, we have found the BenchMark XT's very reliable, with good support
> and service, plus excellent quality reagents including antibodies. 
> 
> 
> 
> Eric Gagnon MLT
> 
> Histology Laboratory
> 
> Kingston General Hospital,
> 
> Kingson, Ontario, Canada
> 
> 
> 
> 
> 
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RE: [Histonet] Ventana xt

2012-02-16 Thread CHRISTIE GOWAN

Pros:
Lends itself well to labs that do basic IHC staining
Antibodies are pre-diluted so no guess work on dilutions
Good for batching runs
Consistent quality of slides
24 hour technical support
Can run molecular probes
protocols are easy to adjust
 
Cons:
Closed system
Must use Ventana antibodies or purchase special dispensers if using non Ventana 
products
Pre-dilute antibodies are pricey
Stand alone instrument so must have space for it
 
I'm sure there is more but you just really need to see what your needs are. We 
have the XT and Ultra as well as open systems. We love the Ventana's but we 
also will always have open platforms because we do a lot of research. The work 
flow is another thing you need to look at. How many slides do you turn out in 
one day? What is your turn around time? The XT is a great instrument but it 
depends on your lab. Hope this helps.
Christie Gowan
UAB Hospital
 
 

> From: dphill...@vetmed.lsu.edu
> To: histonet@lists.utsouthwestern.edu
> Date: Thu, 16 Feb 2012 12:29:37 -0600
> Subject: [Histonet] Ventana xt
> 
> Looking for any pros and cons on the Ventana XT.
> 
> 
> 
> Thanks
> 
> Del
> 
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RE: [Histonet] Music in the Laboratory

2012-01-18 Thread CHRISTIE GOWAN

Hi All,
Our lab is governed by hospital regulations that no headphones or earbuds be 
worn at anytime. This is considered a safety issue. We do have policies 
governing codes for behavior such as dress, hygiene, innappropriate computer 
use such as streaming music or social media but music is something they allow 
idividual departments to dictate. Our lab has decided to allow desk top radios 
to be played. I have a few techs that like to listen to talk radio or music so 
they each have their individual radios set so low that only they can hear it. I 
think if everyone had their own radio it would be insane but a couple is not 
too bad. If it were to become distracting or a nusance, I would ban them 
completely. We are not in a patient traffic area but we do get a lot of outside 
visitors walking thru such as Resident's interviewing or clinicians. One must 
always consider patient care first and foremost and if music is offensive to 
you because of language then it probably is offensive to others as well. I 
think you should never have to endure music that is offensive in anyway. Jazz 
makes me crazy. My question to you would be, do you have a policy that stating 
that music is allowed? Best of luck to you.
Christie
 

> From: tracz...@aol.com
> Date: Tue, 17 Jan 2012 21:37:04 -0500
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Music in the Laboratory
> 
> Greetings.
> I would like to know what other histology laboratories allow for music 
> players while working. Do you have formal policies about music content or 
> volume? Do you allow lab space doors to remain closed to muffle the volume of 
> what is being played? Are headsets allowed? 
> I am a terrible judge of this because I personally prefer to work in a 
> quiet environment. I am trying to be open minded, as long as the work gets 
> done. However, one of the techs had a song playing today that I believe was 
> inappropriate for general listening in the lab. Am I just out of touch? 
> Is that dang "F" word just something I'm going to have to learn to accept? 
> Do you have a written policy? When/how/why was it implemented?
> I should mention that it's a small private lab, with minimal patient 
> traffic. We do see our share of FedEx, UPS, sales & service reps.
> Your ideas on this is very much appreciated.
> Dorothy
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[Histonet] Immunohistochemical staining of type IV collagen in Alport's Syndrome

2011-11-30 Thread CHRISTIE GOWAN

We are looking into the feasability of doing this test in-house. Is anyone 
doing this test for kidney and if so, how did you run your validation?  We have 
some positive patients but they are all skin so I guess we will need to 
purchase controls specifically for kidney. If anyone has any experience with 
this I would appreciate your comments. Thanks.
Christie Gowan
UAB University Hospital   
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RE: [Histonet] (no subject)

2011-10-06 Thread CHRISTIE GOWAN

I agree with you Jan. In my 30 + years as a histotech (yes, I am old too) I 
have seen floaters come from a variety of places but I am hard pressed to 
remember any floater coming from the water bath. Today we are blessed with DNA 
fingerprinting to determine if the floater is or is not from the patient but 
that still does not address the real issue of where did it come from and how do 
we stop it. The vendors stating that it is not an issue have never been 
re-biopsied because of a floater in with their tissue. Good discussion and long 
overdue. I look forward to the day when it is no longer an automatic response 
from all involved that it is "Histology's fault". Hope you are enjoying your 
new adventures in retirement. See you next year in Canada!
 

> From: mamaw...@hotmail.com
> To: histonet@lists.utsouthwestern.edu
> Date: Wed, 5 Oct 2011 14:11:25 -1000
> Subject: [Histonet] (no subject)
> 
> 
> Hello everyone,After being home from the NSH for a few weeks I have been 
> pondering an issue that I think bears discussion on the histonet.There have 
> been several papers published regarding "floaters" and the amount determined 
> to come from traditional staining buckets. There was also a poster presented 
> at the NSH this year on the subject.When I approached several vendors of H&E 
> stainers about this issue. The answers were surprisingly pretty much the 
> same. It is not an issue! Now I understand how one company can make this 
> claim as their stainer uses fresh stain on each slide. The explanations from 
> the other companies were insulting and just plain did not make sense to me. I 
> was told by a Histo tech vendor that "All Histo techs know that floaters come 
> from the water bath." Well, she was talking to a histo tech and I know for a 
> fact that floaters come from a variety of places. I have seen them from the 
> doctor's office or procedure room to the stainer and every step in between. 
> Sometimes if the "floater" is in the block it is very difficult to determine 
> where it originated. We can however eliminate the water bath and stainer as 
> the origin in these cases. One company told me that the design of the 
> solution bottle eliminated floaters because floaters float and their stainer 
> draws solutions from the bottom of the bottle. I have probably changed 
> thousands of staining dishes during my 40+ year career (yes, I am old) and I 
> have seen lots of little pieces of tissue at the bottom of the staining 
> dishes. So, no, not all floaters float. I would love to hear feedback from 
> others on this. I guess I would appreciate feedback about the floater issue 
> as well as how a few vendors can make such claims and expect Histology techs 
> to buy it. I really felt that a few comments were insulting to our profession 
> and to the knowledge and expertise we possess. JanOmaha 
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[Histonet] job opening at Vanderbilt University Medical Center

2011-09-28 Thread CHRISTIE GOWAN

Dear Netters,
I am posting this for a friend who is not on Histonet. The following is a link 
to a job opening at Vanderbilt University Medical Center. Please respond to the 
link if interested.
 
 
https://www.recruitingcenter.net/Clients/vanderbiltjobs/PublicJobs/controller.cfm?jbaction=JobProfile&job_id=30391

 


(ANOTHER LINK: http://www.jobtarget.com/link.cfm?c=SFrHQBOw83vA )
 
Thanks,
Christie Gowan
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RE: [Histonet] Re:2

2011-09-07 Thread CHRISTIE GOWAN

Sorry to all my histonet friends. Someone hacked my email account and is 
sending out all these lovely little smam monsters. I have since addressed the 
issue and I hope it has stopped. Please let me know if you are still getting 
the little gifts and I will have to take more drastic measures. 
 

> From: tmallo...@hotmail.com
> To: ejmal...@gmail.com; j...@rocketmail.com; e...@bestpiti.com; 
> xdgent...@sbcglobal.net; histonet@lists.utsouthwestern.edu
> Date: Wed, 7 Sep 2011 05:44:54 -0400
> CC: 
> Subject: [Histonet] Re:2
> 
> ..Yeah! It’s really cool! This site is everything you need! 
> http://niftytrends.megabyet.net/friends.page.php?afriend_id=37og9
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RE: [Histonet] Automatic H&E stainer with coverslipper (glass)

2011-09-01 Thread CHRISTIE GOWAN

We currently use the Symphony from Ventana and the Leica with attached glass 
coverslipper. We are happy with both. We use the Leica to do research and the 
Symphony to do all routine clinical work. 
 

> Date: Wed, 31 Aug 2011 18:23:54 -0700
> From: ernestinemiddle...@yahoo.ca
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Automatic H&E stainer with coverslipper (glass)
> 
> Hi;
> Looking and need comments on those of you that are using combination H&E 
> stainer with glass coverslipper.  
> Thank you.
>  
> Ernestine Middleton, Manager,  HT, HTL ,BS ,MPA
> Montefiore Medical Center
> Bronx, New York
> 718-920-4157
> emidd...@montefiore.org
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RE: [Histonet] RE: Specimen Collection Instructions

2011-07-07 Thread CHRISTIE GOWAN

We have a website at our hospital that is accessible to all physicians and 
nursing staff for collection of all specimens. We call the website LabSource.
 

> From: trathbo...@somerset-healthcare.com
> To: mpe...@grhs.net; histonet@lists.utsouthwestern.edu
> Date: Thu, 7 Jul 2011 19:36:15 +
> CC: 
> Subject: [Histonet] RE: Specimen Collection Instructions
> 
> We have the basic specimen requirements (taken from our procedure manuals) 
> from each of the Lab areas, and place them in a binder for each of the 
> Nursing units. So whether it is a fluid or a tissue specimen, or if it 
> requires special handling or collection, it is in this manual. If something 
> arrives collected improperly, the unit manager is notified and a specimen 
> incident report is generated.
> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu 
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence
> Sent: Thursday, July 07, 2011 2:55 PM
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Specimen Collection Instructions
> 
> How has everyone handled this question GEN.40104 Instructions are distributed 
> to physicians and paramedical personnel for proper collection, handling, 
> transportation, and preparation of cytologic and tissue specimens.
> 
> I feel this question is asking me to spell out to a Dr how to collect his/her 
> specimens. To me this is like telling him/her how to practice medicine.
> 
> I hope someone would like to share what you have seen that works.
> 
> Thanks, Mike
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RE: [Histonet] Request to help for rat eye histology

2011-07-07 Thread CHRISTIE GOWAN

Are you fixing the eyes in Davidson's? We found that using this fixative which 
I would have to look up since it has been so long since I did rat eyes helped 
maintain better morphology.
 

> From: himanshu.gu...@ucdenver.edu
> To: histonet@lists.utsouthwestern.edu
> Date: Thu, 7 Jul 2011 11:37:39 -0600
> Subject: [Histonet] Request to help for rat eye histology
> 
> Hi
> 
> I need an advice from all experts there on histology of Rat eye.
> 
> I need to take clear section of eye (cross section) so that I can see each 
> layer of cells clearly. Please advise me step by step process to prepare the 
> histology slides/sections of rat eye.
> 
> I try it many times but I am not able to get the clear sections, the 
> cells/layers got broken.
> 
> Regards
> 
> himanshu
> 
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RE: [Histonet] RE: Tissue Cassette Printer Recommendations

2011-07-07 Thread CHRISTIE GOWAN


 The Sakura and the Leica are the same system as they share a patent (this is 
what I am told). We use the Leica IPC for our cassettes and we have the Vantage 
system. We did a demo of the Thermo printer but were not happy with the speed 
and the fact that we would need to change who we order cassettes from. We did 
change the color of our routine cassettes from blue to white as the white 
scanned better at the vantage stations. We still use blue but only for autopsy 
cases. We use the Vantage system at the printer to scan in the patient bar 
code, choose a hopper with the color we want and hit print all. So far it has 
worked quite well.
Christie Gowan
cgo...@uabmc.edu
 

  
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RE: [Histonet] How many tissues an histo tech is suppose to cut per

2011-06-27 Thread CHRISTIE GOWAN

The proper way to do this would be to time each tech in your lab as to how many 
blocks they can cut in one hour. Take everyones number of blocks and do an 
average for your lab. The average for my lab is 2.15 minutes per block. I 
compiled these numbers in an effort to determine what our labor costs are, not 
to set an expectation for productivity. I have some people who cut really fast 
and some who cut slow. I am curious as to how your management came up with 
these numbers and are any of them histotechs??
 Christie

 

> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu 
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joanne
> Sent: Saturday, June 25, 2011 2:50 PM
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] How many tissues an histo tech is suppose to cut per
> 
> 
> 
> i've only been working 2 months. although older, i am new as a histotech 
> (graduated in may 2010, found a job in april 2011). seems management is 
> setting a goal of a block per minute as far as cutting goes for me. i have 
> until october to attain this goal. this minute for cutting is to include 
> facing, writing out slides, cutting, and putting tray into symphony stainer 
> (not to mention getting up to answer the phone, fielding questions regarding 
> send-out cases, and other slight "cutting interruptions). this seems an 
> extreme, possibly unattainable goal. i'm up for a challenge at age 53, but 
> any advice would be SWONDERFUL :) 
> 
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RE: [Histonet] Keeping Histo room floor clean?

2011-06-15 Thread CHRISTIE GOWAN

We use a razor blade scraper but we turn it around and use the dull side.
 

> Date: Wed, 15 Jun 2011 08:59:21 -0500
> From: sgoe...@mirnarx.com
> To: histot...@imagesbyhopper.com; rosenfeld...@hotmail.com
> Subject: RE: [Histonet] Keeping Histo room floor clean?
> CC: histonet@lists.utsouthwestern.edu
> 
> You can buy this type of thing too if you aren't the McGiver type. For
> instance...from American Mastertech item # CPW04200E
> 
> Sarah Goebel-Dysart, BA, HT(ASCP)
> Histotechnologist
> Mirna Therapeutics
> 2150 Woodward Street
> Suite 100
> Austin, Texas 78744
> (512)901-0900 ext. 6912
> 
> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
> histot...@imagesbyhopper.com
> Sent: Tuesday, June 14, 2011 7:50 PM
> To: JR R
> Cc: 
> Subject: Re: [Histonet] Keeping Histo room floor clean?
> 
> We don't keep it off the floor, but do use a wide-bladed putty knife
> attached to a mop handle to scrape the residual wax off the floor. It
> woks quite nicely and doesn't remove the actual floor wax like a razor
> blade scrapper would.
> 
> Michelle
> 
> Sent from my iPhone
> 
> On Jun 14, 2011, at 6:44 PM, JR R  wrote:
> 
> > 
> > We keep getting a lot of paraffin on the floor of one histo
> room--especially around the microtome and the embedding station.
> > 
> > Short of laying down a tarp, what do folks do keep wax off of the
> floor?
> > 
> > Thanks,
> > 
> > Jerry Ricks
> > Research Scientist
> > University of Washington
> > Department of Pathology
> >
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RE: [Histonet] ANATOMIC Pathology

2011-06-14 Thread CHRISTIE GOWAN

Sara,
I have truly enjoyed this thread. Thanks for getting it started. Best of luck 
to you in the future.
 
 
Christie Gowan HT(ASCP)
Histology Supervisor
Surgical Pathology Laboratories
UAB Hospital
(205) 934-4991
cgo...@uabmc.edu

 

> Date: Tue, 14 Jun 2011 12:35:25 -0600
> From: sbree...@nmda.nmsu.edu
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] ANATOMIC Pathology
> 
> With one exception (who shall remain nameless unless you want to send me
> another $5.00...), the Consensus of Professional Opinion Including the
> Samurai Pathologist (The Knower of All Things Histologic[al]) - I
> christen thee ANATOMIC Pathology. And thank you, all, for allowing me
> my leap across to the Land of Nonsensic[al]ness). I feel so much
> better for having caused a ripple in the cosmic continuum. Without
> further ado, I shall count my money and dream of that pathologist-less
> island (sorry, guys).
> 
> 
> 
> Sally Breeden, HT(ASCP)
> 
> New Mexico Department of Agriculture
> 
> Veterinary Diagnostic Services
> 
> 1101 Camino de Salud NE
> 
> Albuquerque, NM 87102
> 
> 505-383-9278 (Histology Lab)
> 
> 
> 
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RE: [Histonet] cost to produce one block

2011-05-19 Thread CHRISTIE GOWAN

Hi Martha,
She is getting different responses because institutions pay different amounts 
for their consumables depending on the quantity they use and any vendor 
agreements they may have. I broke down my cost by utilizing a years worth of 
purchasing information and number of blocks produced for that year. The 
information included all the consumables used to produce a paraffin block as 
well as labor. We actually broke down the cost for everything from grossing to 
glass slide for each CPT code. Of course one does not need to use a whole years 
worth of data but that is how I did it. I would be happy to help her if she 
wants to talk about it off line. Thanks.
Christie Gowan
UAB Hospital
205.934.4991
cgo...@uabmc.edu
 
> From: mw...@wfubmc.edu
> To: histonet@lists.utsouthwestern.edu
> Date: Thu, 19 May 2011 19:26:47 +
> Subject: [Histonet] cost to produce one block
> 
> I am posting this question for a co-worker. She is attempting to calculate 
> the cost of producing one formalin-fixed, paraffin embedded block. She has 
> the amount of personnel time it takes but is having trouble with the 
> reagents, etc. While we know there are lots of variables she is wondering if 
> anyone would be willing to share this information with her. She is getting 
> differing numbers and is trying to figure out which amount is most correct. 
> Any responses will be kept confidential.
> 
> Thanks!
> 
> 
> Martha Ward, MT (ASCP) QIHC
> Assistant Manager
> Molecular Diagnostics Lab
> Dept. of Pathology
> Wake Forest University Baptist Medical Center
> Winston-Salem, NC 27157
> 336-716-2104
> 
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[Histonet] Dako Coverstainer System

2011-03-17 Thread CHRISTIE GOWAN

Is anyone using this stainer and what are your thoughts? I have concerns about 
the reagents being so close to the ground. This stainer also locks you into 
purchasing Dako hematoxylin, bluing and eosin. Thanks.
Christie  
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RE: [Histonet] Histology Workflow Solutions

2011-02-28 Thread CHRISTIE GOWAN

Hi Dana,
I can't speak to the Elekta module but I have used the Vantage system for over 
a year now. We generate a bar code at accessioning that is used throughout the 
entire process to make cassettes, gross, embed, section, stain and turn out. We 
do not batch during any of the process other than the 20 slides we put in our 
staining tray. We scan each block at microtomy as we section which prints a 
label that we affix to the slide when we pick up the section. We have virtually 
eliminated errors at all stations. We were able to see quite an improvement in 
turn around times as well as tracking our specimens. This system also allows us 
to track quality issues anywhere in the process. Please feel free to contact me 
if you have further questions.
Christie Gowan
University of Alabama at Birmingham
Surgical Pathology
205 934 4991
 
> Date: Mon, 28 Feb 2011 09:41:02 -0500
> From: dana.spen...@pcmh.com
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Histology Workflow Solutions
> 
> I am currently investigating workflow solutions for our Histology Lab 
> incorporating bar code labeling. We use the PowerPath/ Elekta AP System. I am 
> looking into Elekta's AMP Module vs Ventana's Vantage system. I would welcome 
> any comments on these systems and how they work in your lab or if you use 
> something else. I would also welcome any suggestions or comments on how you 
> label slides...Do you batch print and scan barcodes of the blocks and slides 
> at the microtome? Do you scan blocks at the microtome and print labels there 
> for the slides? Do you scan blocks at the microtome and print slides at the 
> microtome? You may email directly if you prefer. Please share! Thanks in 
> advance for your help and feedback!
> 
> Dana
> 
> --
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RE: [Histonet] FW: What % of IHC Stains Should You Expect to Repeat?

2010-11-16 Thread CHRISTIE GOWAN

Send the colon cancer control out and compare your results to the send out. If 
they are the same then you have an argument.
 
> From: wanda.sm...@hcahealthcare.com
> To: histonet@lists.utsouthwestern.edu
> Date: Tue, 16 Nov 2010 13:07:28 -0600
> Subject: [Histonet] FW: What % of IHC Stains Should You Expect to Repeat?
> 
> 
> 
> WANDA G. SMITH, HTL(ASCP)HT
> Pathology Supervisor
> TRIDENT MEDICAL CENTER
> 9330 Medical Plaza Drive
> Charleston, SC 29406
> 843-847-4586
> 843-847-4296 fax
> 
> 
> This email and any files transmitted with it may contain PRIVILEGED or 
> CONFIDENTIAL information and may be read or used only by the intended 
> recipient. If you are not the intended recipient of the email or any of its 
> attachments, please be advised that you have received this email in error and 
> that any use, dissemination, distribution, forwarding, printing, or copying 
> of this email or any attached files is strictly prohibited. If you have 
> received this email in error, please immediately purge it and all attachments 
> and notify the sender by reply email or contact the sender at the number 
> listed.
> 
> 
> _
> From: Smith Wanda
> Sent: Tuesday, November 16, 2010 1:59 PM
> To: 'histonet-requ...@lists.utsouthwestern.edu'
> Subject: What % of IHC Stains Should You Expect to Repeat?
> 
> 
> Good Afternoon,
> I am having an issue with my Pathologist who thinks when the patient tissue 
> on an IHC stain doesn't "look like what he thought it should look like", he 
> then wants to stop doing Immunos and send everything out This may happen 
> about twice a month, but the control always stains beautifully. We recently 
> had the stainer serviced and the drop zone was adjusted to alleviate any 
> problems with distribution of the solutions. On a recent test slide of a new 
> control block of colon cancer, he also didn't like that CD X2 did not stain 
> some of the tissue components, but the rest of the tissue on the test slide 
> stained beautifully. Please advise me on what to say to this Pathologist.
> Thanks,
> Wanda
> 
> WANDA G. SMITH, HTL(ASCP)HT
> Pathology Supervisor
> TRIDENT MEDICAL CENTER
> 9330 Medical Plaza Drive
> Charleston, SC 29406
> 843-847-4586
> 843-847-4296 fax
> 
> 
> This email and any files transmitted with it may contain PRIVILEGED or 
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RE: [Histonet] Leica ST5010/ST5020 vs Ventana Symphony

2010-08-12 Thread CHRISTIE GOWAN

Hi Olivia,
We currently use the Symphony stainer and based on our lab's needs, we love it. 
When choosing a stainer, you need to look at what your needs are. We stained so 
many racks of slides a day on our old Leica Autostainer that we were constantly 
changing solutions. Also, if we put more than 4 racks at a time on to stain, it 
bogged down the whole process. We used a separate oven to dry in so we were 
getting up to load the oven, getting up to load the stainer, getting up to 
change solutions and so we were making a lot of steps for one process. The 
Symphony is an enclosed system that contains 3 stainers, 2 ovens, one 
coverslipper and a bar code reader. When you purchase the system you are locked 
into their reagents so you need to see if this is cost effective for your lab. 
We were able to eliminate one position after purchasing the Symphony as well as 
our need to pay for waste disposal. I will say that we also use the vantage 
system in our lab and that has also impacted our eliminating the one position. 
We still use our Leica stainer and coverslipper for research and education and 
for a backup if the Symphony is down. They are both good stainers and each have 
their pros and cons. The other issue to think about is size and real estate. 
The Leica's are benchtop stainers and the Symphony is a stand alone which needs 
to be vented as well as distilled water flow. Hope this helps you a little.
Christie Gowan
UAB Medical Center
Birmingham, AL
 
> Date: Wed, 11 Aug 2010 12:58:32 -0700
> From: quaker...@gmail.com
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Leica ST5010/ST5020 vs Ventana Symphony
> 
> For those of you who currently use or have used any of these instruments:
> Why did you chose it and how do you like? If you've used both, which do you
> like better and why or why not?
> 
> We're currently manually testing. We're considering moving our lab into this
> century and need a little advice.
> 
> Thank you!
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RE: [Histonet] Symphony

2010-03-25 Thread CHRISTIE GOWAN

Kelly,

We have had the Symphony since last October and I would be happy to answer any 
questions you might have. Our experience has been very good as a whole. Let me 
know what your specific questions are and I will be happy to answer them.
 
> Date: Thu, 25 Mar 2010 06:05:25 -0700
> From: kdboydhi...@yahoo.com
> To: Histonet@lists.utsouthwestern.edu
> CC: 
> Subject: [Histonet] Symphony
> 
> I was wondering who out there in Histo Land is using or has used the Ventana 
> Symphony H&E stainer and what their experiences have been. Thanks in advance!!
> 
> 
>  
> Kelly D. Boyd, BS, HTL (ASCP)
> Lab Manager
> Harris Histology Services
>  
> Tele (252)-830-6866
> (800)-284-0672
> Cell  (252)-943-9527
> Fax  (252)-830-0032
>  
>  
>  
>  
>  
> 
> 
> 
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[Histonet] Fire in the lab

2010-02-26 Thread CHRISTIE GOWAN

 

Dear Histonet Friends,

I just wanted to share an incident we recently had with an old paraffin pot. 
One of my techs came in on Sunday to embed some tissues, went into the 
processor room and smelled something burning. He noticed our old paraffin pot 
had charred looking labels on the outside so he went over, opened the lid and 
poof!!! the pot went up in flames. The thermostat had gone haywire and heated 
the paraffin to flash point. Opening the lid gave it the oxygen it needed to 
ignite. He triggered the alarm, made the appropriate call and then put it out 
with an extinguisher. Of course it kept re-igniting because he could not get 
behind it to pull the plug. The fire dept finally was able to get it pulled out 
and unplugged. Needless to say the tech was shaken and the room was a mess. I 
applaud his courage and am not sure I would have done the same. There was 
enough xylene and alcohol on the 4 processors to cause quite an explosion but 
everything else was in a flammable cabinet. I was wondering if this type of 
thing had ever happened to anyone else?? Needless to say, we have 
de-comissioned all old paraffin pots and will order only those with over temp 
safety features. I guess I just wanted to remind everyone that fires can happen 
in the lab and do probably more often than we hear about. This was the first 
time for me and I have been in this business for over 20 years. Take care and 
be safe.

Christie Gowan HT (ASCP)
  
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RE: [Histonet] Microwave processors

2010-02-06 Thread CHRISTIE GOWAN

Please include me on this as well. I have done quite a bit of research but am 
interested in what anyone has to say.

Thanks,

Christie
 
> Date: Fri, 5 Feb 2010 16:09:43 -0800
> From: jeff.rin...@providence.org
> To: Histonet@lists.utsouthwestern.edu
> CC: 
> Subject: [Histonet] Microwave processors
> 
> I am looking for information on the sakura microwave processor. We are 
> considering getting one, but before that I would like to hear some opinion on 
> the system(good or bad). I would also like to hear how it effected the work 
> flow .
> Thank you
> Jeff Lead HT (ASCP)
> Sacred Heart Med Center
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RE: [Histonet] Help! Losing sections from Superfrost Plus Slides

2009-12-09 Thread CHRISTIE GOWAN

I would suggest you check the lot#. You may have received a bad lot and need to 
get them replaced by the vendor. 
 
>> 
> Hi all,
> 
> We have suddenly started losing tissue sections from our Superfrost Plus 
> Slides. 
> Our students have been cutting fixed, frozen, cryosections (20um) and 
> thaw-mounting these onto Superfrost Plus slides.  We have suddenly started 
> losing lots of sections from these slides (again!!).  The tissue is small - 
> ie cross sections of frog aorta and longitudinal sections of nerves, so any 
> lose of adhesion results in total loss of the tissue.  The odd thing is that 
> she is not losing every section on every slide, but half to 3/4 of the 
> sections are falling off within the first rinse.  The sections are from the 
> same tissue block on the same slide while some falls and others don't.
> 
> We are at a lose as to what we can do to rescue these sections.
> 
> Does anyone know if there is any way to coat the slides in some solution with 
> the tissue on them to help improve the adhesion without losing the ability to 
> do immunofluorescence?
> 
> Any further advice on cutting / drying protocols are welcomed. 
> This keeps happening and the inconsistency of it has us so frustrated with 
> this that we are thinking of going back to subbing our own slides.
> 
> Thanks for your help!
> 
> Angelina
> 
> 
> -- ~~o~~o~~o~~o~~o~~o~~o~~o~~o~~o
> 
> Angelina Y. Fong, Ph.D.
> Department of Zoology
> Biological Sciences Building
> 6270 University Boulevard
> University of British Columbia
> Vancouver, BC, V6T 1Z4
> Canada 
> Ph:  (604) 822-5799
> Fax: (604) 822-2416
> Email: f...@zoology.ubc.ca
> 
> 
> 
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> 
> 
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RE: [Histonet] (no subject)

2009-12-03 Thread CHRISTIE GOWAN

His skill set should be fine for any lab setting. I have worked in hospital 
labs and animal only private labs and had no problems. 

Christie
 
> From: j...@opssearchgroup.com
> To: histonet@lists.utsouthwestern.edu
> Date: Thu, 3 Dec 2009 14:48:31 -0500
> Subject: [Histonet] (no subject)
> 
> Histonetters,
> 
> I am hoping you folks can provide an opinion. I am assisting an individual 
> who has a Biology degree, HTL certification and for the past 3 years worked 
> in the histology section of a private lab where they cut, embedded and 
> stained animal tissues. He would like to transition to a hospital lab. Is 
> there any reason his skill set and knowledge would be incompatible with his 
> desired new ambition?
> 
> Jeri Vitello
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RE: [Histonet] cryojane tap transfer system

2009-11-23 Thread CHRISTIE GOWAN


 Hi Richard,

I am assuming that you are using the flash in the cryojane system to adhere the 
specimen to the slide. Make sure your tape is not too old and don't store it in 
the cryostat. It sounds like you are able to get the section but unable to get 
it to adhere. Make sure you pass your roller over the tape and slide several 
times before putting it under the flash and always use a positive charged slide 
from a freshly opened box. Good luck. I hope this helps a little

Christie
  
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RE: [Histonet] Block Verification

2009-08-24 Thread CHRISTIE GOWAN

You would send out for DNA fingerprinting. We have used the Cleveland Clinic 
for this. 

Christie 
 
> From: janice.maho...@alegent.org
> To: gdaw...@dynacaremilwaukee.com; histonet@lists.utsouthwestern.edu
> Date: Mon, 24 Aug 2009 13:41:40 -0500
> Subject: RE: [Histonet] Block Verification
> CC: 
> 
> Glen,
> We had the same situation about a year ago. We sent the block and a bucal 
> smear out for DNA analysis.
> Now we have the Vantage system to assure positive patient id. Check into it. 
> It saves time and worry and assures patient safety.
> Jan
> 
> -Original Message-
> From: histonet-boun...@lists.utsouthwestern.edu 
> [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawson, Glen
> Sent: Monday, August 24, 2009 1:05 PM
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Block Verification
> 
> All,
> 
> Our histology lab would like to verify that 2 paraffin blocks are from the 
> same person to calm a pathologist's fears. Does anyone know of a good test 
> for this purpose...PCR of some sort perhaps?? Any suggestions would be 
> greatly appreciated.
> 
> Thank-you In Advance,
> 
> Glen Dawson BS, HT & QIHC (ASCP)
> IHC Manager
> Milwaukee, WI
> 
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RE: [Histonet] Re: Inactivation of DAB

2009-06-17 Thread CHRISTIE GOWAN

Hi Peggy,

You wrote:
 


> We have started doing routine immunohistochemistry on our stainer and have a
> large waste container that includes diaminobenzidine (DAB). 
> 
> We would like to inactivate it so we don't have to pay to have the waste
> removed. Can anyone help me? What do people use to inactivate their DAB?

 

May I suggest that you access the histonet archives where you will be able to 
see all the previous discussions on this topic.

 

The responses were many and varied depending on different lab types and 
locations. Good luck with your search.

 

Respectfully,

Christie Gowan

Surgical Pathology

University of Alabama Hospital 



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RE: [Histonet] TMA tape sectioning system

2009-03-27 Thread CHRISTIE GOWAN

The tape is made by instrumedics and the system is the cryojane tape transfer 
system.

Christie 
 
> From: b-freder...@northwestern.edu
> To: histonet@lists.utsouthwestern.edu
> Date: Fri, 27 Mar 2009 13:39:06 -0500
> Subject: [Histonet] TMA tape sectioning system
> 
> 
> 
> Does anyone out there remember who had the nifty sectioning tape for TMA's?
> Or does anyone use it? The vendor was at the NSH meeting last fall. 
> 
> Thanks,
> 
> Bernice
> 
> 
> 
> Bernice Frederick HTL (ASCP)
> 
> Northwestern University
> 
> Pathology Core Facility
> 
> ECOGPCO-RL 
> 
> 710 N Fairbanks Court
> 
> Olson 8-421
> 
> Chicago,IL 60611
> 
> 312-503-3723
> 
> 
> 
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RE: [Histonet] (no subject)

2009-03-05 Thread CHRISTIE GOWAN

We run a third shift with 2 people and they do all the biopsies and stat 
specimens. This works great if you can keep the shift staffed. I have had to 
replace 5 people in 2 years. I am currently looking into getting a rapid 
processor so I do the biopsies during the day and totally eliminate my night 
shift. I would also like to add that the 3rd shift is not a very family 
friendly shift so it truly takes someone with special circumstances to stay 
with it for very long.

Christie

UAB Hospital 

Birmingham
 
> Date: Thu, 5 Mar 2009 12:54:55 -0500
> From: aev...@wellspan.org
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] (no subject)
> 
> Does anyone run a third shift in their lab to relieve some stress on the 1st 
> shift crew?? I am looking in to running one person on third. I would like to 
> know how it is working for you, has it reduced costs, has it increased turn 
> around time...ect. Thanks!!
> 
> 
> Andria B Evans, HTL(ASCP)CM
> Anatomic Pathology
> York Hospital
> 1001 S. George Street
> York, PA 17405
> 717-851-5006
> 
> "You can learn a lot more from listening than you can from talking. Find 
> someone with whom you don't agree in the slightest and ask them to explain 
> themselves at length. Then take a seat, shut your mouth, and don't argue 
> back. It's physically impossible to listen with your mouth open." -John Moe
> 
> "Maturity is accepting imperfections."
> 
> CONFIDENTIALITY NOTICE: 
> 
> This email may contain confidential health information that is legally 
> privileged. This information is intended for the use of the named 
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RE: [Histonet] LabVision/Dako Autostainer

2009-01-23 Thread CHRISTIE GOWAN

Hey Vinnie,
We have 2 lab visions and we also experienced this problem. They came in and 
changed the level sensors and we have not had the problem since. 
Christie
UAB Hospital
Birmingham, AL> From: del...@musc.edu> To: histonet@lists.utsouthwestern.edu> 
Date: Fri, 23 Jan 2009 15:13:36 -0500> Subject: [Histonet] LabVision/Dako 
Autostainer > > We have earlier generation Dako Autostainers and are evaluating 
a current generation LabVision stainer. New or old we have experienced 
occasions when this instrument design has failed to dispense reagent. This 
seems to occur randomly or if there is a pattern we haven't figured it out. 
I've recently learned that some owners of the Biocare Nemesis which is 
essentially the same instrument have also encountered this problem.> > The arm 
will travel to the correct slide but nothing dispenses from the probe, then the 
arm moves on its way. > > I'd appreciate learning if others have experienced 
this problem and if a solution to the problem was discovered I hope you'll 
share it with me.> > > > Vinnie Della Speranza> Manager for Anatomic Pathology 
Services> Medical University of South Carolina> 165 Ashley Avenue Suite 309> 
Charleston, South Carolina 29425> Tel: (843) 792-6353> Fax: (843) 792-8974> > > 
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RE: [Histonet] Sakura tape problem

2008-11-21 Thread CHRISTIE GOWAN


  Sorry about the name.  I meant Cheryl. TGIF
  __

From:  "CHRISTIE GOWAN" <[EMAIL PROTECTED]>
To:  [EMAIL PROTECTED], [EMAIL PROTECTED]
Subject:  RE: [Histonet] Sakura tape problem
Date:  Fri, 21 Nov 2008 19:35:49 +
>
>
>__
>
>   Cherly,
>
>   I  had  this  same problem a while back with an outside slide
>that had
>   been sent to us for consultation. I even called the company to
>get any
>input  from  them. No luck.  My final solution was to trim the
tape
>down
>to  just  the area where the section was located. I sandwiched
the
>tape
> between  the  glass  slide  and   a   glass  coverslip  using
mounting
>media
>   only. I used a paper clamp to secure it until it dried. Do not
>use any
>   xylene.  This will cause the tissue to start floating off the
>tape and
>   scatter around. It can be pretty messy so don't use too much
>mountant.
>   Good luck and let us know if you get any better solutions.
>
>   Christie
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RE: [Histonet] Sakura tape problem

2008-11-21 Thread CHRISTIE GOWAN


  __

  Cherly,

  I  had  this  same problem a while back with an outside slide that had
  been sent to us for consultation. I even called the company to get any
  input from them. No luck.  My final solution was to trim the tape down
  to  just the area where the section was located. I sandwiched the tape
  between  the  glass  slide  and a glass coverslip using mounting media
  only. I used a paper clamp to secure it until it dried. Do not use any
  xylene.  This will cause the tissue to start floating off the tape and
  scatter around. It can be pretty messy so don't use too much mountant.
  Good luck and let us know if you get any better solutions.

  Christie
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Re: [Histonet] CAP Question

2008-09-24 Thread CHRISTIE GOWAN

I agree with Angela and this has always been ok for my CAP inspections.



From: "Angela Bitting" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>,
Subject: Re: [Histonet] CAP Question
Date: Wed, 24 Sep 2008 15:49:58 -0400

I sign off on all of our daily maintenance/temperature charts at the end of 
each month. I interpret in this  question that "instrument maintenance " 
means the daily or monthly maintenance that we do ourselves in the lab. 
Such as, changing solutions on our processors and stainers.


Angela Bitting, HT(ASCP)
Technical Specialist, Histology
Geisinger Medical Center
100 N Academy Ave. MC 23-00
Danville, PA 17822
phone  570-214-9634
fax  570-271-5916

No trees were hurt in the sending of this email
However many electrons were severly inconvienienced!


>>> <[EMAIL PROTECTED]> 9/24/2008 3:26 PM >>>
I am going through the CAP checklist and came upon this question:

ANP23075:? Is there evidence of ongoing evaluation of results of instrumetn 
maintenance and function for all devices?


The question before it asks if service reports are kept and they are.? How 
do I respond to this question other than the equipment works after being 
serviced!!!? Any ideas?


Thank you,
Ann
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RE: [Histonet] NSH IHC Qualification Exam Class

2008-09-24 Thread CHRISTIE GOWAN
Ethel Macrea taught the class at NSH and if you want the handout you can 
email her directly at
[EMAIL PROTECTED] She no longer subscribes to the histonet so was not 
aware of these requests.




From: "Evans, Andria B." <[EMAIL PROTECTED]>
To: 
Subject: [Histonet] NSH IHC Qualification Exam Class
Date: Tue, 23 Sep 2008 13:28:13 -0400

I was wondering if anyone could send me the handouts from the IHC 
Qualification class that was presented at the NSH Convention?  I wanted to 
take that class, but ended up taking others.  Please email me if you have 
them.  Thanks!


Andria B Evans, HTL(ASCP)CM

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