RE: [Histonet] Input on Sakura E150 Purchase

2014-02-28 Thread Dessoye, Michael J
Another +1 for the VIP E300 (very similar model).  We have one that's close to 
20 years old that's still running.  It has an annual PM and any repairs have 
been minor.  I have been told that part availability isn't yet an issue with 
this model.


Michael J. Dessoye, M.S. | Histology/Toxicology/RIA Supervisor | Wilkes-Barre 
General Hospital | An Affiliate of Commonwealth Health | 
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre, PA 18764 
| Tel: 570-552-1432 | Fax: 570-552-1526 



-Original Message-
From: margaret chadwell [mailto:m_chadw...@hotmail.com] 
Sent: Wednesday, February 26, 2014 4:57 PM
To: histonet@lists.utsouthwestern.edu; histonet-requ...@lists.utsouthwestern.edu
Subject: [Histonet] Input on Sakura E150 Purchase








Sent from Windows Mail

Hello Histonet,

Does anyone have input on the Sukura E150 tissue processor? Our research lab is 
looking at purchasing a used model from Rankin Biomedical, but we were 
concerned about the age of the unit, 17 years old. They mentioned it is totally 
refurbished, will give a one year warranty, say it’s a reliable unit, and parts 
are available for servicing. 

Any info or suggestions would be greatly appreciated. Like so many we are on a 
limited budget so we can’t buy new. Thank you in advance!

Margaret Chadwell

LIAI

La Jolla, Ca
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RE: [Histonet] Cell Block Preparation

2013-09-06 Thread Dessoye, Michael J
We have had mixed results in the past with cell blocks, but currently we
are filtering the fluid through a biopsy bag and processing that.  We
seem to be retaining more specimen with that method (we have used
sponges and lens paper in the past).

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 

-Original Message-
From: Ann Specian [mailto:thisis...@aol.com] 
Sent: Thursday, September 05, 2013 12:45 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cell Block Preparation


I am getting complaints in regard to insufficient cell blocks.  We
currently spin, pour off the supernatant, retrieve the sediment and
process in lens paper.

Does anyone have a more current technique which renders better
cellularity?

Also, do you know which renders a better cell block:  a fresh specimen,
a specimen fixed in Cytolyt or a specimen fixed in 10% NBF?

Thanks,
Ann

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RE: [Histonet] Hardware from surgery

2013-08-05 Thread Dessoye, Michael J
We retain for two years post sign-out.  If the patient is a minor, then
until their 18th birthday plus two years.

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 


-Original Message-
From: anita dudley [mailto:azdud...@hotmail.com] 
Sent: Friday, August 02, 2013 12:33 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Hardware from surgery

What do others do with hardware from surgery?  Do you hold on to it for
a longer period of time because of a possible legal case?   Thanks so
much, everyone have a great weekend!!

 

Anita Dudley

Providence Hospital

Mobile, Al. 36695
  
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[Histonet] IHC on non-charged slides

2013-05-16 Thread Dessoye, Michael J
I'm hoping Histonet can come through for me!  I have an unusual case that I 
need to run IHC on.  Antibody is Pan Keratin Cocktail from Cell Marque with 
recommended protocol on a Benchmark Ultra with i-view detection.  Only problem 
is, I only have two slides and they are not charged.  The tissues have been 
air-dried but not baked.  I cannot obtain more slides.

I'm wondering if there's any kind of pre-treatment I could try to try to help 
the tissue stay on.  We have run slides like this in the past with mixed 
results.  Most of the time, the tissue washes off.

Any tips or tricks that might help out in this situation?



Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General Hospital 
| An Affiliate of Commonwealth Health | mjdess...@commonwealthhealth.net | 575 
N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1432 | Fax: 
570-552-1526 
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RE: [Histonet] RE: Histonet Digest, Vol 113, Issue 30

2013-05-01 Thread Dessoye, Michael J
Surgical Pathology Technologist

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 

-Original Message-
From: Barr,Kaye H [mailto:khb...@mdanderson.org] 
Sent: Tuesday, April 30, 2013 1:49 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: Histonet Digest, Vol 113, Issue 30

What title do most use for someone who does gross and is not a PA?




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
histonet-requ...@lists.utsouthwestern.edu
Sent: Tuesday, April 30, 2013 12:02 PM
To: histonet@lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 113, Issue 30

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When replying, please edit your Subject line so it is more specific than
Re: Contents of Histonet digest...


Today's Topics:

   1. BIG PROBLEM (Behnaz Sohrab)
   2. Re: BIG PROBLEM (Linda)
   3. Yearly Training (Nancy Schmitt)
   4. HIER pressure cookers (k. leigh adams)
   5. RE: HIER pressure cookers (Connolly, Brett M)
   6. RE: HIER pressure cookers (Blazek, Linda)
   7. Re: HIER pressure cookers (Jan Shivers)
   8. RE: 5 gal specimen container search (Hannen, Valerie)
   9. RE: 5 gal specimen container search (Shirley A. Powell)
  10. RE: HIER pressure cookers (dingers...@aplaboratories.com)
  11. AW: [Histonet] BIG PROBLEM (Gudrun Lang)
  12. Processor question - alcoholic formalin vs. buffered  formalin
  (Lake, Kim S)
  13. RE: Processor question - alcoholic formalin vs. buffered
  formalin (Hannen, Valerie)
  14. cassette labelers (Margiotta-Watz, Michele)


--

Message: 1
Date: Mon, 29 Apr 2013 10:36:01 -0700
From: Behnaz Sohrab sohra...@ah.org
Subject: [Histonet] BIG PROBLEM
To: histonet@lists.utsouthwestern.edu
Message-ID: 517e4d11.4347.005...@ah.org
Content-Type: text/plain; charset=us-ascii

Good Morning, We have two Leica HE stainer( old xt-5010 and new 5020).
We do use : Gill's 3 for 6 minutes, 4% Glacial ACETIC Acid 40 seconds
Bluing : 45 sec. We done this for years!! last few months our
Pantologists are complaining about GI Biopsies that they have TOO much
blue in cytoplasma and the Mucin is too purple and blue? Please any
suggestion??
Mean while we are trying the NEW kit from Leica for HE , they think
that is TOO pale?any of you has tried this new stain from Lecia?
With much application.
Behnaz Sohrab, Los Angeles
 

--

Message: 2
Date: Mon, 29 Apr 2013 11:30:38 -0700 (PDT)
From: Linda lmd...@yahoo.com
Subject: Re: [Histonet] BIG PROBLEM
To: Behnaz Sohrab sohra...@ah.org,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu
Message-ID:
1367260238.82176.yahoomail...@web164002.mail.gq1.yahoo.com
Content-Type: text/plain; charset=iso-8859-1

Hi,
?
I would first check with your alcohol and xylene suppliers to see if
they changed anything.? When something?goes south it is usually because
the manufacturer have changed.? This happened with my silver stains.
?
You may have to go back to the basics- harris hematoxylin, acid alcohol,
and eosin y.? Richard Allen 7211 hematoxylin and the rest of their
staining is excellent in these situations until you can get it back
under control.? If you send them slides they will work a time out for
you.
?
If you are using Leica's selectech, which is what I started this lab out
with because I was heavily sampled out,?it has blue nuclei instead of
the traditional purple.? I do 5 minutes in hematoxylin, 30 dips in
clarifier and 1 minute in blue, 55 sec in eosin but I have (2) 95s
after.? They also have a tech dept to help.? I have a Leica autostainer
too.
?
I hope this helps.
?
Linda Dee, HT(ASCP)
?
 


 From: Behnaz Sohrab sohra...@ah.org
To: histonet@lists.utsouthwestern.edu
Sent: Monday, April 29, 2013 12:36 PM
Subject: [Histonet] BIG PROBLEM
  

Good Morning, We have two Leica HE stainer( old xt-5010 and new 5020).
We do use : Gill's 3 for 6 minutes,
4% Glacial ACETIC Acid 40 seconds
Bluing : 45 sec. We done this for years!! last few months our
Pantologists are complaining about GI Biopsies that they have TOO much
blue in cytoplasma and the Mucin is too purple and blue? Please any
suggestion??
Mean while we are trying the NEW kit from Leica for HE , they think
that is TOO pale?any of you has tried this 

[Histonet] SP and CGRP antibodies

2013-04-16 Thread Dessoye, Michael J
Hello everyone,
 
Is anyone out there using a commercially available antibody for SP
(Substance P) and CGRP (Calcitonin gene-related peptide)?  If so, where
do you obtain it?
 
Thanks!
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
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[Histonet] WT1 overstaining on Benchmark Ultra

2013-03-26 Thread Dessoye, Michael J
Hello Histonet,
 
I have two strange occurrences that I'm trying to get to the bottom of.
Running WT1 from Cell Marque on a Benchmark Ultra using iView detection
and the recommended protocol.  Two specimens (both of which happen to be
pleural fluid) severely overstained, even leaving the slide with a brown
background stain.  This has only happened twice, and the slides were on
different positions on different staining runs.  They used the same
antibody and detection kit, however other pleural fluid slides with WT1
are fine.  Other slides that run on the same positions also stain ok.  I
am repeating the stains on the same tissues to try to repeat this but in
the meantime has anyone experienced this condition or have any advice?
 
The only time I've seen this condition before was due to a clogged
vortex mixer, but it affected all the slides and is obviously not the
case here.
 
Thanks!
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
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RE: [Histonet] tissue processor remote alarm systems

2013-02-14 Thread Dessoye, Michael J
I have a Sensaphone unit.  It can handle four different instruments.
When it calls it will give you the phone number it's calling from, the
sensor (instrument) number, and the 'alert condition' (there are
several...for example 1 is power failure, etc.)  Any other questions
about it I'm happy to help.

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 

-Original Message-
From: Morken, Timothy [mailto:timothy.mor...@ucsfmedctr.org] 
Sent: Thursday, February 14, 2013 11:01 AM
To: Histonet
Subject: [Histonet] tissue processor remote alarm systems

I'd like to hear from labs that use a remote messaging system for their
VIP5 tissue processors that are left unattended overnight. One I saw on
old histonet posts is Sensaphone.

I am wondering what kind of information you can get from the system.
Does it just say there is a problem but no details?

Can you connect several processors to one sensing unit? Can it tell the
difference between the units (ie, processor 1 vs processor 4?).

Thanks for any info!

Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies Department
of Pathology UC San Francisco Medical Center


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RE: [Histonet] Xylene Substitutes

2013-02-06 Thread Dessoye, Michael J
We used SubX but have switched to Clear-Rite 3 from Thermo Fisher with
excellent results as well as cost savings.

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 

-Original Message-
From: Adrienne Anderson [mailto:rennie1...@yahoo.com] 
Sent: Tuesday, February 05, 2013 4:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Xylene Substitutes

Hello all,

My lab is looking into xylene substitutes, and I'd love some feedback on
what other labs are using. We currently use SubX, but are there other
items out there more economical?

Thanks,
Adrienne
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RE: [Histonet] Charges for cutting research case

2012-11-08 Thread Dessoye, Michael J
We have worked out a cost for cutting and staining HE's, so we
basically take that cost and mark it up.  

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 

-Original Message-
From: Cheri Miller [mailto:cmil...@physlab.com] 
Sent: Wednesday, November 07, 2012 12:44 PM
To: histonet-boun...@lists.utsouthwestern.edu
Cc: histonet
Subject: [Histonet] Charges for cutting research case

I would like some direction in regards to how to charge a client for
cutting multiple slides and levels  anywhere between 10 to 50 slides per
block of a Technical component case. These would be research cases. Any
help directing me would be greatly appreciated. Thank, Cheri

Cheryl A. Miller HT(ASCP)cm
Histology Supervisor,
Hygiene Officer
Physicians Laboratory Services
4840 F Street
Omaha, NE. 68127-0999
402 731 4145 ext. 554




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RE: [Histonet] Number of blocks

2012-10-25 Thread Dessoye, Michael J
I find it interesting that this issue comes up every so often on
Histonet.  There are so many factors that affect the time it takes to
get a quality section that it seems silly to set an arbitrary number
that techs are expected to reach.  In my opinion, this is trying to find
a way to measure productivity on a process that has too many variables
to be accurately measured.

I can understand the desire to find a way to measure this productivity,
but my number one rule is still quality over quantity.

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 


-Original Message-
From: Dorothy Ragland-Glass [mailto:techman...@yahoo.com] 
Sent: Wednesday, October 24, 2012 8:38 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Number of blocks 

It was annouced by a histo lab manager that techs are expected to cut
40-50 blocks per hour. That seems to me to be rather high. I don't see
quality slides being turned out. It is quantity and profit above patient
care. I am old school, and I remember something about quality and
patient first. Besides  what kind of impact on morality of the techs,
back problems and carpal tunnel syndrom is laying ahead for the cutter
after cranking the microtome repeatedly that many blocks without a
break.
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RE: [Histonet] negative controls

2012-08-02 Thread Dessoye, Michael J
You may be able to omit them, but in our case they are still a detection
that is part of our volume agreement.  I'm not sure if everyone else has
a similar agreement, but omitting the negative controls may affect your
ability to meet a volume commitment. 

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 


-Original Message-
From: Vanessa Perez [mailto:vpe...@pathreflab.com] 
Sent: Thursday, August 02, 2012 8:35 AM
To: anita dudley; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] negative controls

Yes you can, the cap standards just came out Tuesday with the revised
part stating you do not have to run a negative reagent control using
polymer based detection.  Only if you are still using biotin based
detection kits do you need to run the neg. control


Vanessa Perez Garcia
Histology Supervisor
Pathology Reference Lab
210-892-3746
210-892-3732
vpe...@pathreflab.com

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of anita
dudley
Sent: Wednesday, August 01, 2012 4:13 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] negative controls


just wondering if we can start leaving the negative controls off of our
immuno stains now as long
as our procedure says we can stain without them?   we use ventanas
multimer detection systems.
 
thanks so much,
anita dudley
providence hospital
mobile,  alabama
 
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[Histonet] Cost analysis

2012-08-01 Thread Dessoye, Michael J
Hello all,
 
I've been asked to update some dated test cost information.  I need to
come up with a a total cost (materials, burden [common materials] and
labor) for IHC, ISH, special stains, and routine HE (to include
processing, embedding, cutting, staining).  I'm not too concerned with
IHC and special stains, but I'm hoping to get some input regarding
routine HE and associated work because there's a lot of factors to
consider and many are variable.  Has anyone done this, and would mind
providing some thoughts on this process?
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
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[Histonet] IHC Validation

2012-05-04 Thread Dessoye, Michael J
Hello all,
 
A year or so ago, we upgraded from a Benchmark XT to Benchmark Ultra.
For validation, we selected a variety of cases as usual and ran them on
both instruments before we retired the XT.  Now, when we add a brand new
antibody, we again select a variety of cases, and once we're happy with
them on the Ultra we send the same cases to a reference lab for
comparison.  
 
I'm now faced with changing clones for several antibodies.  I expected
to go through pretty much the same validation procedure, but it got me
thinking...the reference lab does not always use the same clone as some
of ours.  I suppose this really wouldn't be a 'true' validation in this
case.
 
Does anyone have any thoughts on this?  The pathologists are perfectly
happy with the staining of the new clone, but the only reference lab I
can use uses a different clone.  Any thoughts on how to perform a good
validation in this case?
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
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[Histonet] RE: IHC Validation

2012-05-04 Thread Dessoye, Michael J
Thank you all for the info.  I agree that in-house validation is the way
to go.  The only reason we had been using an outside reference lab was
due to recommendations during a JC inspection which were applied to our
area, but not really meant for IHC.  The inspector was not a histology
person, so it was a little difficult to get our point across.  But they
were adamant that with only one instrument the slides should be sent out
for comparison.

Thanks everyone!

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 


-Original Message-
From: Morken, Timothy [mailto:timothy.mor...@ucsfmedctr.org] 
Sent: Friday, May 04, 2012 12:02 PM
To: Dessoye, Michael J; histonet@lists.utsouthwestern.edu
Subject: RE: IHC Validation

All you need to do is compare the new clone to your current clone and
show the new clone is concordant with the new clone for sensitivity and
specificity . You don't need to compare to the same clone elsewhere.


Tim Morken
Department of Pathology
UC San Francisco Medical Center
505 Parnassus Ave, Box 1656
Room S570
San Francisco, CA 94132

(415) 353-1266 (ph)
(415) 514-3403 (fax)
tim.mor...@ucsfmedctr.org




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dessoye,
Michael J
Sent: Friday, May 04, 2012 5:51 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC Validation

Hello all,
 
A year or so ago, we upgraded from a Benchmark XT to Benchmark Ultra.
For validation, we selected a variety of cases as usual and ran them on
both instruments before we retired the XT.  Now, when we add a brand new
antibody, we again select a variety of cases, and once we're happy with
them on the Ultra we send the same cases to a reference lab for
comparison.  
 
I'm now faced with changing clones for several antibodies.  I expected
to go through pretty much the same validation procedure, but it got me
thinking...the reference lab does not always use the same clone as some
of ours.  I suppose this really wouldn't be a 'true' validation in this
case.
 
Does anyone have any thoughts on this?  The pathologists are perfectly
happy with the staining of the new clone, but the only reference lab I
can use uses a different clone.  Any thoughts on how to perform a good
validation in this case?
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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RE: [Histonet] Unregistered HT testing

2012-04-18 Thread Dessoye, Michael J
Our interpretation of special stains/IHC/ISH is that it is the
'interpretation' of these stains that is 'high complexity'.  I believe
that CLIA is the place where 'high complexity' is defined (although CAP
may expand on this) and CLIA does not recognize ASCP registration.

Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 


-Original Message-
From: Konop, Nicole [mailto:nko...@chw.org] 
Sent: Tuesday, April 17, 2012 3:37 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Unregistered HT testing

Hello everyone!

I'm just curious to know if anyone is allowing unregistered HT's to do
special stains in their CAP accredited lab?  I have been involved in
discussions regarding high complexity testing.  From the feedback I have
received, special stains and IHC stains are considered high complexity
testing.  I beg to disagree.  I can understand IHC/ISH as high
complexity but I don't think routine special stains fall under that
category.  I'd appreciate any feedback or literature you can reference
for me to review.  Thank you!

Nicole Anne Konop BS, HTL(ASCP)
Histology Team Lead
Children's Hospital of Wisconsin
(414)266-6580 Direct Line
(414)907-0366 Pager
(414)266-2524 Histology Department




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RE: [Histonet] Unregistered HT testing

2012-04-18 Thread Dessoye, Michael J
Just to be clear, I wholly agree with your comments...I am not
downplaying registration by any means, and I think that IHC and ISH
should fall under high complexity.  I think this issue gets downplayed
because in many cases one can 'get by' by putting slides on a stainer
and running it, and that doesn't 'appear' to be high complexity...but
without the background knowledge and understanding that you talked
about, these folks can't troubleshoot issues when they come up or
understand the principles behind the procedures.
 
To get back to the original question, I do know labs that have this
testing performed by unregistered techs...however, they all have degrees
and on-the-job training, so I imagine most would fall into the
'registration eligible' category, and be qualified for high-complexity
testing.  In my opinion, that would meet the CAP requirement.
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
Hospital | An Affiliate of Commonwealth Health |
mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 


From: joelle weaver [mailto:joellewea...@hotmail.com] 
Sent: Wednesday, April 18, 2012 1:17 PM
To: Dessoye, Michael J; nko...@chw.org;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Unregistered HT testing


CLIA does stipulate education requirements though for high complexity( I
don't have it handy, but I do recall it is quite specific).
Yes interpretation differs from performance. But we are not
interpreting for diagnosis anyhow, but we do have to make technical
assessments, corrections,  and I think you need some insight to do that
effectively.  As I recall from CLIA, IHC/ISH is clearly under high
complexity. But I can think of some histochemical staining ( such as
enzyme muscle histochemistry) that might also be considered high
complexity. I know for grossing, it is also an issue. 
 
Even if ASCP certification is not specifically stipulated in CLIA ,  I
think that is is implied , in that the education stipulations are
roughly equivalent to the criteria for HT certification- (associates
with qtr. hours needed in science, chemistry etc). So yes I guess anyone
can learn to put on and take off slides on a stainer and execute any
process or procedure when trained to do so. The rub for me though is
that I personally have observed that when people don't have training or
education in histology ( formal or informal), they don't know how the
stain works, or what it should show,  so they are not adept at review of
stained slides, and are not able to troubleshoot stain problems etc. I
think that this should be part of the expectation, but that is an
opinion,  not I guess actually regulated as a requirement. I do think
that CAP pretty much stipulates this expectation via competency
requirements, but that is how I interpret it. Certification is just a
means to communicate that you have satisfied the criteria, which should
say that you have this underlying knowledge and understanding- knowing
science just forms the basis for this understanding.  I think good in
house laboratory training and competency assessment could be an
alternate route to that goal in places where more academic training
opportunities are scarce. 


Joelle Weaver MAOM, HTL (ASCP) QIHC
 

 Date: Wed, 18 Apr 2012 10:43:22 -0400
 From: mjdess...@commonwealthhealth.net
 To: nko...@chw.org; histonet@lists.utsouthwestern.edu
 Subject: RE: [Histonet] Unregistered HT testing
 CC: 
 
 Our interpretation of special stains/IHC/ISH is that it is the
 'interpretation' of these stains that is 'high complexity'. I believe
 that CLIA is the place where 'high complexity' is defined (although
CAP
 may expand on this) and CLIA does not recognize ASCP registration.
 
 Michael J. Dessoye, M.S. | Histology Supervisor | Wilkes-Barre General
 Hospital | An Affiliate of Commonwealth Health |
 mjdess...@commonwealthhealth.net | 575 N. River Street | Wilkes Barre,
 PA 18764 | Tel: 570-552-1432 | Fax: 570-552-1526 
 
 
 -Original Message-
 From: Konop, Nicole [mailto:nko...@chw.org] 
 Sent: Tuesday, April 17, 2012 3:37 PM
 To: 'histonet@lists.utsouthwestern.edu'
 Subject: [Histonet] Unregistered HT testing
 
 Hello everyone!
 
 I'm just curious to know if anyone is allowing unregistered HT's to do
 special stains in their CAP accredited lab? I have been involved in
 discussions regarding high complexity testing. From the feedback I
have
 received, special stains and IHC stains are considered high complexity
 testing. I beg to disagree. I can understand IHC/ISH as high
 complexity but I don't think routine special stains fall under that
 category. I'd appreciate any feedback or literature you can reference
 for me to review. Thank you!
 
 Nicole Anne Konop BS, HTL(ASCP)
 Histology Team Lead
 Children's Hospital of Wisconsin
 (414)266-6580 Direct Line
 (414)907-0366 Pager
 (414)266-2524 Histology Department

[Histonet] CMV/HSV Protocols

2011-10-06 Thread Dessoye, Michael J
Does anyone have protocols for CMV, HSV I, and HSV II (from Cell Marque)
that they would be willing to share for the Benchmark Ultra (i-View)?
 
Thanks!
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health
Care System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax:
570-552-1526 
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[Histonet] Slide/Block Retention

2011-10-03 Thread Dessoye, Michael J
Hello Histonet,
 
What policy is everyone following for slide and block retention?  We are
not CAP, however we currently keep slides and blocks for 10 years.  My
director wants to decrease that period to 2 years, which is the Joint
Commission standard.  I would like to keep 10 years because we
frequently are asked to send slides for consult and review that are
several years old.  It is also helpful when looking for hard-to-find
control tissue.  However these reasons are apparently not sufficient.  
 
I'm leaning towards keeping the 10 year policy, but I need additional
justification.  Or does anyone think the 2 year period is sufficient?
 
Thanks,
Mike
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health
Care System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax:
570-552-1526 
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[Histonet] Cell block HE staining

2011-08-10 Thread Dessoye, Michael J
Hello all,
 
I'm interested to see what staining protocol folks are using for HE staining 
of cell blocks.  Lately we've been getting varying light and dark staining on 
cell blocks only.  Currently they are run on our standard HE protocol that we 
use for all tissues.  Does anyone use a separate protocol for cell blocks?
 
Thanks!
Mike
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health Care 
System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax: 
570-552-1526 
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RE: [Histonet] prostate bx containers

2011-07-13 Thread Dessoye, Michael J
We still treat the specimens as though they were different specimen parts (A, 
B, C, D, etc...)  I doubt that the physical arrangement of the containers 
affects the billing if you are still treating each core as a different 
specimen...



From: Jones, Laura [mailto:lpjo...@srhs-pa.org]
Sent: Mon 7/11/2011 1:15 PM
To: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] prostate bx containers



We looked at these, but our Pathologist's first question was can we bill for 6 
or 8 bottles if they are technically all in one?  How is that handled?


From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dessoye, Michael J 
[mjdess...@wvhcs.org]
Sent: Monday, July 11, 2011 11:44 AM
To: Sheila Adey; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] prostate bx containers

We don't currently use them but I've used them in the past.  As long as you 
don't 'bump' them on the grossing station while they're open, they're fine.  I 
have yet to see one leak.

Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health Care 
System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax: 
570-552-1526



From: Sheila Adey [mailto:sa...@hotmail.ca]
Sent: Sat 7/9/2011 9:36 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] prostate bx containers




Hello:

Has anyone used these prostate biopsy collection containers from Simport? It 
looks like a petri dish and has 12 individual wells in it, each one labelled 
with the location from the prostate.
We are going to trial them but I would like some opinions on them.
We currently get 10 to 12 bottles per case. So, all the bx's could go in this 
one container.
Thanks
Sheila


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RE: [Histonet] prostate bx containers

2011-07-11 Thread Dessoye, Michael J
We don't currently use them but I've used them in the past.  As long as you 
don't 'bump' them on the grossing station while they're open, they're fine.  I 
have yet to see one leak.
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health Care 
System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax: 
570-552-1526 



From: Sheila Adey [mailto:sa...@hotmail.ca]
Sent: Sat 7/9/2011 9:36 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] prostate bx containers




Hello:

Has anyone used these prostate biopsy collection containers from Simport? It 
looks like a petri dish and has 12 individual wells in it, each one labelled 
with the location from the prostate.
We are going to trial them but I would like some opinions on them.
We currently get 10 to 12 bottles per case. So, all the bx's could go in this 
one container.
Thanks
Sheila   


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[Histonet] HistoGel

2011-06-24 Thread Dessoye, Michael J
Hello,
 
Does anyone out there have any experience with HistoGel?  It's Richard 
Allan/Thermo Fisher.  They claim that you can embed scant tissues in the gel 
and then process, embed, and cut as usual.  Just wondering how it works in the 
real world
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health Care 
System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax: 
570-552-1526 
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[Histonet] Keyboard and mouse covers

2011-06-01 Thread Dessoye, Michael J
Hi,
 
We're upgrading our grossing areas with new workstations that require the techs 
to interact with a keyboard and mouse.  I'd like to get keyboard and mouse 
covers to protect them from the usual hazards of grossing!  But I can't seem to 
find any big vendors that sell them...does anyone use them and could recommend 
a vendor for these covers?  Thanks!
 
Michael J. Dessoye, M.S. | Histology Supervisor | Wyoming Valley Health Care 
System | mjdess...@wvhcs.org mailto:mjdess...@wvhcs.org  |
575 N. River Street | Wilkes Barre, PA 18764 | Tel: 570-552-1485 | Fax: 
570-552-1526 
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RE: [Histonet] p63

2011-05-24 Thread Dessoye, Michael J
Biocare has a very good, and fairly inexpensive, p63 that we have had good 
results with: http://biocare.net/products/antibodies/p/163/



From: Joanne Clark [mailto:jcl...@pcnm.com]
Sent: Mon 5/23/2011 12:31 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] p63



I need to find a source for p63 antibody.  Where does everyone purchase theirs 
from?

Joanne Clark,HT
Pathology Consultants of New Mexico




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RE: [Histonet] Benchmark Problems

2011-02-15 Thread Dessoye, Michael J
Thank you everyone for the helpful replies and info.
 
I followed everyone's suggestions while waiting for service and didn't see any 
significant improvement.  Once the service tech took everything apart he found 
the nozzle that controls dispensing of the bulk reagents was partially clogged 
causing the bulk reagents to be dispensed unevenly (usually totally off the 
slide!)  Things straightened out afterwards.  
 
Thanks again everyone!
Mike Dessoye



From: Mark Tarango [mailto:marktara...@gmail.com]
Sent: Wed 2/9/2011 11:58 AM
To: Dessoye, Michael J
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Benchmark Problems


Hi Mike,
 
Did you wash the bottles and rinse them and then pump the water through the 
instrument before adding reagents and purging all again?  We had a problem like 
this about 2 weeks ago.  I think someone loaded the wrong bulk reagent onto the 
instrument.  Cleaning it, purging with water and adding newly made bulk 
reagents fixed the problem for us.
 
Mark


On Wed, Feb 9, 2011 at 8:52 AM, Dessoye, Michael J mjdess...@wvhcs.org wrote:


Hello,

We started having a strange problem with our Ventana Benchmark XT.  Out 
of the blue, our slides stopped staining.  With most antibodies we get no 
reaction, some that were very strongly positive are now only very lightly 
staining.  They do appear to counterstain OK.  Following Ventana's 
recommendations we completely changed out all of our bulk fluids, purged the 
lines, changed antibodies and DAB kits.  The last shot is some kind of 
instrument issue that's not triggering an error.  Anyone ever see anything like 
this?

Mike Dessoye
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[Histonet] Benchmark Problems

2011-02-09 Thread Dessoye, Michael J
Hello,
 
We started having a strange problem with our Ventana Benchmark XT.  Out of the 
blue, our slides stopped staining.  With most antibodies we get no reaction, 
some that were very strongly positive are now only very lightly staining.  They 
do appear to counterstain OK.  Following Ventana's recommendations we 
completely changed out all of our bulk fluids, purged the lines, changed 
antibodies and DAB kits.  The last shot is some kind of instrument issue that's 
not triggering an error.  Anyone ever see anything like this?
 
Mike Dessoye
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[Histonet] Re: Pax-2

2011-01-06 Thread Dessoye, Michael J
Pax-2 (rabbit poly) is available from Cell Marque but in our experience it also 
has some cytoplasmic background staining.
 
Mike Dessoye
 
---
Message: 21
Date: Tue, 4 Jan 2011 16:06:56 -0800
From: Mark Tarango marktara...@gmail.com
Subject: [Histonet] Pax-2
To: histonet@lists.utsouthwestern.edu
Histonet@lists.utsouthwestern.edu
Message-ID:
aanlktimha5h26-8o6fx4wuk5oplobrog4nexmpsnt...@mail.gmail.com
Content-Type: text/plain; charset=ISO-8859-1

Hi Histonet,

My lab needs to switch vendors on this antibody.  Where is everyone buying
Pax-2?  I found on their website that Invitrogen sells an IVD rabbit poly
Pax-2 antibody.  Has anyone tried this or others?  What about Epitomics RUO
rabbit mono?  Do all the antibodies give that cytoplasmic background
staining that I've seen?

I'd appreciate any info at all.

Thanks

Mark Tarango

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[Histonet] RE: Lab Chairs

2011-01-06 Thread Dessoye, Michael J
We have office and lab chairs from Haworth.  They're very expensive, with ours 
around $800, but they have a lifetime warranty.  We just had two sent for 
repair or replacement that were 10+ years old and there was no problem.
 
Mike Dessoye


--

Message: 1
Date: Wed, 5 Jan 2011 11:17:26 -0600
From: Jay Lundgren jaylundg...@gmail.com
Subject: Re: [Histonet] Lab chairs
To: Liz Chlipala l...@premierlab.com
Cc: histonet@lists.utsouthwestern.edu,  Sharon.Davis-Devine
sharon.davis-dev...@carle.com
Message-ID:
aanlktin1dkhto+o0guy-cexiq2l8k43jnc9puo98k...@mail.gmail.com
Content-Type: text/plain; charset=ISO-8859-1

 Good luck finding good task chairs that don't cost a fortune.  The good
ones are all very expensive now days.  I think that buying cheap ones is a
false savings, however, as they will fall apart in short order.  I have
personally seen a busy histo lab destroy new (cheap) chairs in a year.
 Sincerely,

   Jay A. Lundgren M.S., HTL
(ASCP)


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--

Message: 2
Date: Wed, 5 Jan 2011 09:26:46 -0800 (PST)
From: Sheila Haas micropathl...@yahoo.com
Subject: Re: [Histonet] Lab chairs
To: Jay Lundgren jaylundg...@gmail.com, Liz Chlipala
l...@premierlab.com
Cc: histonet@lists.utsouthwestern.edu,  Sharon.Davis-Devine
sharon.davis-dev...@carle.com
Message-ID: 967402.42392...@web57806.mail.re3.yahoo.com
Content-Type: text/plain; charset=iso-8859-1

I have to agree with Jay. A couple of years ago, we purchased new, expensive lab
chairs (from an office supply store that customized) and they look great even
now. I think it's worth the money from an ergonomic standpoint and also because
they hold up much better.
Just my 2 cents!
 
Sheila Haas
Laboratory Supervisor
MicroPath Laboratories, Inc.
 





From: Jay Lundgren jaylundg...@gmail.com
To: Liz Chlipala l...@premierlab.com
Cc: histonet@lists.utsouthwestern.edu; Sharon.Davis-Devine
sharon.davis-dev...@carle.com
Sent: Wed, January 5, 2011 12:17:26 PM
Subject: Re: [Histonet] Lab chairs

Good luck finding good task chairs that don't cost a fortune.  The good
ones are all very expensive now days.  I think that buying cheap ones is a
false savings, however, as they will fall apart in short order.  I have
personally seen a busy histo lab destroy new (cheap) chairs in a year.
Sincerely,

  Jay A. Lundgren M.S., HTL
(ASCP)


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--

Message: 3
Date: Wed, 5 Jan 2011 12:49:54 -0500
From: Weems, Joyce jwe...@sjha.org
Subject: RE: [Histonet] inventory
To: Kelly Boyd kdboydhi...@yahoo.com,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu
Message-ID:
92ad9b20a6c38c4587a9febe3a30e1640814f91...@chexcms10.one.ads.che.org
Content-Type: text/plain; charset=iso-8859-1

We do it annually. We use a combination of reports from our Materials 
Management Dept. and from our order spread sheet. (I keep a spread sheet of all 
items ordered).

It's not totally accurate because of the chemicals and stains that have been 
here forever, but it's close enough for Mat Mgt.

Best,

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kelly Boyd
Sent: Wednesday, January 05, 2011 12:08
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] inventory

Yesterday I inquired If and how labs did inventory for specials and immunos. I 
meant to ask IF and HOW labs do end of year inventory for specials and immunos. 
Thanks!

 
 
 
 


 
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