Re: [Histonet] MOHS scheduling

2022-09-13 Thread Keyser, Geri L via Histonet
My institution schedules them 15 min apart (with an hour and a half break 
between 8:30AM and 10:00AM). We typically do 7 cases per day, per physician. Up 
to 2 physicians. Maybe two multi-site cases per physician.   

But, we have a fairly large clinic with a significant clinic staff and two to 
three techs (Three available  workstations) working the lab in order to make 
this workload viable. I know many clinics are smaller operations. 

The early afternoon is used for closures and finishing up the procedures that 
haven't cleared yet. The rest of the day is used for closures. 

I don't know what is typical. I've been here for 15 years and have no 
experience with how other clinics do things. 

I'm very interested to hear what other clinics look like. 

Geri 

-Original Message-
From: Anne Murvosh via Histonet  
Sent: Monday, September 12, 2022 1:30 PM
To: histonet (histonet@lists.utsouthwestern.edu) 

Subject: [Histonet] MOHS scheduling

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I was wondering, for those doing Mohs cases, how far apart you schedule your 
patients, and if you do them throughout the day or just in am or pm. Thanks Anne


Anne Murvosh
Histology Technician

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Re: [Histonet] Cryostat anti-roll plate

2022-05-25 Thread Keyser, Geri L via Histonet
Got it...

I need to test it. 

But, I'm going to take some parafilm, pull it over the bolt, then replace the 
screw. 

Increase that friction. 

Geri 

-Original Message-
From: Keyser, Geri L via Histonet  
Sent: Wednesday, May 25, 2022 9:59 AM
To: Anne Murvosh ; Ken Marzinsky 
; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Cryostat anti-roll plate

Maybe there's a product that increases friction with screw threads, doesn't 
have toxic outgassing, and works at low temperatures. 

I'm going to look for something like this. 

Geri

-Original Message-
From: Anne Murvosh via Histonet  
Sent: Wednesday, May 25, 2022 8:32 AM
To: Ken Marzinsky ; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Cryostat anti-roll plate

WARNING: This email appears to have originated outside of the UW Health email 
system.
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We have 3 new leicas and we constantly have to adjust them. They creep forward 
so much that I just automatically know to roll it slightly back after every 4 
specimens or so. The new leica designs are just bad and customer service is 
even worse. We have to use the plate as we do Mohs specimens and the sections 
are just better with the glass plate. I want to look for a different machine 
next time. We did test the Avantik and it cut nice but the glass plate was on 
the front and got in the way. I wish they would talk to Mohs techs before they 
design these. Oh well. No tricks just constant adjusting. Thanks Anne

-Original Message-
From: Ken Marzinsky via Histonet 
Sent: Tuesday, May 24, 2022 1:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cryostat anti-roll plate

Hi everyone. Does anyone regularly use the anti-roll plate on their cryostat? 
Does it work well on the Leicas and Microms, or do you have to figit with it a 
lot? Does anyone have any tricks they can share to get it to work all the time? 
 I found that a little spritz of freeze spray on the plate and the bottom of 
the roll glass helps, but it is still seems a lot easier for us to use a brush 
or a teasing needle.

Ken
Durham, NC
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Re: [Histonet] Cryostat anti-roll plate

2022-05-25 Thread Keyser, Geri L via Histonet
Maybe there's a product that increases friction with screw threads, doesn't 
have toxic outgassing, and works at low temperatures. 

I'm going to look for something like this. 

Geri

-Original Message-
From: Anne Murvosh via Histonet  
Sent: Wednesday, May 25, 2022 8:32 AM
To: Ken Marzinsky ; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Cryostat anti-roll plate

WARNING: This email appears to have originated outside of the UW Health email 
system.
DO NOT CLICK on links or attachments unless you recognize the sender and know 
the content is safe.

We have 3 new leicas and we constantly have to adjust them. They creep forward 
so much that I just automatically know to roll it slightly back after every 4 
specimens or so. The new leica designs are just bad and customer service is 
even worse. We have to use the plate as we do Mohs specimens and the sections 
are just better with the glass plate. I want to look for a different machine 
next time. We did test the Avantik and it cut nice but the glass plate was on 
the front and got in the way. I wish they would talk to Mohs techs before they 
design these. Oh well. No tricks just constant adjusting. Thanks Anne

-Original Message-
From: Ken Marzinsky via Histonet 
Sent: Tuesday, May 24, 2022 1:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cryostat anti-roll plate

Hi everyone. Does anyone regularly use the anti-roll plate on their cryostat? 
Does it work well on the Leicas and Microms, or do you have to figit with it a 
lot? Does anyone have any tricks they can share to get it to work all the time? 
 I found that a little spritz of freeze spray on the plate and the bottom of 
the roll glass helps, but it is still seems a lot easier for us to use a brush 
or a teasing needle.

Ken
Durham, NC
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Re: [Histonet] Cryostat anti-roll plate

2022-05-25 Thread Keyser, Geri L via Histonet
I use roll plate. 

I don't like the roll plate on the Leica. The Leica design creeps... a lot. 

Also, with the leica, the contact point with the blade is a soft aluminum arm. 
If you make adjustments with the roll plate holder contacting the blade, it 
will damage the soft aluminum holder. 

I like the thermo design much better. It creeps a lot less. 

Here's a procedure for roll plate adjustment. 

1.  Mount block on specimen disc. 
2.  Place Specimen Disc in chuck, position Blade carrier, and face off.
3.  Turn knurling screw clockwise until sections do not pass under the 
Anti-roll plate.
4.  Turn knurling screw counter-clockwise by 20 degree increments until 
sections effortlessly pass under the Anti-Roll Plate WITHOUT hitting the block. 

*   If the block is hitting the anti-roll plate, it may cause damage to 
glass. 
*   Hard contact is visible and can be heard. 
*   Soft contact, which can also damage the Anti-roll plate, cannot be seen 
or heard. But, can be felt by gently placing finger on the anti-roll plate 
turning lever while taking a section.


Geri 


-Original Message-
From: Ken Marzinsky via Histonet  
Sent: Tuesday, May 24, 2022 3:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cryostat anti-roll plate

WARNING: This email appears to have originated outside of the UW Health email 
system.
DO NOT CLICK on links or attachments unless you recognize the sender and know 
the content is safe.

Hi everyone. Does anyone regularly use the anti-roll plate on their cryostat? 
Does it work well on the Leicas and Microms, or do you have to figit with it a 
lot? Does anyone have any tricks they can share to get it to work all the time? 
 I found that a little spritz of freeze spray on the plate and the bottom of 
the roll glass helps, but it is still seems a lot easier for us to use a brush 
or a teasing needle.

Ken
Durham, NC
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