[Histonet] P 16

2011-09-28 Thread Phyllis Thaxton
Has anyone ever used P16 with AP Red detection on the Ventana Benchmark?


Phyllis Jordan HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL
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Re: [Histonet] Cryostat Feedback Needed (UNCLASSIFIED)

2011-03-30 Thread Phyllis Thaxton
Hi Diane,
  We have been happy with the Leica cryostats over the years. We have an 1800 
that is about 15 years old, an 1850 that is about 5 years old with the UV light 
for decontamination.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Gladney, Diane C Ms CIV USA MEDCOM MACH diane.glad...@us.army.mil
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Sent: Wed, March 30, 2011 7:50:23 AM
Subject: [Histonet] Cryostat Feedback Needed (UNCLASSIFIED)

Classification:  UNCLASSIFIED
Caveats: NONE

Dear Histonetters,

Our 11 year old cryostat is beginning to experience some unusual problems. Our 
Medical Maintenance says that they won't put a lot of money into fixing it 
because of the age of the unit. Therefore, I am asking for opinions, pros, cons 
of different brands of cryostats. I am interested in a cryostat that has the UV 
light or other source of easy decontamination. We don't do a lot of frozen 
sections but enough for us to have to have a good cryostat that is easy to 
operate and clean.  Any comments or suggestions would be greatly appreciated.

Thanks,
Diane Gladney


Diane C. Gladney, HT (ASCP)
Histology Supervisor
Department of Pathology
Moncrief Army Community Hospital
4500 Stuart Street
FT. Jackson, SC  29207

Phone:  803-751-2530
Fax:  803-751-7829




Classification:  UNCLASSIFIED
Caveats: NONE

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Re: [Histonet] to microwave or not to microwave

2011-03-29 Thread Phyllis Thaxton

Hi Karla,

We chose the Sakura XPress microwave processor. We have had it now for over two 
years. We eliminated an entire night shift (everyone works day shift now), we 
drastically reduced xylene usage (we only use it on the HE stainer, we use 
none 
for processing anymore). The processing system takes about 1 hour and 30 
minutes 
to process. I can run breast tissue and GI biopsies on the same run. It is 
still 
truly amazing to me sometimes.
  We have cassettes coming off every 40 minutes to an hour now. The techs 
rotate so that we still have time to do special stains, IHC, frozens...etc. It 
has been a life saver for us.

 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Karla Sendelbach karla.sendelb...@thedacare.org
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Sent: Mon, March 28, 2011 12:44:02 PM
Subject: [Histonet] to microwave or not to microwave

We are evaluating rapid tissue processing instruments. I would appreciate any 
comments about microwave tissue process and rapid non microwave tissue process. 
Peloris II, STP 420ES and  Milestone Pathos come to mind. Also, is there anyone 
who switched from microwave processing to rapid non microwave tissue processing?
Thank you,
Dr. Sendelbach
Appleton Medical Center
Appleton Wisconsin
920.738.6294
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[Histonet] Anniston, AL

2011-03-29 Thread Phyllis Thaxton
Hello,
  I am trying to help a young lady in the Anniston area. She is interested in 
Histology and would like to try and find a job so that she can train and do one 
of the online courses. 
  Any contacts for her would be very helpful.

Thanks!
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL
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[Histonet] p16ink4a

2011-03-11 Thread Phyllis Thaxton
Hi All,

 Is anyone using this P16INK4A  for IHC?  I searched the archives and found 
some 
threads from 2009 with links  that do not work for possible suppliers. I also 
found some for ELISA and Western Blot, and Flow Cytometry. Is this antibody 
used 
at all in FFPE tissue?
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Happy Histo Day

2011-03-10 Thread Phyllis Thaxton
Happy Histotechnology Day EveryoneI want to pass this on from Sharon 
Wehman of Sakura Finetek. Thank you Sharon!

It gives me great pleasure to celebrate this day and give thanks to the 
wonderful histotechs!
 
 
-Thank you for dedicating your expertise and knowledge to every specimen, 
block, 
slide and stain
 
-Thank you for being a part of and making a difference in every diagnosis
 
-Thank you for working hard every day and going above and beyond on most days
 
-Thank you for the incredible care and consideration you give to every patient, 
even though most do not realize what you do--that is EXCELLENCE!
 
 
Excellence is never an accident; it is the result of high intention, sincere 
effort, intelligent direction, skillful execution and the vision to see 
obstacles as opportunities. 

 
 
May Your Histotechnology Day Be As Wonderful As You Are!

 
Sharon Wehman 
Area Manager 
Sakura Finetek USA, Inc. 
1750 West 214th Street 
Torrance, CA 90501 
Office:800-725-8723 X:7274 
Cell:678-462-6349 
sweh...@sakuraus.com 
www.sakuraus.com
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Distance Learning

2010-11-08 Thread Phyllis Thaxton
We are thinking of using one of the online or distance learning programs to 
help 
in the training of new histotechs. Has anyone had any experience with any of 
these programs, what colleges offer the program, pros, cons. Any feedback is 
welcome.

Thanks
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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Re: [Histonet] Optimal processing for prostate needle biopsies

2010-10-15 Thread Phyllis Thaxton
Nilesh,
 This doesn't sound like a staining problem, it sounds like a processing 
problem. Try preprocessing for 5 minutes instead of 15 and see if that 
helps. OR 
what we had to do with GI biopsies, we stopped using any preprocessing with 
them. After fixation, they are placed in molecular fixative for 10 minutes 
before processing. 

  If that doesn't work, I would investigate further to where the biopsy was 
actually obtained. We had a problem with urologists obtaining the core, then 
swishing the needle gun around in a container of saline, then ADDING formalin 
to 
the saline after the biopsy was obtained. The biopsies were horrible.
  Hope this helps.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Gupta, Nilesh ngup...@hfhs.org
To: Phyllis Thaxton dch...@yahoo.com; histonet@lists.utsouthwestern.edu 
histonet@lists.utsouthwestern.edu
Sent: Thu, October 14, 2010 8:08:17 AM
Subject: RE: [Histonet] Optimal processing for prostate needle biopsies


Phyllis, 
We hold all our needle cores overnight and pre-process for 15 min. The problems 
we are having is shrunken nuclei and nucleoli are not distinct even in 
carcinoma 
cases. Cracking artifacts of cores (longitudinal), darker and paler staining 
along the length of the cores. We tried Harris but staining with Mayer's brings 
out nucleoli better.
 
 


From: Phyllis Thaxton [dch...@yahoo.com]
Sent: Wednesday, October 13, 2010 10:37 AM
To: Gupta, Nilesh; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Optimal processing for prostate needle biopsies


How long are you pre-processing the prostate biopsies before processing on the 
XPress120? We use the XPress50 we fix the biopsies in Hollandes for 2 hours, 
then wash for 20 minutes, pre-processing solution for 10 minutes then process. 
We use Harris Hematoxylin in our HE and morphology is good.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Gupta, Nilesh ngup...@hfhs.org
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:23 PM
Subject: [Histonet] Optimal processing for prostate needle biopsies

I have a few questions regrading processing of prostate needle biopsies.
1.  What is optimal fixation time that the needle cores should be fixed for 
before loading these on the processors.
2.  Our cores are processed on Tissue tek Xpress x120 but the morphology is not 
so good. I'd like to know if any other labs have tried this processor for 
prostate needle cores processing and would like to know their experience as far 
as morphologic quality on slides
3.  What is the best HE stain to use for prostate needle biopsies. We are 
currently using Mayer's which is giving us better staining than Harris. Any 
recommendations on which HE is best suited for prostate needle biopsies.

Thanks

N.Gupta
Henry Ford Hospital

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Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Phyllis Thaxton

 We run a weekend (Friday til Monday AM)  breast run where the tissues are in 
10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete 
processing on Monday morning. So far no problems.
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence 
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; 
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


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care for the body, mind and spirit of every person.

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Re: [Histonet] Optimal processing for prostate needle biopsies

2010-10-13 Thread Phyllis Thaxton
How long are you pre-processing the prostate biopsies before processing on the 
XPress120? We use the XPress50 we fix the biopsies in Hollandes for 2 hours, 
then wash for 20 minutes, pre-processing solution for 10 minutes then process. 
We use Harris Hematoxylin in our HE and morphology is good.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Gupta, Nilesh ngup...@hfhs.org
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:23 PM
Subject: [Histonet] Optimal processing for prostate needle biopsies

I have a few questions regrading processing of prostate needle biopsies.
1.  What is optimal fixation time that the needle cores should be fixed for 
before loading these on the processors.
2.  Our cores are processed on Tissue tek Xpress x120 but the morphology is not 
so good. I'd like to know if any other labs have tried this processor for 
prostate needle cores processing and would like to know their experience as far 
as morphologic quality on slides
3.  What is the best HE stain to use for prostate needle biopsies. We are 
currently using Mayer's which is giving us better staining than Harris. Any 
recommendations on which HE is best suited for prostate needle biopsies.

Thanks

N.Gupta
Henry Ford Hospital

==
CONFIDENTIALITY NOTICE: This email contains information from the sender that 
may be CONFIDENTIAL, LEGALLY PRIVILEGED, PROPRIETARY or otherwise protected 
from disclosure. This email is intended for use only by the person or entity 
to whom it is addressed. If you are not the intended recipient, any use, 
disclosure, copying, distribution, printing, or any action taken in reliance 
on the contents of this email, is strictly prohibited. If you received this 
email in error, please contact the sending party by reply email, delete the 
email from your computer system and shred any paper copies.

Note to Patients: There are a number of risks you should consider before using 
e-mail to communicate with us. See our Privacy Policy and Henry Ford My Health 
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Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

2010-10-13 Thread Phyllis Thaxton
Rene,
 8 hours is what is on the processor. We keep a log book on all breast tissue. 
The OR nurse documents on the label;  the time of excision (placed in 10% 
NBF) . 
The gross assistant documents the time of dissection, Then the time the tissues 
are placed on the processor. Our fixation times for breast average about 12 to 
14 hours. Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Rene J Buesa rjbu...@yahoo.com
To: MelissaKuhnla melissa.kuh...@chsli.org; Janice AMahoney 
janice.maho...@alegent.org; Mike Pence mpe...@grhs.net; Joyce Cline 
joyce.cl...@wchsys.org; histonet@lists.utsouthwestern.edu; Phyllis Thaxton 
dch...@yahoo.com
Sent: Wed, October 13, 2010 9:39:21 AM
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


Phyllis:
The time required in NBF is not 8 hours only, that is exactly what the 
regulations are trying to avoid, i.e. incomplete fixation.
René J.

--- On Wed, 10/13/10, Phyllis Thaxton dch...@yahoo.com wrote:


From: Phyllis Thaxton dch...@yahoo.com
Subject: Re: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR
To: Kuhnla, Melissa melissa.kuh...@chsli.org, Mahoney,Janice A 
janice.maho...@alegent.org, Mike Pence mpe...@grhs.net, Joyce Cline 
joyce.cl...@wchsys.org, histonet@lists.utsouthwestern.edu
Date: Wednesday, October 13, 2010, 10:32 AM



 We run a weekend (Friday til Monday AM)  breast run where the tissues are in 
10% NBF for 8 hours, then in 70% alcohol for 48 hours in order to complete 
processing on Monday morning. So far no problems.
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Kuhnla, Melissa melissa.kuh...@chsli.org
To: Mahoney,Janice A janice.maho...@alegent.org; Mike Pence 
mpe...@grhs.net; Joyce Cline joyce.cl...@wchsys.org; 
histonet@lists.utsouthwestern.edu
Sent: Tue, October 12, 2010 12:02:32 PM
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I disagree.  Prolonged formalin fixation (over 48 hrs), diminishes
signals

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 12:05 PM
To: 'Mike Pence'; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

Formalin fixation time does not impact the results of FISH as it does
IHC.
Jan M
Omaha

-Original Message-
From: Mike Pence [mailto:mpe...@grhs.net]
Sent: Tuesday, October 12, 2010 11:00 AM
To: Mahoney,Janice A; Joyce Cline; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR

I don't think it matters if you do Her2 by FISH or IHC the time is still
48hr. I hope I am wrong, but I don't think I am.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Mahoney,Janice A
Sent: Tuesday, October 12, 2010 10:25 AM
To: 'Joyce Cline'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New Cap Guidelines for Her2 and ER/PR


We have decided to reflex to FISH those breasts that do not fall within
the recommended formalin fixation time.  We do work on Saturdays so it
is only the rare 3 day weekends that this comes into play. Jan M Omaha

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joyce
Cline
Sent: Tuesday, October 12, 2010 10:10 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Cap Guidelines for Her2 and ER/PR

Does anyone have any experience with storing formalin fixed breast
tissue in 70% before processing?  I am trying to comply with the new
guidelines set forth by CAP and ASCO with regard to Her2 and ER/PR and
since my lab does not operate on the weekend we have been well above the
48 hour recommended formalin fixation time.  Does 70% affect
antigenicity for either Her2 or ER/PR?  Any information or suggestions
will be greatly appreciated.  Thanks :)


Ronda Souders
Hagerstown Medical Laboratory
301-665-4980
fax 301-665-4941
ronda.soud...@wchsys.orgmailto:ronda.soud...@wchsys.org


* CONFIDENTIALITY NOTICE * This message contains confidential
information and is intended only for the individual named. If you are
not the named addressee you should not disseminate, distribute or copy
this e-mail. Please notify the sender immediately by e-mail if you have
received this e-mail by mistake and delete this e-mail from your system.
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[Histonet] HistoTech Position In Tuscaloosa

2010-09-28 Thread Phyllis Thaxton
FINALLY another HistoTech position has been approved at DCH Regional Medical 
Center in Tuscaloosa, Alabama.

We are a not for profit facility in West Alabama about 50 miles from 
Birmingham, about 4 hours from the Gulf of Mexico, and about 3 hours from 
Atlanta.

We process about 15000 surgicals per year using Sakura VIP conventional 
processor, and Sakura ExPress 50 Rapid Tissue Processor, Sakura Prisma HE 
Stainer with tape coverslipper and Ventana IHC automation. Hopefully we will be 
automated in Special Stains after October 1.

Interested candidates must be proficient in embedding, microtomy, frozen 
sections, and (for now) manual special staining. 


Please contact Michelle Fagin at 205-759-7762 or Fax 205-750-5224 OR
  Sherrie Faulkner at 205-750-5736 or email 
mfa...@dchsystem.com
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] PA in Ohio

2010-09-16 Thread Phyllis Thaxton

Once again, would the recruiter for the PA in Ohio please contact me again. I 
forwarded your last email then deleted everything.

 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL



  
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[Histonet] Alabama Histology Position

2010-09-16 Thread Phyllis Thaxton


 
 
 
 
 

 
FINALLY another HistoTech position has been approved at DCH Regional Medical 
Center in Tuscaloosa, Alabama.
 
We are a not for profit facility in West Alabama about 50 miles  from 
Birmingham, about  4 hours from the Gulf of  Mexico, and about 3 hours from 
Atlanta.
 
We process about 15000 surgicals per year using Sakura VIP  conventional 
processor, and Sakura ExPress 50 Rapid Tissue Processor,  Sakura Prisma HE 
Stainer with tape coverslipper and Ventana IHC  automation. Hopefully we will 
be 
automated in Special Stains after October 1.
 
Interested candidates must be proficient in embedding, microtomy,  frozen 
sections, and (for now) manual special staining. 

 
Please contact Michelle Fagin at 205-759-7762 or Fax 205-750-5224 OR
  Sherrie Faulkner at 205-750-5736 or email 
mfa...@dchsystem.com
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL



  
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Re: [Histonet] Histology stainers

2010-09-14 Thread Phyllis Thaxton
Hi Michelle,

  We retired our old Jung about 5 or 6 years ago and bought a Sakura Prisma 
with 
the linking tape coverslipper (they have them now with glass coverslips now I 
think). It has been great, unlike the older  coverslippers, this one doesn't 
use 
the conveyor belt so there are no slide pile-ups. This is a complete walk away 
system. Cut slides, put them on and the stainer does the rest. You put them on, 
then take them off after they are coverslipped. We do some special stains on it 
as well as HE, easy to program (touch screen)...And like the old Jung, the 
Prisma  IS a workhorse.
  We retired our Excelsior Processor for The Sakura XPress50. The advantages of 
the Excelsior is the reagent rotation (just change out bottles of reagent and 
paraffin and the Excelsior rotates them). We switched to the XPress because of 
shift staffing problems and our desire to eliminate as much xylene usage as 
possible. We solved our staffing problems (eliminated the need for a second 
shift that was necessary with conventional processing), and now all the xylene 
we use is on the HE stainerHUGE reduction.
  We still use the old VIP for specimens that come in late that require longer 
fixation time. We put them on a delay program to come off the following day.
  
  
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Michelle MacVeigh-Aloni macve...@usc.edu
To: histonet@lists.utsouthwestern.edu
Sent: Thu, September 9, 2010 4:47:29 PM
Subject: [Histonet] Histology stainers

Hi histoneters,

We have an old Jung Autostainer XL, which has been great, but it is very old 
and 
on its way out.
What kind of newer stainers are you guys using? Should I even look at something 
diferent? 

I also would like to hear from the people using Exelsior tissue processor. Do 
you guys like it and how does it compare to the good old VIP?

Michelle Aloni MS HTL ASCP
Research Specialist
USC Keck School of Medicine LA, CA

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[Histonet] PA

2010-09-14 Thread Phyllis Thaxton
Would the recruiter that has a PA in Ohio that wants to move South, please 
resend, the email to me with the info...thanks!
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Histology Position In Alabama

2010-08-26 Thread Phyllis Thaxton
FINALLY another HistoTech position has been approved at DCH Regional Medical 
Center in Tuscaloosa, Alabama.

We are a not for profit facility in West Alabama about 50 miles from 
Birmingham, about 4 hours from the Gulf of Mexico, and about 3 hours from 
Atlanta.

We process about 15000 surgicals per year using Sakura VIP conventional 
processor, and Sakura ExPress 50 Rapid Tissue Processor, Sakura Prisma HE 
Stainer with tape coverslipper and Ventana IHC automation. Hopefully we will be 
automated in Special Stains after October 1.

Interested candidates must be proficient in embedding, microtomy, frozen 
sections, and (for now) manual special staining. 


Please contact Michelle Fagin at 205-759-7762 or Fax 205-750-5224 OR
  Sherrie Faulkner at 205-750-5736 or email 
mfa...@dchsystem.com
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Full Time Position - Alabama

2010-03-23 Thread Phyllis Thaxton



At DCH we have a full time HistoTech position. Flexible day shift hours Monday 
through Friday. Must be ASCP registered HT or HTL (or eligible...must become 
registered within 18 months of hire date).

Lab Automation includes IHC stains (Ventana), staining and coverslipping 
(TissueTek Prisma). We have Leica 2030 microtomes, Sakura embedding centers, 
Sakura XPress 50 rapid tissue processor, Leica cryostats.

Duties include embedding, microtomy, ihc and special stains, and frozen 
sections.

DCH is a 500 plus bed regional medical center. We process around 12,000 to 
13,000 specimens annually. 

Interested candidates please contact Sherrie Faulkner (recruiter) at 
205-750-5376 or fax resume to Michelle Fagin at 205-750-5224.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Full Time Day Shift Position

2010-03-09 Thread Phyllis Thaxton
At DCH we have a full time HistoTech position. Flexible day shift hours Monday 
through Friday. Must be ASCP registered HT or HTL (or eligible...must become 
registered within 18 months of hire date).

Lab Automation includes IHC stains (Ventana), staining and coverslipping 
(TissueTek Prisma). We have Leica 2030 microtomes, Sakura embedding centers, 
Sakura XPress 50 rapid tissue processor, Leica cryostats.

Duties include embedding, microtomy, ihc and special stains, and frozen 
sections.

DCH is a 500 plus bed regional medical center. We process around 12,000 to 
13,000 specimens annually. 

Interested candidates please contact Sherrie Faulkner (recruiter) at 
205-750-5376 or fax resume to Michelle Fagin at 205-750-5224.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] (no subject)

2010-03-05 Thread Phyllis Thaxton
Full Time Day Shift DCH Regional Medical Center Tuscaloosa, Alabama
Thu, March 4, 2010 2:35:28 PM
From: Phyllis Thaxton dch...@yahoo.com Add to Contacts 
To: histonet@lists.utsouthwestern.edu   


At DCH we have a full time HistoTech position. Flexible day shift hours Monday 
through Friday. Must be ASCP registered HT or HTL (or eligible...must become 
registered within 18 months of hire date).

Lab Automation includes IHC stains (Ventana), staining and coverslipping 
(TissueTek Prisma). We have Leica 2030 microtomes, Sakura embedding centers, 
Sakura XPress 50 rapid tissue processor, Leica cryostats.

Duties include embedding, microtomy, ihc, special stains, and frozen sections.

DCH is a 500 plus bed regional medical center. We process around 12,000 to 
13,000 specimens annually. 

Interested candidates please contact Sherrie Faulkner (recruiter) at 
205-750-5376 or fax resume to Michelle Fagin at 205-750-5224.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Full Time Day Shift DCH Regional Medical Center Tuscaloosa, Alabama

2010-03-04 Thread Phyllis Thaxton
At DCH we have a full time HistoTech position. Flexible day shift hours Monday 
through Friday. Must be ASCP registered HT or HTL (or eligible...must become 
registered within 18 months of hire date).

Lab Automation includes IHC stains (Ventana), staining and coverslipping 
(TissueTek Prisma). We have Leica 2030 microtomes, Sakura embedding centers, 
Sakura XPress 50 rapid tissue processor, Leica cryostats.

Duties include embedding, microtomy, ihc and special stains, and frozen 
sections.

DCH is a 500 plus bed regional medical center. We process around 12,000 to 
13,000 specimens annually. 

Interested candidates please contact Sherrie Faulkner (recruiter) at 
205-750-5376 or fax resume to Michelle Fagin at 205-750-5224.

 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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Re: [Histonet] HE stainer/coverslippers

2010-03-03 Thread Phyllis Thaxton
I am glad you decided on that one Paula. It is wonderful
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Paula Lucas plu...@biopath.org
To: Liz Chlipala l...@premierlab.com; histonet@lists.utsouthwestern.edu; 
VickiGauch gau...@mail.amc.edu
Sent: Wed, March 3, 2010 10:50:06 AM
Subject: RE: [Histonet] HE stainer/coverslippers

I second the Prisma with attached coverslipper.  We have been using it now
for the past 2 months or so.
It's really a non-hassle, state of the art piece of equipment.
Paula

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Liz Chlipala
Sent: Tuesday, March 02, 2010 12:50 PM
To: histonet@lists.utsouthwestern.edu; VickiGauch
Subject: RE: [Histonet] HE stainer/coverslippers

We just purchased the sakura prisma and attached glass coverslipper.  We
just love them.  We tried a lot of glass coverslippers and this by far is
the best one that we have tried.  We run both HE and specials on the prisma
and have not had a problem with the glass coverslipper.  We have been using
them for about a little over 2 months now.

Liz

Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC
Manager
Premier Laboratory, LLC
PO Box 18592
Boulder, Colorado 80308
office (303) 682-3949 
fax (303) 682-9060
www.premierlab.com


Ship to Address:
1567 Skyway Drive, Unit E
Longmont, Colorado 80504

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Tuesday, March 02, 2010 1:39 PM
To: histonet@lists.utsouthwestern.edu; VickiGauch
Subject: Re: [Histonet] HE stainer/coverslippers

Sakura
René J.

--- On Tue, 3/2/10, Gauch, Vicki gau...@mail.amc.edu wrote:


From: Gauch, Vicki gau...@mail.amc.edu
Subject: [Histonet] HE stainer/coverslippers
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Date: Tuesday, March 2, 2010, 2:20 PM


Hi,
I was wondering what type of HE stainer/coverslipper units labs are using 
and the pros and cons of each.  We found out we have funding to replace our
old faithful GLX stainer(though it will break my heart to do so)  and are
looking for a stainer/ coverslipper that is one unit- one that we do not
have to unload from the stainer to load onto the coverslipper.  Any help
would be greatly appreciated.

Thanks so much,
Vicki Gauch
AMCH
Albany,NY



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[Histonet] HistoTech Position at DCH Regional in Tuscaloosa, AL

2010-03-02 Thread Phyllis Thaxton
At DCH we have a full time HistoTech position. Flexible day shift hours Monday 
through Friday. Must be ASCP registered HT or HTL. 

Lab Automation in the lab includes IHC stains (Ventana), staining and 
coverslipping (TissueTek Prisma). We have Leica 2030 microtomes, Sakura 
embedding centers, Sakura XPress 50 rapid tissue processor, Leica cryostats.

DCH is a 500 plus bed regional medical center. 

Interested candidates please contact Sherrie Faulkner (recruiter) at 
205-750-5376 or fax resume to Michelle Fagin at 205-750-5224.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] HistoTech Position At DCH In Tuscaloosa, Alabama (Phone contact correction)

2010-03-02 Thread Phyllis Thaxton
At DCH we have a full time HistoTech position. Flexible day shift hours Monday 
through Friday. Must be ASCP registered HT or HTL. 

Lab Automation in the lab includes IHC stains (Ventana), staining and 
coverslipping (TissueTek Prisma). We have Leica 2030 microtomes, Sakura 
embedding centers, Sakura XPress 50 rapid tissue processor, Leica cryostats.

DCH is a 500 plus bed regional medical center. 

Interested candidates please contact Sherrie Faulkner (recruiter) at 
205-750-5736 or fax resume to Michelle Fagin at 205-750-5224.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 

 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Robotic Prostatectomy

2009-09-02 Thread Phyllis Thaxton
For the first time here, we have Urologists using the robotic method for 
removing prostates. The PA always receives them fresh, inks them, then puts the 
whole prostate in alcoholic fixative (currently Zfix from Anatech). The next 
day they are grossed in and processed.  The prostates we have received lately 
are raw in the middle and unable to be grossed in, whereas before they were 
fine.

Has anyone had similar experiences?
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] PIN 4

2009-09-01 Thread Phyllis Thaxton
I went to archives to look for this but I didn't get a definite answer to my 
specific question. I am using Biocare's Prostate Cocktail - 2X (CK5 + CK14 + 
p63) and Biocare's P504S-2X  on the Ventana platform using UltraView DAB and 
Ultra View RED kits. To code this procedure, is it 88342 X 3 or 88342 X 4? I 
would like some rationale as well.

Thanks!
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Michael LaFriniere

2009-08-27 Thread Phyllis Thaxton

 If anyone knows how to contact Michael, please email me. Thanks!
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Formula 83

2009-07-22 Thread Phyllis Thaxton
Does anyone have any experience with Formula 83. We are evaluation it now and I 
would like to know how frequently it needs to be changed on the processor. 
The label says use just like xylene...BUT is there anyone out in HistoLand that 
uses it? I would like to know your experience in processing. Right now we are 
using it on a VIP.

Thanks!!!
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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Re: [Histonet] NSH Meeting in Alabama

2009-07-17 Thread Phyllis Thaxton
I agree Michael!!!
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: mtitf...@aol.com mtitf...@aol.com
To: histonet@lists.utsouthwestern.edu
Sent: Friday, July 17, 2009 10:33:34 AM
Subject: [Histonet] NSH Meeting in Alabama

With the NSH Annual Convention in Alabama this year, I don't want any corny 
jokes on the Histonet?about my adopted home state!? Might hurt my feelings!

Michael Titford
Pathology USA
Mobile AL
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[Histonet] VALIDATION FOR FIXATIVES

2009-07-08 Thread Phyllis Thaxton
Does anyone out there know any reference labs that do egfr, her2 fish, k ras 
gene mutation, etc. that have performed validation testing for tissues fixed in 
anything other than 10% NBF?
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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Re: [Histonet] Frozen Section TAT

2009-06-29 Thread Phyllis Thaxton
Hi All,
  I haven't been on in a couple of weeks, but thank all of you for the 
discussion on FS turnaround time reporting. I thought we had everything in 
place, but one thing we didn't even consider is when breast biopsies are send 
for radiology before arriving for FS. 
  We are also reporting receiving time as order time because they come in a 
pneumatic zip tube in  -60 seconds. I guess if there is more than one room 
trying to send and are in line waiting to be zipped, then the order time would 
be inaccurate the way we are reporting it.
  Thanks all!!
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 





From: Lott, Robert robert.l...@trinitymedicalonline.com
To: histonet@lists.utsouthwestern.edu
Sent: Friday, June 26, 2009 11:00:27 AM
Subject: [Histonet] Frozen Section TAT

Becky Garrison makes some very valid and interesting points below



First of all, the point about what a critical test is, as defined by
JCHAO.

She is correct, in that these are tests defined by the individual
institution in policy, but not by JCAHO.



Second, the item (ANP.11820) on the CAP checklist concerning turnaround
time of intraoperative frozen sections reads as follows:

The institution must periodically evaluate TAT and document reasons
for delay BUT only if 90% of FS are not completed within 20 minutes.



ANP.11820                    Phase 1



Does the laboratory periodically evaluate turnaround time for
intraoperative frozen sections?



NOTE:  If 90% of frozen sections are not completed within 20 minutes,
the laboratory must document evaluation

of the reason(s) for the delay. This turnaround time is intended to
apply to the typical single frozen section. 

In cases where there are multiple sequential frozen sections required on
a single specimen (e.g., resection margins),

or in cases where additional studies such as radiographic correlation
are required, longer turnaround times may be expected.



COMMENTARY:                  



N/A



REFERENCE:  

Novis DA, Zarbo RJ. Interinstitutional comparison of frozen section
turnaround time.

A College of American Pathologists Q-Probes study of 32,868 frozen
sections in 700 hospitals. 

Arch Pathol Lab Med. 1997;121:559-567.















Robert L. Lott, HTL(ASCP) / Manager, Anatomic Pathology 

Trinity Medical Center/ LabFirst/ 800 Montclair Road / Birmingham, AL
35213/ 205-592-5387 





Message: 19

Date: Thu, 25 Jun 2009 10:49:43 -0400

From: Garrison, Becky becky.garri...@jax.ufl.edu

Subject: RE: [Histonet] Re: tracking turnaround time of

      intraoperativeconsultations

To: Della Speranza, Vinnie del...@musc.edu, Robert Richmond

      rsrichm...@gmail.com, histonet@lists.utsouthwestern.edu

Message-ID:

      b3ca1baf6c5e4541867e4e79ad2412e003c29...@jaxmail.umc.ufl.edu

Content-Type: text/plain;    charset=us-ascii



Sorry I did not respond yesterday.  The reason we just started measuring

order to sign out for frozens was also prompted by preparation for our

next JCAHO inspection.  However, there is this distinction.  The Joint

Commission does not define a frozen as a critical test.  The designation

of critical test is left up to the individual institution.  However,

once your institution defines the frozen as a critical test, (indicated

somewhere in a policy), you must conform to JCAHO guidelines for

critical tests.

And apparently this is the buzz with JCAHO watchers right now. 



Here we designate the IntraOp consultations for frozens (not gross only

or Touch prep)  and IntraOp PTH (Clinical test) as a critical tests

and have started tracking order to sign out.  Order time is the time the

surgeon indicates 'send this to pathology' not when pathology receives

the specimen.



We are somewhat in uncharted waters as there is no national standard

that defines target time from order to sign out.  We set a 40 minute

time (20-OR to Path and 20-path to completed frozen). I campaigned

against a 30 minute total time (15 each) because we do have some frozens

that do take over 15 minutes and this was an absolute value (unlike the

CAP goal of 90% within 20 minutes).  Our approach is to monitor,

evaluate the data we retrieve.  There will certainly be adjustments made

to target time and how and what we monitor.  



The data collection raises more questions:  how do you come up with

meaningful data for multiple specimens on a single case; multiple

frozens (different patients) received together or before we are finished

with the first patient's frozen).  This is one of those ideas that

sounds good in theory but presents some challenges in execution. But it

is a valid process to monitor as we periodically have surgeons complain

of the time they are 

waiting for frozen results.  This is really a joint quality management

review which involves multiple departments (OR and Pathology) and how we

make it better for the patient.





Becky Garrison

Pathology Supervisor

Shands

[Histonet] Cardboard Paraffin Catchers

2009-06-29 Thread Phyllis Thaxton
Does anyone remember the little cardboard microtome trays for paraffin waste? 
If so please email me the company that makes them.
 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] AMMONIUM HYDROXIDE

2009-04-27 Thread Phyllis Thaxton

Hi all,
  I looked in archives to see if I could find any info on this but did not. 
Remember, we are having a problem with some of the sections floating off during 
IHC. 
   If paraffin blocks are faced and then placed  in ammonium hydroxide before 
cutting the HE, would this cause the sections to float off if the unstained 
sections that are cut in addition to the HE's are also produced in this manner?
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 



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[Histonet] Many Thanks

2009-04-09 Thread Phyllis Thaxton
I think our problem may very well be the slides. We tried many slides in the 
past and always came back to the superfrost brand that was most reliable, but I 
have found different opinions on these slides ;ately. I think it is time to 
change brands. Thank you all...Hope to see everyone in Birmingham

 Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL



  
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[Histonet] Benchmark XT

2009-04-08 Thread Phyllis Thaxton
Is anyone out there having problems with tissue washing off the slides using 
the Ultraview kit from Ventana? 

Mainly we are having problems with  needle biopsies washing off (prostate, 
liver). Fixation and processing is always the same 4-6  hours fixation, 3 hour 
biopsy processing run on VIP processor, cut no thicker than 4 microns, airdried 
at least 30 minutes, baked at 59-60 for at least one hour prior to staining. 
The instrument's calibrations have been checked and are fine. 

We never had this problem with the iView kit using the Nexes, doing 
pretreatments offline.

Any help, ideas, info will be appreciated.

Thanks,
Phyllis Thaxton HT(ASCP)QIHC
DCH Regional Medical Center
Tuscaloosa, AL 35401



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[Histonet] Michael LaFriniere

2009-04-08 Thread Phyllis Thaxton
Please give me a call stranger...205-759-7487

Phyllis


  
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[Histonet] Michael LaFriniere

2009-04-08 Thread Phyllis Thaxton
please call me at work 205-759-7487

Phyllis



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