[Histonet] Well. Don't I look like a dummy!

2015-04-09 Thread Tom McNemar
Sorry that it took me 3 emails to get the link right.

Licking Memorial Hospital has an opening for a full time certified histology 
tech.
Dayshift position, 7:30am to 4:00pm, Monday through Friday with no weekends or 
holidays.
If interested check us out and apply online at:

http://www.lmhealth.org/

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055



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[Histonet] Histology position in Newark, Ohio

2015-04-09 Thread Tom McNemar
Sorry.  Not sure why the link didn't work.

www.lmhealth.orghttp://www.lmhealth.org

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055



This e-mail, including attachments, is intended for the sole use of the 
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[Histonet] Histology position in Newark, Ohio (approximately 30 miles east of Columbus)

2015-04-09 Thread Tom McNemar
Hello all,

Licking Memorial Hospital has an opening for a full time certified histology 
tech.
Dayshift position, 7:30am to 4:00pm, Monday through Friday with no weekends or 
holidays.
If interested check us out and apply online at 
www.lmhealth.orghttp://www.lmhealth.org.


Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055



This e-mail, including attachments, is intended for the sole use of the 
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[Histonet] RE: Cassette Labeler

2015-01-27 Thread Tom McNemar
We use General Data for cassettes and slide labels and are very happy with it.  
We are adding Cytology to it this year.

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Debbie Granato
Sent: Monday, January 26, 2015 12:07 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cassette Labeler

Our lab is currently looking into purchasing a cassette and slide labeler.

We are a small lab and are looking for a stand- alone unit with the flexibility 
to be used with the computer or bar code scanner at a later date.

I would appreciate any feedback or suggestions for any model that may fulfill 
our needs.

Thank you,

Debbie Granato HT(ASCP)


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[Histonet] RE: Electronic monitoring systems

2015-01-21 Thread Tom McNemar
We are tied into the main lab system.  Rees Scientific for freezers, 
refrigerators, and VIPs.

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michael Ann 
Jones
Sent: Tuesday, January 20, 2015 2:13 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Electronic monitoring systems

Hi all,
I was wondering - a little while ago there was mention on the blog of equipment 
(processors) being monitored and alerting the 'manager' if they went down. I'm 
sorry I cannot remember what system this was. What do you all use?
Also, what temperature control monitor is everyone using? Ours has flaws and we 
are gathering information.
Can the two systems be combined under one company?
Any help is appreciated.

Thank you!
Michael Ann
Michael Ann Jones, HT (ASCP)
Histology Manager
Metropath
7444 W. Alaska Dr. #250
Lakewood, CO 80226
303.634.2511
mjo...@metropath.commailto:mjo...@metropath.com
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[Histonet] RE: Snomed

2014-11-20 Thread Tom McNemar
We haven't used snomed codes for many years.

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
jessica.va...@hcahealthcare.com
Sent: Wednesday, November 19, 2014 2:35 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Snomed

How many of your pathologists, LIS or others are using Snomed?

Jessica Vacca
HCA Epic Anatomic Pathology
Application Lead
Clinical Services Group
2545 Park Plaza Bldg III
Nashville, TN


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[Histonet] RE: HISTO/CYTO SKILL REVIEW

2014-11-06 Thread Tom McNemar
We are JCAHO inspected (just this year) and only do yearly competencies.

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
rmweber...@comcast.net
Sent: Thursday, November 06, 2014 9:56 AM
To: histonet
Subject: [Histonet] HISTO/CYTO SKILL REVIEW

Hi,  I was wondering if anyone knows how often Joint Commission requires 
cytologist and histologist to have their competency reviewed.  I'm not talking 
about their job performance review, but how often to review their job skills 
with a check list under direct observation.  We have been doing it quarterly 
for histologists.
Thanks so much,

Marilynn Weber H.T.(ASCP)QIHC
Coastal Pathology Consulting Services LLC


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[Histonet] RE: Cold plates for icing blocks?

2014-11-04 Thread Tom McNemar
Check out the Histo-cool available from Market Lab or Mercedes Medical (and 
probably others).  We use the small ones at each cutting station and they work 
great.  You can pour a little water in and it stays cold all day.

http://www.marketlab.com/histo-cool/p/Histo-Cool/


Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Monday, November 03, 2014 2:29 PM
To: Histonet
Subject: [Histonet] Cold plates for icing blocks?

Does anyone use a cold plate, like that used for embedding, for icing blocks 
for sectioning? Just an idea

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC 
San Francisco Medical Center Box 1656
505 Parnassus Ave
San Francisco, CA 94143
USA

415.514-6042  (office)
tim.mor...@ucsfmedctr.orgmailto:tim.mor...@ucsfmedctr.org

CONFIDENTIALITY NOTICE: This email message, including any attachments, is for 
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[Histonet] RE: Combined Case prefix

2014-10-28 Thread Tom McNemar
We have a few different prefixes.  We use Meditech and have different 
enter/edit screens depending on whether the specimen is a cytology or surgical. 
 It also help in searches and gathering statistics if you can limit to a 
specific prefix.

Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
jessica.va...@hcahealthcare.com
Sent: Tuesday, October 28, 2014 10:37 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Combined Case prefix

How many facilities have combined their prefixes? Meaning your pathology and 
cytology are using the same prefix so there is no difference when accessioning 
cases of pathology or cytology. What do you feel are the pro's and con's of 
this?

Jessica Vacca


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[Histonet] RE: Looking for suggestions, ideas

2014-08-27 Thread Tom McNemar
We did this a few years ago for our local coroner's office.  They send us their 
tissues and we process them and cut the slides.  We return the slides and 
blocks to them so there is nothing in our files.  Are you returning the blocks 
with the slides?

Pretty simple to do.  I created a new specimen prefix in Meditech to 
differentiate them from our in-house cases and built a new charge procedure 
that has a zero charge for the  professional component.

The coroner does the dissection and places the tissues into the cassettes.  The 
cassettes are a different color and their numbering system is unique so there's 
no problem identifying their cassettes.

I assume that you will be placing the tissues into the cassettes on-site so I 
think that a different color cassette should solve your identification problem. 
 You may want to think about also using a matching slide color to make it even 
simpler.


Tom Mc Nemar, HT(ASCP)
Histology Supervisor
(740) 348-4163
Licking Memorial Hospital
1320 West Main Street
Newark, OH  43055

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Thomas Jasper
Sent: Tuesday, August 26, 2014 4:54 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Looking for suggestions, ideas

Hi Folks,

Here is our situation.  In the not too distant future we will be receiving 
additional specimens from 3 dermatologists.  What they need is to have these 
specimens processed, embedded, cut and H/E stained.  Once we've got the slides 
coverslipped they are to be sent back the dermatologists.  We are not doing the 
interpretation.  What I'm looking for is an idea about getting these into our 
LIS (PowerPath) and designating them for return to this group.  We should be 
able to capture the TC and need to account for the workload.

I'm thinking we could prefix them differently at the time of accessioning and 
then create something in the LIS attached to that designation which only 
generates a TC.  I'm wondering if anyone else does anything like this?  I'm 
also interested in having this differing designation for efficient workflow.  I 
don't want any of these making their way to our pathologists.  I've thought of 
identification by color of block and a new prefix.  Just not sure if/what 
others are doing, how difficult to implement for an LIS standpoint (separation 
of TC and PC) and any other considerations.

Thanks, I know I've got all the superior minds out there.  Your thoughts are 
greatly appreciated.

Tom Jasper


Thomas Jasper HT (ASCP) BAS
AP/CP Supervisor
Deaconess Hospital
600 Mary Street
Evansville, IN 47747
thomas.jas...@deaconess.com
812-450-2485


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[Histonet] RE: biopsy bags for processing - alternatives

2014-08-13 Thread Tom McNemar
Personally, I prefer the biopsy bags and find them easy to work with.  I 
generally hold the bag in one hand (allows the paraffin to cool enough to hold 
the tissue) and use forceps to slowly open it.  If it is an ECC or something 
similar, I can wrap the opened bag around a couple of fingers and use a small 
spatula to scrap.  With a little practice, I have found it to be quick and 
efficient.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Wednesday, August 13, 2014 11:24 AM
To: Histonet
Subject: [Histonet] biopsy bags for processing - alternatives

All knowing Histonet,

Our grossing staff uses nylon biopsy bags to enclose some biopsy specimens. 
The embedding staff find them troublesome because when they pull the bags open 
they tend to pop open and throw the tissue off in all directions. They have 
to be very careful opening these. Is there another bag made of some other 
material that is less prone to this problem?

For various reasons some of these samples can't be put on sponges. They do wrap 
some in flat biopsy paper, but not others. It seems to be a grossing personal 
preference more than anything else.

Thanks for any and all info!

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies
UC San Francisco Medical Center
Box 1656
505 Parnassus Ave
San Francisco, CA 94143
USA

415.514-6042  (office)
tim.mor...@ucsfmedctr.orgmailto:tim.mor...@ucsfmedctr.org


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[Histonet] RE: G.I. biopsies and special stains

2014-06-09 Thread Tom McNemar
H. Pylori by IHC on all stomach biopsies and Alcian Blue on all esophageal 
biopsies done automatically.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
kathy.mach...@lpnt.net
Sent: Monday, June 09, 2014 9:15 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] G.I. biopsies and special stains

I was wondering if other labs are automatically ordering special stains 
and/or IHC on stomach biopsies and esophageal biopsies?  Or do you wait until 
HE is screened?  Thanks!

Danville Regional Medical Center
Danville, VA
kathy.mach...@lpnt.netmailto:kathy.mach...@lpnt.net
434-799-3868

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RE: [Histonet] Xylene substitute for processing GI biopsies

2014-04-18 Thread Tom McNemar
We have used Americlear for many, many years.  Processing and staining of 
everything (not just GI).  It's a d-limonene product so it does have an 
orangish smell.  I have always had VIPs and we have never had a problem.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blazek, Linda
Sent: Friday, April 18, 2014 11:40 AM
To: Lori Gemeinhardt; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Xylene substitute for processing GI biopsies

Lori,

We use Formula 83 from CBG for both processing and staining.  We have used this 
for years with no problem for our GI biopsies.  It wouldn't do any good to 
share my processing schedule with you though since we have a different 
processor.  If you want to talk or any further information feel free to contact 
me.  We also recycle our Formula 83.

Linda Blazek HT (ASCP)
Manager/Supervisor
GI Pathology of Dayton
Digestive Specialists, Inc
Phone: (937) 396-2623
Email: lbla...@digestivespecialists.com



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Friday, April 18, 2014 11:15 AM
To: Lori Gemeinhardt; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Xylene substitute for processing GI biopsies

Hi Lori:
Instead of xylene you can use isopropyl (also known as 2-propanol and propyl 
alcohol) and after sectioning you can use dishwasher soap before going directly 
to the staining procedure. After staining you need nothing but an oven to dry 
out the stained sections and go diractly to coverslipping.
If you want details on the above please go to: 
http://www.histosearch.com/rene.html and read my articles on the subject, 
including processing protocols.
If you follow the instructions, you will have a totally xylene free lab.
René J.
On Thursday, April 17, 2014 8:19 PM, Lori Gemeinhardt loreli...@mac.com wrote:

Hi there!
I have spent a lot of time reading the archives, but still need some specific 
and current input/advice.
I'm interested in overnight processing for GI biopsies on a Tissue-Tek VIP with 
a xylene substitute.  I need insight on protocols, brands, effects on 
staining. The good, the bad, the ugly. I have only used xylene in my many 
years of experience!  This is completely new (to me), and rather overwhelming.
It would be ideal to use the same substitute in the staining process, so any 
consideration with that is also appreciated.
I understand this has been discussed, at length in the past, and I 
apologize I am just hoping to zero in on the best case scenario as a 
starting point.

Thanks, in advance, for your help!
Lori

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[Histonet] RE: Body Release and Cleanin in Morgue

2014-03-27 Thread Tom McNemar
We stopped doing autopsies years ago.  Since then, we have transferred 
ownership of the morgue to Nursing Services and have nothing to do with it.  
Before all that it was the deiner who was responsible for releasing the bodies 
and saw that it was cleaned by environmental services after each autopsy.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott, Allison D
Sent: Wednesday, March 26, 2014 5:11 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Body Release and Cleanin in Morgue

Hello to all in histo-land.  Who takes care of releasing the body to the 
funeral home and who does the cleaning of the seals and the molds on the 
drawers for the body storage?  Is lab some how involved in this process?


Allison Scott HT(ASCP)
Supervisor, Histology Lab
LBJ Hospital
Harris Health System
Office: 713-566-2148
Lab: 713-566-5287


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RE: [Histonet] Turn Around Time

2014-02-03 Thread Tom McNemar
Our benchmark is 24 hour TAT for 80% of cases.  We provide same-day service for 
recuts and most in-house special stains.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge
Sent: Monday, February 03, 2014 12:43 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Turn Around Time

Hello Histonet

I am just curious what the standard for Turn Around Time is for most labs.
I think a two day turn around time from the time the biopsy gets to the lab
to the time the pathologist signs out a case is pretty fast.

Thanks for your input.
--
Dawn R Bugge
Seattle Histology
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[Histonet] RE: Tissue-Tek TEC5

2014-01-21 Thread Tom McNemar
No.  I have had 3 Tissue Tek embedding stations and never felt it was cold 
enough.  It is in such close proximity to all that heat that I just assume that 
it is what it is. Other than that, no problems.  I have found them to be very 
reliable.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gregoire, 
Rhonda (MAFRI)
Sent: Tuesday, January 21, 2014 1:09 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Tissue-Tek TEC5

We are looking to purchase a new embedding centre.  If you are using the 
Tissue-Tek embedding centre do you find that the cold spot is cold enough?  Any 
other pros/cons?

Thanks


Rhonda Gregoire, MLT
Supervisor, Clinical Pathology
Veterinary Diagnostic Services
Manitoba Agriculture, Food and Rural Development
545 University Crescent
Winnipeg, MB
R3T 5S6

phone 204-945-7641
fax 204-945-7646
email rhonda.grego...@gov.mb.camailto:rhonda.grego...@gov.mb.ca



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RE: [Histonet] FW:

2013-12-31 Thread Tom McNemar
I am very happy with ours. Our system is from General Data.  Specimen container 
labels are printed at accessioning, that label is scanned at grossing and 
cassettes are printed.  Those cassettes are then scanned at the microtome and 
slide labels for that block only are printed from a small printer located at 
the microtome.

We were unable to interface with our LIS (Meditech) so as a workaround, we have 
to print a report that sends the information over to the General Data system.

There were some issues early on but it has proven to be a good system.  I will 
be expanding it to include Cytology later this year.

Tom McNemar, HT(ASCP)
Histology Supervisor
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burrage, 
Shannon L.
Sent: Tuesday, December 31, 2013 9:31 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] FW:




From: Burrage, Shannon L.
Sent: Tuesday, December 31, 2013 8:10 AM
To: ,utsouthwestern.edu
Subject:


Hi:

I'm new to this website, and anxious to learn from all. At this point, i'm 
wondering if anyone could give me any information on the general use of bar 
coding in histology. Such as available vendors, and necessary equipment, mostly 
your personal experiences with this system.


Thanks,

Shannon

shannon.burr...@unitypoint.orgmailto:shannon.burr...@unitypoint.org



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RE: [Histonet] Re: Staining on Alcohol Fixed Smears

2013-12-17 Thread Tom McNemar
Thanks for the clarification.  I appreciate the info!

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Cox
Sent: Monday, December 16, 2013 2:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

I agree that with no formalin exposure, there is no crosslinking that
needs to be broken, but a then, do nothing approach to antigen
retrieval oversimplifies the issue.   Alcohol fixation makes changes in
the protiens/antibodies also, although different changes than formalin
does, and these changes need to be accounted for.  In my research on
alcohol fixed smears, I found that most antibodies perform best with
some antigen retrieval, often gentler than formalin tissues require.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech

--

Message: 4
Date: Mon, 16 Dec 2013 11:13:59 -0500
From: Tom McNemartmcne...@lmhealth.org
Subject: RE: [Histonet] Re: Staining on Alcohol Fixed Smears
To: 'Beth Cox'bethc...@gmail.com,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu,levi.fr...@gmail.com
levi.fr...@gmail.com
Message-ID:
E9A90E28259D2F4E84308C5E8EA8F7B4016951E94252@lmhs-exchange
Content-Type: text/plain; charset=us-ascii


Since there is no exposure to formalin, we do not do antigen retrieval on 
alcohol fixed specimens.  We use the Ventana Benchmark XT and copy the protocol 
to a new number and use the Wet option rather than paraffin.  No retrieval 
needed.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From:histonet-boun...@lists.utsouthwestern.edu  
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Cox
Sent: Saturday, December 14, 2013 6:30 PM
To:histonet@lists.utsouthwestern.edu;levi.fr...@gmail.com
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

Levi,

I've worked up most of the more common antibodies on alcohol fixed
smears.  There are two things to remember here:  1) your specimens are
alcohol fixed, meaning antigen retrieval needs are different, and 2)
they are smears, meaning the cells weren't 'cut open' during microtomy,
which impeeds some nuclear staining.  Those are two different issues to
consider.

Some rules of thumb:
1)  most cell membrane antigens will stain nicely with minimal changes
to the protocols you use for FFPE specimens
2)  most cytokeratin antigens stain nicely with little change to your
FFPE protocols (if you need to change, start by cutting your antigen
retrieval time in half)
3)  most nuclear antigens require significant changes from FFPE
protocols, and some are essentially impossible to stain using standard
antibodies.

When I return to work on Monday, I will forward you my protocol
'adjustments' for the antibodies you requested.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech




On 12/14/2013 12:00 PM,histonet-requ...@lists.utsouthwestern.edu  wrote:

 Message: 4
 Date: Sat, 14 Dec 2013 18:25:08 +0200
 From: Levi Friedlevi.fr...@gmail.com
 Subject: [Histonet] Staining on Alcohol Fixed Smears.
 To:histonet@lists.utsouthwestern.edu
 Message-ID:
CA+puqxTXL85pEwvR=sqPQA36tMJPm=sx2kv3gyebrbu0he3...@mail.gmail.com
 Content-Type: text/plain; charset=ISO-8859-1

 Hi Everyone.

 I am looking to stain alcohol fixed smears with a group of antibodies.

 The antibodies of particular interest are p63, p53 and ki67.
 Along with these antibodies I am looking for positive nuclear and
 cytoplastic staining antibodies.

 If anyone has any experience in staining alcohol fixed slides your
 information is very appreciated.

 All the best.

 -- Sincerely, - Levi Fried

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error-free as information could be intercepted, corrupted, lost, destroyed, 
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accept liability for any errors

RE: [Histonet] Re: Staining on Alcohol Fixed Smears

2013-12-16 Thread Tom McNemar
Since there is no exposure to formalin, we do not do antigen retrieval on 
alcohol fixed specimens.  We use the Ventana Benchmark XT and copy the protocol 
to a new number and use the Wet option rather than paraffin.  No retrieval 
needed.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Cox
Sent: Saturday, December 14, 2013 6:30 PM
To: histonet@lists.utsouthwestern.edu; levi.fr...@gmail.com
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

Levi,

I've worked up most of the more common antibodies on alcohol fixed
smears.  There are two things to remember here:  1) your specimens are
alcohol fixed, meaning antigen retrieval needs are different, and 2)
they are smears, meaning the cells weren't 'cut open' during microtomy,
which impeeds some nuclear staining.  Those are two different issues to
consider.

Some rules of thumb:
1)  most cell membrane antigens will stain nicely with minimal changes
to the protocols you use for FFPE specimens
2)  most cytokeratin antigens stain nicely with little change to your
FFPE protocols (if you need to change, start by cutting your antigen
retrieval time in half)
3)  most nuclear antigens require significant changes from FFPE
protocols, and some are essentially impossible to stain using standard
antibodies.

When I return to work on Monday, I will forward you my protocol
'adjustments' for the antibodies you requested.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech




On 12/14/2013 12:00 PM, histonet-requ...@lists.utsouthwestern.edu wrote:
 Message: 4
 Date: Sat, 14 Dec 2013 18:25:08 +0200
 From: Levi Friedlevi.fr...@gmail.com
 Subject: [Histonet] Staining on Alcohol Fixed Smears.
 To:histonet@lists.utsouthwestern.edu
 Message-ID:
   CA+puqxTXL85pEwvR=sqPQA36tMJPm=sx2kv3gyebrbu0he3...@mail.gmail.com
 Content-Type: text/plain; charset=ISO-8859-1

 Hi Everyone.

 I am looking to stain alcohol fixed smears with a group of antibodies.

 The antibodies of particular interest are p63, p53 and ki67.
 Along with these antibodies I am looking for positive nuclear and
 cytoplastic staining antibodies.

 If anyone has any experience in staining alcohol fixed slides your
 information is very appreciated.

 All the best.

 -- Sincerely, - Levi Fried

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[Histonet] RE: external alarm for Tissue-Tek VIP E300

2013-11-18 Thread Tom McNemar
Ours is tied into the main lab system that monitors all of the refrigerators 
and freezers.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Juliana Montero
Sent: Monday, November 18, 2013 11:04 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] external alarm for Tissue-Tek VIP E300

I am looking to get an external alarm for our tissue processor. Any suggestions?



Juliana Montero, HTL

Lead Histotechnologist



USMD Pathology Laboratory

900 Airport FWY

Ste. 132

Hurst, TX 76054



817-576-0590 Office

817-576-0591 Fax

432-238-8981 Cell



juliana.mont...@usmd.commailto:juliana.mont...@usmd.com







[USMD]


The information contained in this e-mail message is intended exclusively for 
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RE: [Histonet] FW: Fungus Controls

2013-11-06 Thread Tom McNemar
I made some controls years ago that we are still using today.  I used bread 
mold and streaked it out on a blood agar plate.  Once the plate was covered, 
cut the agar into cubes, wrapped it in lens paper and processed.  Cuts and 
stains beautifully.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tim Higgins
Sent: Tuesday, November 05, 2013 2:04 PM
To: histonet@lists.utsouthwestern.edu; vickroy@mhsil.com
Subject: [Histonet] FW: Fungus Controls




I have used orange peel for years. I never had a problem with the pathologist 
not approving the control for use on patient stains.  Its naturally 
occurring, a petri dish would not be naturally occurring in my mind.

Once I verified the orange peel does stain the fungus the same way it does in 
human tissue by doing a side by side staining the pathologist were fine with 
it.  Actually happy I was able to save some money.

Most controls you get from other source are not human either, usually it some 
type of animal. Try the orange peel. I did like the idea of using the some type 
of moldy meat or having your micro department do something for you  I have 
never tried that, but if it works that would be awesome.   Thanks,

Timothy N. Higgins, HT (ASCP), QIHC


 Message: 4
 Date: Mon, 4 Nov 2013 15:07:06 -0500
 From: Patrick Laurie foreig...@gmail.com
 Subject: Re: [Histonet] Aspergillus tissue blocks for controls
 To: Vickroy, Jim vickroy@mhsil.com
 Cc: histonet@lists.utsouthwestern.edu
   histonet@lists.utsouthwestern.edu
 Message-ID:
   CAKEyg-2KaDkn0oFQURzuPcugQt=ju8lkk6c8dah+npjvvsp...@mail.gmail.com
 Content-Type: text/plain; charset=ISO-8859-1

 Hi Jim,

 I have found a couple of ways.  First, if you are fortunate to have a micro
 department nearby, they can make a very nice one for you (a Histotip in
 Sakura's Histologic).  Another method, which doesn't work the best,  can be
 moldy orange peel.  And the easiest, you can create your own (moldy
 sausage) or even take some human tissue (fresh lung works the best) and
 leave it with some moldy meat, then you can get a great one.

 Good luck!


 On Mon, Nov 4, 2013 at 10:38 AM, Vickroy, Jim vickroy@mhsil.com wrote:

  We are in desperate needs of obtaining GMS controls.   In the old days we
  had all the fungal specimens we needed.  Today it is getting hard to find
  these tissues or controls.   Does anyone have any idea where we can get
  tissue blocks with Aspergillus or does anyone have any other suggestions
  about GMS controls.
 
  James Vickroy BS, HT(ASCP)
 
  Surgical  and Autopsy Pathology Technical Supervisor
  Memorial Medical Center
  217-788-4046
 
 
  
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[Histonet] RE: cell block staining issues

2013-10-31 Thread Tom McNemar
We have not used B72.3 for quite awhile now but all of our NGYNs are either 
collected in or processed with Cytolyt and we have had no issues.  Sorry, I 
know this isn't much help.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Martha 
Ward-Pathology
Sent: Thursday, October 31, 2013 8:19 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] cell block staining issues



We have something of a mystery here and I am hoping someone can help.  My 
cytopath docs are saying that our B72.3 (TAG-72) antibody is not working well 
in cell blocks created from fluids (plural), etc. and that this is a fairly 
recent development (over the past 5-6 weeks or so).The surgical cases we 
have stained look great as does our control, which is placed on each slide.   
We have not changed lot numbers of antibody or made any up recently and the 
antibody is not expired, or even close.The only thing we can find that is 
different is that cytology has been rinsing the needles out with a product 
called Cytolyt, instead of saline and they started this around the first of 
August.Does anyone know if this product could cause any interference with 
our staining?  The docs just say that the tumor cells are not staining and we 
are sort of at a loss here.

Thanks in advance for your help.
Martha Ward, MT (ASCP) QIHC
Manager
[Wake Forest Baptist Health]
Molecular Diagnostics Lab
Medical Center Boulevard  \  Winston-Salem, NC 27157 p 336.716.2109  \  f 
336.716.5890 mw...@wakehealth.edu



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[Histonet] RE: freezing spray

2013-10-25 Thread Tom McNemar
We do not us it.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V
Sent: Thursday, October 24, 2013 2:45 PM
To: histonet (histonet@lists.utsouthwestern.edu)
Subject: [Histonet] freezing spray

Our hospital has not allowed freezing spray to be used in the frozen section 
lab for many years.  We now have a new group of doctors who want to use the 
spray.  The docs think the frozen sections take too long to freeze.  Yet, they 
meet the frozen section TAT for more than 98% of our cases.  I think it's worth 
not using it for the one case where no one suspects TB but the patient will be 
positive.

Do you allow freezing spray in your frozen section lab?


Hazel Horn
Supervisor of Histology/Autopsy/Transcription
Anatomic Pathology
Arkansas Children's Hospital
1 Children's Way | Slot 820| Little Rock, AR 72202
501.364.4240 direct | 501.364.1241 fax
hor...@archildrens.orgmailto:hor...@archildrens.org
archildrens.orghttp://www.archildrens.org/







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[Histonet] RE: Low Temp problem

2013-10-24 Thread Tom McNemar
We have had pads replaced as well but the problem continues.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gary Gracie
Sent: Wednesday, October 23, 2013 9:29 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Low Temp problem

I am also running Ventana Benchmark Ultras. This low temp problem has started 
to occur regularly to individual heater pads (five in total over several weeks, 
across two machines). Ventana have promptly replaced the pad on each occasion.

Gary Gracie
Senior Technical Officer
IHC Laboratory
Anatomical Pathology
St Vincents Hospital
Sydney, Australia

Message: 1
Date: Tue, 22 Oct 2013 11:04:45 -0700
From: HERRINGTON, SHEILA sheila.herring...@interiorhealth.ca
Subject: RE: [Histonet] Low Temp question
To: 'Tom McNemar' tmcne...@lmhealth.org, 'Shawn Leslie '
shawnles...@embarqmail.com, Histonet@lists.utsouthwestern.edu
Histonet@lists.utsouthwestern.edu
Message-ID:

9d5f3f245a5fe0458e46e9a71e3ee08c06cd37f...@dc1serv352.interiorhealth.ca

Content-Type: text/plain; charset=utf-8

I also have been having low temp errors.  I use  Benchmark Ultras and they are 
not a batch stainer, so pads are heated independently.  I noticed the staining 
on the particular pad with the error was not quite to the usual standard so I 
have stopped using that pad.  Have contacted Ventana for a case number, but 
have not got an answer.  Is this a new problem for you as well?  This only 
started a few weeks ago for us.


Sheila Herrington
Technical Lead Histopathology and Immunohistochemistry
Kelowna General Hospital
2268 Pandosy Street, Kelowna, B.C. V1Y 1T2
250-862-4300 ext 7587 or 7510
sheila.herring...@interiorhealth.ca





-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar
Sent: Tuesday, October 22, 2013 8:28 AM
To: 'Shawn Leslie '; Histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Low Temp question

We see these continually as well.  We are told that it is a software glitch and 
not really a problem with the heat. I was told that they are working on it.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.orghttp://www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Shawn Leslie
Sent: Tuesday, October 22, 2013 11:07 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Low Temp question


Goodmorning all,
I have a question concerning the Ventana Benchmark XT. We are constantly 
having low temperature errors during almost every run. The immunos look fine 
but we are still concerned. Has anyone else that uses the Benchmark experienced 
this also ? We have noticed that the silver coating on the heating pads is 
wearing off. Ventana indicated to us that it's nothing to be concerned about. 
Any hel p would be appreciated.

Shawn Leslie HT (ASCP)

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RE: [Histonet] Low Temp question

2013-10-22 Thread Tom McNemar
We see these continually as well.  We are told that it is a software glitch and 
not really a problem with the heat. I was told that they are working on it.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Shawn Leslie
Sent: Tuesday, October 22, 2013 11:07 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Low Temp question


Goodmorning all,
I have a question concerning the Ventana Benchmark XT. We are constantly 
having low temperature errors during almost every run. The immunos look fine 
but we are still concerned. Has anyone else that uses the Benchmark experienced 
this also ? We have noticed that the silver coating on the heating pads is 
wearing off. Ventana indicated to us that it's nothing to be concerned about. 
Any hel p would be appreciated.

Shawn Leslie HT (ASCP)
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[Histonet] RE: Dress codes

2013-10-08 Thread Tom McNemar
Hospital dress code.  Scrub uniforms purchased through the hospital.  No open 
toed shoes.  None-uniformed employees are casual/business attire.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Wineman, Terra
Sent: Tuesday, October 08, 2013 1:39 PM
To: Wineman, Terra; Horn, Hazel V; 'Nancy Schmitt'; 
histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Dress codes

Regulatory agencies - OSHA, NIH, CDC for sure!!

Terra Wineman, HTL (ASCP)CM
Research Biologist
636-926-7476 phone
terra.wine...@novusint.com



-Original Message-
From: Wineman, Terra
Sent: Tuesday, October 08, 2013 12:35 PM
To: 'Horn, Hazel V'; 'Nancy Schmitt'; histonet@lists.utsouthwestern.edu
Subject: RE: Dress codes

In the research lab the dress code is an follows, close toed shoes this means 
no crocs or dress shoes with long pants, no shorts or dresses.  Safety glasses 
per OSHA and nothing loose that might get caught in machinery.

Terra Wineman, HTL (ASCP)CM
Research Biologist
636-926-7476 phone
terra.wine...@novusint.com


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V
Sent: Tuesday, October 08, 2013 12:23 PM
To: 'Nancy Schmitt'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Dress codes

We have a hospital dress code.  It is not just for  the  lab.

Hazel Horn
Supervisor of Histology/Autopsy/Transcription Anatomic Pathology Arkansas 
Children's Hospital
1 Children's Way | Slot 820| Little Rock, AR 72202
501.364.4240 direct | 501.364.1241 fax
hor...@archildrens.org
archildrens.org






-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Tuesday, October 08, 2013 12:17 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] FW: Dress codes

Not sure if my mail is going through or not...

Thank you

Nancy Schmitt


Nancy Schmitt HT, MLT(ASCP)
Histology Coordinator
United Clinical Laboratories
205 Bluff Street
Dubuque, IA  52001
563-556-2010 ext. 142
nancy_schm...@pa-ucl.com



From: Nancy Schmitt
Sent: Tuesday, October 08, 2013 8:58 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: Dress codes

Good Morning-
I am looking for input on dress codes - specifically shoe and pants guidelines 
and what regulatory agency your information comes from.
It seems this can be a hot button topic:( Thank you for your input- Nancy

Nancy Schmitt HT, MLT(ASCP)
Histology Coordinator
United Clinical Laboratories
nancy_schm...@pa-ucl.commailto:nancy_schm...@pa-ucl.com




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[Histonet] IHC trun-around-time

2013-10-01 Thread Tom McNemar
Hello all,

I am wondering how many places offer same-day staining of IHC.  We are a small 
hospital based lab that averages about 70 IHC slides per week.  We operate 5 
days/week, 0600-1600.  We give same day staining for IHC requests that are 
received by 10am and are using the Ventana Benchmark XT.   Due to some issues 
that have developed, we may have to change the way we do things.

With our current 10am cutoff plus possible pre-analytical changes the 
instrument will finish too late in the afternoon.  The pathologists really like 
the same day service on IHC but I'm thinking that I may have to make the cutoff 
time earlier and anything after that will just have to wait.

So I am wondering if anyone else of similar size, instrumentation, and 
workload, offers same-day staining for IHC.  I appreciate your input.  Thanks.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


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RE: [Histonet] Cell Block Preparation

2013-09-06 Thread Tom McNemar
This is how we do it now.  In the old days, we used agar and to my mind, it is 
still the best way when you have scant material.
- Spin in a conical tube and pour off
- Melt an agar slant (we get TSA slant from micro)
- Pour the agar into the conical tube and spin for 5 minutes
- The agar will re-solidify and whatever sediment there is will be concentrated 
in the very tip of the cone
- The agar will slide out of the centrifuge tube
- Slice off the very tip and wrap in lens paper
- Place the wrapped tip in a cassette and process as usual
- Embed the specimen tip down and you are good to go...

I still use this method today when I feel it necessary.  Works great.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ann Specian
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] Unstained slides

2013-08-29 Thread Tom McNemar
We cut a decent number of unstained as well.  Mostly the tiny biopsies and 
cores and we do end up using most of these. I personally see no reason to cut 
unstained slides on anything else.  Since you still have to go back and cut 
controls, it doesn't really save that much time but of course, it does save 
tissue.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Brinegar
Sent: Wednesday, August 28, 2013 4:47 PM
To: Martha Ward-Pathology
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Unstained slides

Martha,

I have had experience in three different labs.  The unstained slides can
pile up quickly, especially when you are using charged slides that are
just in case slides for sendouts, IHC, etc.  For core biopsies (breasts,
fine needles, prostate, etc.) we cut levels and put up at least five of the
in between sections to keep on hand in case.  We maybe use these slides
10 percent of the time and toss the rest after 3-4 weeks.  It can seem
wasteful, however if you have a small core, you must save precious tissue.

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403


On Wed, Aug 28, 2013 at 9:28 AM, Martha Ward-Pathology mw...@wakehealth.edu
 wrote:



 We are looking at ways to improve our work processes, save time and labor
 and reduce costs, all while maintaining patient quality...as we all are of
 course.

 During our conversations the subject of cutting unstained slides has come
 up and we are looking for bench marking data to see if we are where we need
 to be.Currently we are cutting unstained slides for various protocols
 (including prostate biopsies), where the specimens are tiny,  but we are
 also cutting a lot of just in case unstained slides.   Our research has
 shown that about 50% of the time the unstained slides requested are never
 used and we are trying to find out if that is high, low or about what other
 institutions are seeing.   If anyone has any data they could share with us
 we would appreciate it.

 Thanks in advance for your help.   I can share what I find out if others
 are interested.


 Martha Ward, MT (ASCP) QIHC
 Manager

 Molecular Diagnostics Lab
 Medical Center Boulevard  \  Winston-Salem, NC 27157 p 336.716.2109  \  f
 336.716.5890 mw...@wakehealth.edu





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RE: [Histonet] RE: Two Patient Identifiers on slides

2013-08-01 Thread Tom McNemar
Yes.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: Pratt, Caroline [mailto:caroline.pr...@uphs.upenn.edu]
Sent: Wednesday, July 31, 2013 1:47 PM
To: Tom McNemar; Jean Wood; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Two Patient Identifiers on slides

Just for clarification, patient first and last name? Thanks!

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom
McNemar
Sent: Wednesday, July 31, 2013 5:49 AM
To: 'Jean Wood'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Two Patient Identifiers on slides

Our cassettes are printed with the accession number, patient name, and a
barcode that also contains the DOB.  When sectioning, this barcode is
scanned at the microtome when the slides are cut.  Labels are printed,
again at the microtome, and the slides are labeled.  The slide label
contains the accession number, patient name, level number or special
stain, the pathologist's initials, and the hospital address.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean
Wood
Sent: Tuesday, July 30, 2013 3:37 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Two Patient Identifiers on slides

Hello Histonetters,

   Recently we started utilizing a slide labeling component that is
built into our AP Easy LIS system and has accession number, levels and
patients first and last name when labels are printed out. Dymo does not
have a chemically resistant label (we have a Dymo 450 printer) and we
have been putting the labels on AFTER the slides are stained and cover
slipped.

In the meantime, the HT is writing in pencil the accession # and levels
on the slide which is then covered up with the permanent label after
cover slipping. Our Lab Manager is worried that we are not compliant as
we do not have two patient identifiers on throughout the whole process
(she wants us to write patient names on slides in pencil (before
staining) and then cover that up with the pre-printed label after
staining.

1. What is everyone else doing?
2. Have any of you found a chemically resistant label compatible with
the Dymo labeler?


Jean Wood BS, HT
Fairchild Medical Center Pathology Dept.
Ph:530.841.6243 Fax:530.841.6232
jw...@fairchildmed.orgmailto:jw...@fairchildmed.org
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RE: [Histonet] Two Patient Identifiers on slides

2013-08-01 Thread Tom McNemar
Our blocks have a barcode to the left then two lines of text.  The top line is 
the accession number in a large font the name below it.  The name is printed in 
a smaller font but it is easily readable.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pratt, Caroline
Sent: Wednesday, July 31, 2013 2:14 PM
To: Joe W. Walker, Jr.; Michelle Moore; Jean Wood; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Two Patient Identifiers on slides

My understanding was the same as Joe's and at least to date, that is what we 
have presented during survey and it has been deemed acceptable.  However, we 
are accredited by TJC not CAP.  My question to those of you who are providing 2 
patient identifiers on blocks?  How do you make it fit?  If anyone could scan 
an image to caroline.pr...@uphs.upenn.edu I would greatly appreciate it!  As of 
now, we have the unique patient accession number and a barcode with the 
accession number as well.  We are in our survey window I would like to be sure 
we are compliant.

One more question, if you label slides and blocks with a name and DOB from the 
requisition and find out during insurance validation that the name is 
misspelled or the DOB is inaccurate, how do you handle that?  Thanks for your 
help.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker, 
Jr.
Sent: Tuesday, July 30, 2013 4:31 PM
To: Michelle Moore; Jean Wood; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Two Patient Identifiers on slides

I don't think this is technically correct according to the CAP.  The question 
in the most recent checklist states:

**REVISED** 07/11/2011

ANP.52000 Specimen ID   Phase II
The identity of every specimen and image, including blocks, slides, and 
electron micrographs, is maintained through each step in processing.

NOTE: Each block of tissue must be individually labeled with unique patient 
identifier(s), e.g.
accession number etched onto the block or embedded into it. Storage of 
unlabeled blocks in separate containers that are labeled with patient number or 
name does not meet this requirement.
Evidence of Compliance:

✓ Written procedure describing system for maintaining specimen identity

This question does not state that 2 identifiers must be on the slides and 
blocks, etc.  It states it must be a unique identifier throughout the process.  
A specimen accession number would technically suffice.  You can add additional 
identifiers if that helps in your process but they are not required.

I believe that this is often confused with the General lab question GEN.40491 
which requires that any specimen that is collected and submitted to the lab 
must have 2 unique identifiers on it.  Once the specimen is in the lab, the 
unique accession number would suffice.

Now, if you are utilizing the 2 identifiers to help prevent mislabeling, then I 
think it is a good idea as an extra precaution step.  We are fortunate to have 
a xylene resistant label and printer that allows us to label the slides prior 
to processing.

My two cents as a manager,

Joe W. Walker, Jr. MS, SCT(ASCP)CM
Anatomical Pathology Manager
Rutland Regional Medical Center
160 Allen Street, Rutland, VT 05701
P: 802.747.1790  F: 802.747.6525
Email joewal...@rrmc.orgwww.rrmc.org

Our Vision:
To be the Best Community Healthcare System in New England

Rutland Regional…Vermont’s 1st Hospital to Achieve Both ANCC Magnet 
Recognition® and the Governor’s Award for Performance Excellence


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle Moore
Sent: Tuesday, July 30, 2013 3:46 PM
To: Jean Wood; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Two Patient Identifiers on slides

We are writing path #, date of birth  patient initials as identifiers. Michelle



From: Jean Wood jw...@fairchildmed.org
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Sent: Tuesday, July 30, 2013 2:37 PM
Subject: [Histonet] Two Patient Identifiers on slides


Hello Histonetters,

  Recently we started utilizing a slide labeling component that is built 
into our AP Easy LIS system and has accession number, levels and patients first 
and last name when labels are printed out. Dymo does not have a chemically 
resistant label (we have a Dymo 450 printer) and we have been putting the 
labels on AFTER the slides are stained and cover slipped.

In the meantime, the HT is writing in pencil the accession # and levels on the 
slide which is then covered up with the permanent label after cover slipping. 
Our Lab

[Histonet] RE: Two Patient Identifiers on slides

2013-07-31 Thread Tom McNemar
Our cassettes are printed with the accession number, patient name, and a 
barcode that also contains the DOB.  When sectioning, this barcode is scanned 
at the microtome when the slides are cut.  Labels are printed, again at the 
microtome, and the slides are labeled.  The slide label contains the accession 
number, patient name, level number or special stain, the pathologist's 
initials, and the hospital address.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jean Wood
Sent: Tuesday, July 30, 2013 3:37 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Two Patient Identifiers on slides

Hello Histonetters,

   Recently we started utilizing a slide labeling component that is built 
into our AP Easy LIS system and has accession number, levels and patients first 
and last name when labels are printed out. Dymo does not have a chemically 
resistant label (we have a Dymo 450 printer) and we have been putting the 
labels on AFTER the slides are stained and cover slipped.

In the meantime, the HT is writing in pencil the accession # and levels on the 
slide which is then covered up with the permanent label after cover slipping. 
Our Lab Manager is worried that we are not compliant as we do not have two 
patient identifiers on throughout the whole process (she wants us to write 
patient names on slides in pencil (before staining) and then cover that up with 
the pre-printed label after staining.

1. What is everyone else doing?
2. Have any of you found a chemically resistant label compatible with the Dymo 
labeler?


Jean Wood BS, HT
Fairchild Medical Center Pathology Dept.
Ph:530.841.6243 Fax:530.841.6232
jw...@fairchildmed.orgmailto:jw...@fairchildmed.org
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immediately. You may also contact the LMH Process Improvement Center at 
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arrive late or incomplete, or contain viruses. The sender therefore does not 
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[Histonet] Microtome advise...

2013-07-18 Thread Tom McNemar
Hello all.  I am preparing my budget and am seeking recommendations on 
automated microtomes.  I am specifically interested in brands other than Leica 
(I already have two).  I would appreciate any thoughts you may have.  Thanks.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


This e-mail, including attachments, is intended for the sole use of the 
individual and/or entity to whom it is addressed, and contains information from 
Licking Memorial Health Systems which is confidential or privileged. If you are 
not the intended recipient, nor authorized to receive for the intended 
recipient, be aware that any disclosure, copying, distribution or use of the 
contents of this e-mail and attachments is prohibited. If you have received 
this in error, please advise the sender by reply e-mail and delete the message 
immediately. You may also contact the LMH Process Improvement Center at 
740-348-4641. E-mail transmissions cannot be guaranteed to be secure or 
error-free as information could be intercepted, corrupted, lost, destroyed, 
arrive late or incomplete, or contain viruses. The sender therefore does not 
accept liability for any errors or omissions in the contents of this message, 
which arise as a result of e-mail transmission. Thank you.
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[Histonet] RE: Label identifiers

2013-07-12 Thread Tom McNemar
Whoops!  I guess you probably weren’t asking about slide labels.  For container 
labels, it is barcode, patient name, account number, specimen source, and 
container number.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar
Sent: Friday, July 12, 2013 11:14 AM
To: 'Amber McKenzie'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Label identifiers

We have patient name, accession number, the pathologist's initials, hospital 
name and address, and special stain, or HE, or level, etc.  The accession 
number and DOB is also included in a barcode that is printed on the label.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie
Sent: Friday, July 12, 2013 9:33 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Label identifiers


I'm trying to get our Co-path computer system set up to print labels instead of 
us handwriting on the paperwork and containers...what information do you guys 
have on your printed labels...just patient name and accession no?  Thanks!

This e-mail, including attachments, is intended for the sole use of the 
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Licking Memorial Health Systems which is confidential or privileged. If you are 
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arrive late or incomplete, or contain viruses. The sender therefore does not 
accept liability for any errors or omissions in the contents of this message, 
which arise as a result of e-mail transmission. Thank you.

This e-mail, including attachments, is intended for the sole use of the 
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Licking Memorial Health Systems which is confidential or privileged. If you are 
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immediately. You may also contact the LMH Process Improvement Center at 
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RE: [Histonet] bubbles in paraffin blocks

2013-07-10 Thread Tom McNemar
I see this when using the cassettes with the smaller holes and when the 
paraffin is added too fast.  Air gets trapped under the cassette.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of j...@imebinc.com
Sent: Wednesday, July 10, 2013 12:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] bubbles in paraffin blocks

Histonet experts,can you give me reason why embedded paraffin would have
tiny bubbles  in the block after the cooling process?
Any idea are appreciated

John O'Brien
IMEB, INC
The Pathology Specialists
Tel 800-543-8496
Fax:760-761-0859
j...@imebinc.com

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arrive late or incomplete, or contain viruses. The sender therefore does not 
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which arise as a result of e-mail transmission. Thank you.

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[Histonet] RE: p16 control tissue

2013-07-09 Thread Tom McNemar
We are using Biocare's ab with squamous cell ca as the control of choice.  I 
believe you can also use cervical dysplasia or tonsil.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie Colbert
Sent: Tuesday, July 09, 2013 1:50 PM
To: Histonet Post (histonet@lists.utsouthwestern.edu)
Subject: [Histonet] p16 control tissue

We are going to be running the p16 antibody from Biocare (RUO) on skin 
specimens.  What type of tissue should I run for a positive control?  The data 
sheet says normal testis..

Laurie Colbert
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[Histonet] RE: Disposable blade information

2013-06-28 Thread Tom McNemar
I didn't think anybody still used steel knives  I remember those days

I would say to get away from the steel as soon as you can.  Disposable will 
make your life so much easier.

As you already know, it is near impossible to give you anything more than a 
guestimate but I would imagine that you could get by with one to three per day 
depending on case mix, staples, sutures, calcifications, etc.  There are so 
many variables.  It also depends on how many people are cutting those 50 blocks.

There are a lot blades to choose from.  You could probably get by for quite 
awhile just trying out different samples

See if you can find a rep that can loan you a blade holder and try some.  The 
holder will be the biggest upfront expense.

I don't really know what the difference is between the high and low profiles 
but I suspect not much more than the height.

I have tried many different brands over the years and always go back to the 
AccuEdge low profile.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hannen, Valerie
Sent: Friday, June 28, 2013 12:03 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Disposable blade information

Good Morning all,

I am having to do a cost analysis study for the cost effectiveness of 
Sharpening steel blades vs. transitioning to disposable blades. I know...what 
you all are thinking..

Your're still using steel blades??...Yes, we are... :).  Our current knife 
sharpener has some issues, and I have decided to weigh buying a used knife 
sharpener against

switching to the disposable system.  So... a little background for you. We are 
a relatively small department, we average @ 50 blocks a day, of various tissues 
types.

My questions to you are this...and I know that answers will only be  
estimations...but it is  a place for me to start.

What would be the average number of disposable blades that I would probably use 
in a day/ week?  On an average...how many blocks can be cut on each blade?

Has anyone recently made this transitiion? If so, what were some of the 
challenges??   I'm going to show my lack of knowledge of disposable blades with 
this next

question...but here it goes.. What is the difference between a low profile 
blade and a high profile blade...and would I need to buy both??

Ok... my head is hurting...so.. I am going to leave you with all the above 
questions.

Any and all information, suggestions, etc. will be greatly appreciated!!

   Thanks and have a GREAT day!!

Valerie A. Hannen, MLT(ASCP),HTL,SU(FL)
Histology Section Chief
Parrish Medical Center
951 N. Washington Ave.
Titusville, Florida 32976
Phone:(321) 268-6333 ext. 7506
Fax: (321) 268-6149
valerie.han...@parrishmed.com








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[Histonet] RE: Cytology Staining

2013-06-27 Thread Tom McNemar
We stain all fluids separately and check for malignancy.  If malignant, the 
stains are changed before staining anything else.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of McCabe, Sara
Sent: Wednesday, June 26, 2013 3:19 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cytology Staining

I have a question for those of you that also may perform cytology specimens at 
your facility.  How do you prevent carryover from one case to another?  For 
example, we had obvious carryover from a pleural fluid onto an FNA of a thyroid 
case.  This has never happened here (to our knowledge).  Has anyone else every 
experienced this?  We spray fixed our slides with an alcohol/acetone based 
fixative before staining them.  Any advice would be appreciated!

Sara McCabe, HT(ASCP)
DuBois Regional Medical Center


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RE: [Histonet] Block labeling

2013-06-24 Thread Tom McNemar
I used to use a 4x4 with a little Americlear or Xylene to clean the paraffin 
off before relabeling.  You can then dip or run a little paraffin over it.  May 
not be practical if you have a lot.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patrick Laurie
Sent: Monday, June 24, 2013 12:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Block labeling

Hi Everyone,

What is the best way to label blocks that are already embedded?  We have a
large control bank that we are trying to relabel and make search able,
however, most marking pens don't write well on paraffin covered blocks,
even when we scrape them off.  Pencils work, not always the most legibly,
so I was wondering if there is a clever solution that someone might have
found.  We've tried putting stickers or labels on the back, but that falls
right off.

Thanks in advance for any suggestions.

--

Patrick Laurie(HT)ASCP QIHC

Histology Manager

Celligent Diagnostics, LLC

101 East W.T. Harris Blvd  | Suite 1212 | Charlotte, NC 28262

Work: 704-970-3300  Cell: 704-266-0869
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RE: [Histonet] Billing ???

2013-06-21 Thread Tom McNemar
Hospital bills the technical and pathologists bill the professional.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
jmasla...@stpetes.org
Sent: Friday, June 21, 2013 11:49 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Billing ???

Happy Friday
This is a question to those who work at a hospital that have contracted
pathologists. Does your hospital bill the technical component and the
pathologist bill the profession component or does the pathologist bill
everything and pay the hospital for technical component?


Joe Maslanka BS, CT,HT (ASCP)
Anatomical Pathology Technical Supervisor

Give thanks for ALL things.
Kindness is the language the blind can see  the deaf can hear- Mark
Twain



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RE: [Histonet] Xylene substitutes for tissue processor clean cycle

2013-05-21 Thread Tom McNemar
We use Americlear.  Have not used Xylene for many, many years.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Conway, Carla
Sent: Tuesday, May 21, 2013 11:26 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Xylene substitutes for tissue processor clean cycle

Hello all,

The technician who does preventive maintenance on our LX-120 tissue
processor recommended that we use xylene as the solvent in our clean cycle.
We are considering using a xylene substitue in the clean cycle and would
appreciate any recommendations.

Thanks very much,


Carla Conway
Histology Technician
Western Fisheries Research Center, USGS
6505 N.E. 65th Street
Seattle, WA 98115-5016 USA
Phone: 206-526-6282 ext. 242
Fax: 206-526-6654
E-mail: cmcon...@usgs.gov
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[Histonet] RE: Lysol IC for Ventana equipmetn cleaner

2013-05-14 Thread Tom McNemar
We use it but we only make it up 1 gallon at a time.  We use 20ml to 1 gallon 
of distilled per Ventana.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie
Sent: Tuesday, May 14, 2013 12:33 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Lysol IC for Ventana equipmetn cleaner


I used to use Amphyl to decon my Ventana equipment, but now Cardinal sells 
Lysol IC in its place and I was wondering how you guys make it up...water to 
cleaner ratio in the Vantana carboys. With Amphyl I did 20L dH20/200ml Amphyl.  
Thanks!

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[Histonet] RE: CAP standard GEN 61300

2013-05-06 Thread Tom McNemar
I am very interested in this as well.  We have an ongoing issue with 
humidity/static.  I have been unable to find anything that lists a recommended 
humidity level for histology.  New construction building codes for labs list 
30% - 80% and the equipment manufacturers list 30% - 80% for their recommended 
operating environment.

Based on two different digital readers, our humidity is sometimes in the 20% 
range (mostly in winter but not always).  A hand operated device reads about 
40% higher than the digitals so I don't quite know what to make of it.

Anyway, I will appreciated any input.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Knutson, Deanne
Sent: Monday, May 06, 2013 8:13 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] CAP standard GEN 61300

Fellow Histonetters,

I am looking for advice concerning CAP standard GEN 61300 Climate Control.

To those that take humidity records in your lab, what exact % range do you use 
for a normal range?

And what do you do if and when you are out of this range?

Thank you for sharing your workflow info with me.

Deanne Knutson
Anatomic Pathology Supervisor
St. Alexius Medical Center
701-530-6730
dknut...@primecare.orgmailto:dknut...@primecare.org




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[Histonet] RE: IHC (DAB) after HE?

2013-04-05 Thread Tom McNemar
We just stain right over the HE.  No problems.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Margaryan, Naira
Sent: Thursday, April 04, 2013 5:24 PM
To: histonet@lists.utsouthwestern.edu; 
histonet-boun...@lists.utsouthwestern.edu; 
histonet-requ...@lists.utsouthwestern.edu
Subject: [Histonet] IHC (DAB) after HE?

Dear Histonetters,

I would like to perform IHC (DAB) after HE. Do I need to remove HE? If answer 
is YES, my question HOW? Can I ask the protocol for that?

Thanks in advance,
Naira

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[Histonet] RE: Cell block preparation

2013-03-29 Thread Tom McNemar
We wrap them in lens paper.  No problems.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dessoye, 
Michael J
Sent: Friday, March 29, 2013 12:41 PM
To: Histonet
Subject: [Histonet] Cell block preparation

Hello Histonet,

What is everyone doing regarding cell block preparation?  We have been
using sponges for processing but we've had a recent contamination issue
that may be attributable to the sponges (fluid types vary but mostly
pleural fluids).  We will be testing sponges, biopsy bags, and paper...
anyone have a method they prefer?

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: Tracking OR specimens

2013-03-18 Thread Tom McNemar
Our OR uses a binder with log sheets.  They write the specimen source one of 
the left over patient labels and place it onto the log sheet.  We then match 
them up with the actual specimens received and initial the label.

It works very well since any discrepancies are cleared up before the specimens 
ever leave the OR.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle 
Lamphere
Sent: Monday, March 18, 2013 9:14 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Tracking OR specimens

Are there any histology labs that actively participate in auditing the 
Operating Room on a daily basis to make sure that histology receives all of the 
specimens that the OR should have submitted?  If so, how do you do this?  Or 
should the OR be solely responsible for making sure that they specimens make it 
to histology?

Michelle M Lamphere, HT (ASCP)
Senior Tech, Histology
Children's Medical Center
1935 Medical District Drive
Dallas, TX  75235
Office :214-456-2798
Histology: 214-456-2318
Fax:  214-456-0779


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[Histonet] RE: General Data

2013-02-14 Thread Tom McNemar
We use a  full PC mounted under the counter and a touchpad mounted on an arm 
that can be positioned just about anyplace.  The printer is mounted on a small 
shelf below the counter.  Small scanner mounted to a desktop stand that can be 
moved wherever the cutter wants.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Thursday, February 14, 2013 11:31 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] General Data

Good Morning-
We are currently using General Data for cassette labeling - very happy with it. 
 The next phase is implementing slide labeling.
I would appreciate knowing what kind of setup people are using at the microtome 
- laptop? touchpad? Full computer? Is the arm off of the microtome or out from 
the counter?
Any and all information is appreciated!

Nancy Schmitt, HT, MLT(ASCP)
Histology Coordinator
Dubuque, IA  52001



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RE: [Histonet] Re: grossing tools

2013-02-13 Thread Tom McNemar
We have a pair of the 3mm Cutmate forceps that we bought years ago for a 
particular pathologist but nobody uses them.
If you go to the website below check out the Procut as well.

http://www.milestonemed.com/histopathology/products.html

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bartlett, 
Jeanine (CDC/OID/NCEZID)
Sent: Wednesday, February 13, 2013 9:57 AM
To: Bob Richmond; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: grossing tools

That is why I suggested having a rep. bring them out to demonstrate.

Sakura sells these. The grossing boards are items: 4800, 4801 and 4802. The 
grossing forks are 4803, 4804 and 4807.

Ask your rep for a demo.

Jeanine H. Bartlett
Centers for Disease Control and Prevention
Infectious Diseases Pathology Branch
404-639-3590
jeanine.bartl...@cdc.hhs.gov


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond
Sent: Wednesday, February 13, 2013 9:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: grossing tools

Jeanine H. Bartlett at the CDC notes:

Sakura sells these. The grossing boards are items: 4800, 4801 and 4802. The 
grossing forks are 4803, 4804 and 4807. Ask your rep for a demo.
http://sakura.ifuture.com/sakura.asp?ifut=1000336642970309899%2CTKWK%3E6%3D%3A5ST0

The prices of these tools are outrageous. The online catalog gives me no clue 
as to how they work.

Bob Richmond
Samurai Pathologist
Maryville TN

On Tue, Feb 12, 2013 at 8:01 PM, Bob Richmond rsrichm...@gmail.com wrote:
 Bruce Gapinsk HT (ASCP), Chief Histologist, Marin Medical
 Laboratories, PathGroup SF asks:

Histonians, I'm sure we are not the only histology lab that deals
with thick grossed specimens. Has anyone tried the new gross tools by
Sakura? Or anything else that can cut ONE nickel thick. Tired of
reprocessing.

 This grumpy old (74) pathologist would be happy to try them out,
 though I can cut freehand and almost never have a block reprocessed,
 but the skill eludes a lot of the young folks. Do you have a Web link
 for these tools?

 The problem would be getting a lab manager to spring for them. The
 Laboratory Manager's Handy-Dandy Guide to Making Life Hard for the
 Pathologist (I'm sure  there is such a book, though I haven't actually
 seen one) specifies that grossing is a ritual requiring only a basic
 set of tools.

 One lab expected me to gross with an athame and chalice. I tried to
 explain to them that OSHA and the CAP would not permit me to gross
 skyclad.

 (You guys know I NEVER exaggerate.)

 Bob Richmond
 Samurai Pathologist
 Maryville TN

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[Histonet] Process and hold?

2013-02-12 Thread Tom McNemar
Hello all,

I was wondering about processing breast specimens (needle cores) on Fridays.

We have asked our radiology department to try to avoid scheduling these breast 
biopsies on Fridays since we do not work weekends and are concerned about the 
extended time in formalin.

I am thinking that we can run these specimens on a second processor over Friday 
night and have someone from the clinical lab come up  and drain the paraffin.  
The tissues would then sit in a warm moist retort until Monday morning when 
they would be embedded and cut.  I think the specimens would be fine.  
Processing would be complete at that point and they would hold in the unopened 
retort chamber.

Our alternative is to have someone come in every Saturday morning just to 
remove and embed these specimens.



Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
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RE: [Histonet] Temperatures

2013-02-08 Thread Tom McNemar
We are JCAHO and this has never come up but that doesn't mean that it won't.

I don’t know about your specific processor but ours (VIP5), will fail to start 
and alarm if the paraffin temp is out of range.  Our processor is tied in to 
the main lab temperature monitoring system so we get a call anytime there is an 
alarm.

Such a system is probably not feasible for a processor alone but does your main 
lab have anything in place?

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sullivan, 
Beatrice
Sent: Friday, February 08, 2013 10:32 AM
To: Rene J Buesa; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Temperatures

Because I have been told that according to JCAHO (who will be inspecting us) 
that if a temperature is required to ascertain consistency, quality and 
integrity, you will have to record temperature 7 days per week.

From: Rene J Buesa [mailto:rjbu...@yahoo.com]
Sent: Friday, February 08, 2013 10:17 AM
To: Sullivan, Beatrice; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Temperatures

And my question is: why are you bothered by not knowing the temp. in a 
processor that only starts to process on Sundays?
If the processor is emptied on Mondays to embed→cut, take the temp. then.
Other that this you would have to place a sensor and a recording device or you 
would have to make somebody to go to the lab. For just write down the melted 
paraffin temp.? Too much expense and trouble for an non-existent problem.
René J.

From: Sullivan, Beatrice bsulli...@virtua.orgmailto:bsulli...@virtua.org
To: 
histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern.edu 
histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern.edu
Sent: Friday, February 8, 2013 7:52 AM
Subject: [Histonet] Temperatures

I'm looking for a fix to our problem of no temperatures being taken on the 
weekends. We are closed and this is creating an issue. Our processors are not 
running until Sunday night but the paraffin in both the processors and 
embedding center are kept molten. Any help would be greatly appreciated

Beatrice L. Sullivan HT(ASCP)HTL
Corporate Histology Manager
Virtua, Voorhees
856-247-3144


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[Histonet] Processor dehydration cycles..

2013-02-07 Thread Tom McNemar
Hello all,

I was wondering what most people use as the first reagent after the formalins 
on their tissue processor?  We have always used a sequence of 70%, 80%, 95%, 
and 100% but is anyone using 80% or even 95% to start their dehydration?

Thanks in advance.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


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RE: [Histonet] Xylene Substitutes

2013-02-06 Thread Tom McNemar
Not familiar with SubX but we have used Americlear for many years with good 
results.  You just can't beat Xylene for some things though and still keep a 
little around.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Adrienne 
Anderson
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] Pathologists' Names on HE Labels

2013-01-07 Thread Tom McNemar
We have recently moved to printed/barcoded labels for all of our slides.  Each 
pathologist has a mnemonic in our LIS (Meditech) that we use when assigning the 
case.  This mnemonic is picked up and printed on the slide label.

It has been a real help, especially on recuts and stains.  We no longer have to 
look up a specimen to see who it goes to.  The mnemonic is just the 
pathologist's initials and I can see no reason why this should be a problem.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna
Sent: Friday, January 04, 2013 5:01 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Pathologists' Names on HE Labels

For years, our lab's information system has been set up so that the name of the 
pathologist assigned to a case prints on our HE labels to assist with sorting 
and grouping the slides after staining. As new pathologists join our team, 
concerns regarding this practice have come up. The pathologists are concerned 
that having their names on the slides pose medical-legal liability, and they 
want the names removed. I've yet to hear clear ramifications involved with 
having doctors' names on slides. What liability is really involved?

We are a large, urban academic medical center with high specimen volumes. Our 
pathologists rotate through different sub-specialties, sometimes on a daily 
basis. For us, having the pathologists' names on the HE labels seems to be the 
easiest way to get the HE's to the correct pathologist.

Are other labs printing the names of the pathologists on their HE labels? Is 
anyone aware of any legal risk involved in this practice? Would anyone mind 
sharing how they sort and divide the slides before submitting them to their 
pathologists?

Thank you,

Roger Heyna, BS, HTL(ASCP)
Loyola University Medical Center
Maywood, IL

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RE: [Histonet] 2 CAP questions

2012-12-20 Thread Tom McNemar
All of our equipment is tied into the hospital emergency power system.  Our 
tissue processor is also on a separate UPS backup just in case.  Since we are a 
dayshift operation only and separated from the main lab, the processor is also 
monitored by the laboratory alarm system in the event of an overnight error 
condition.  If there is a problem, I get a call.

All laboratory thermometers (and timers) are calibrated yearly by an outside 
company that also covers pms and repair work.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
pathr...@comcast.net
Sent: Wednesday, December 19, 2012 12:46 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] 2 CAP questions



Fellow techs,



1) what type of a back up power source are you using for your tissue 
processors, refridgerators and freezors?

2) What do you do about calibration for NIST thermometers and non certified 
thermometers?



Thanks,

Ron
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RE: [Histonet] Trichrome

2012-12-04 Thread Tom McNemar
Same problem here.  Using the Nexus stainer and have also experienced this with 
the Reticulin as well.  Called service today and they elected to send an 
application specialist instead of a service tech.  Will see what happens.  
Would not have expected to see this when doing the stain by hand

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cheryl
Sent: Tuesday, December 04, 2012 8:19 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Trichrome

Hi- need help troubleshooting a trichrome.  The stain on the Nexus stainers is 
inconsistent.  Taking it off the stainer and doing it by hand with a kit has 
similar results.

The tissue is NBF fixed needle biopsies on kidney.  There is a little 
mechanical damage on the edges of the tissue but the collagens are staining too 
light and the red overstains.  The normal tissue as control is beautiful -- I 
know I know--don't force the stain--but it doesn't make sense to have this much 
variation from a kit or auto stainer...

Help?


Cheryl Kerry, HT(ASCP)
Path Group of Louisiana

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RE: [Histonet] Trichrome

2012-12-04 Thread Tom McNemar
Forgot to mention that we are also getting areas of zero staining as well.  
Needle biopsies are beautiful on one end and totally stain free on the other 
end.  Hit and miss... no consistency what so ever.  Ran 2 identical slides for 
MT on opposite sides of the carousel... one small piece of the specimen was 
beautifully stained on one slide and so overstained on the other as to be 
unreadable. One had cores that stained from one end to the other and the other 
slide had cores stained only half way.  Routine maintenance has been performed 
regularly.  Seems like an instrument problem to me

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cheryl
Sent: Tuesday, December 04, 2012 8:19 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Trichrome

Hi- need help troubleshooting a trichrome.  The stain on the Nexus stainers is 
inconsistent.  Taking it off the stainer and doing it by hand with a kit has 
similar results.

The tissue is NBF fixed needle biopsies on kidney.  There is a little 
mechanical damage on the edges of the tissue but the collagens are staining too 
light and the red overstains.  The normal tissue as control is beautiful -- I 
know I know--don't force the stain--but it doesn't make sense to have this much 
variation from a kit or auto stainer...

Help?


Cheryl Kerry, HT(ASCP)
Path Group of Louisiana

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[Histonet] RE: staffing numbers

2012-11-14 Thread Tom McNemar
Allison,

We are right around 7k cases/year, 20k blocks, and about 33k slides.  We have 3 
tech including myself as cutter and embedder.  The other two tech also cover 
grossing, special stains, IHC, and cytology prep.

We have 1 lab assistant who also helps out with grossing (doesn't do frozen) 
and cytology.  We are also looking to hire another assistant to do filing, etc.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hutton, Allison
Sent: Tuesday, November 13, 2012 11:00 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] staffing numbers

Hi Everyone,
I am looking for some crude numbers regarding staffing.  I would like to know 
the number of cases done per year and your number of histotechs.
Any information will be appreciated
Thank you
Allison
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[Histonet] RE: Stain for HP

2012-10-17 Thread Tom McNemar
IHC on the Benchmark.  We routinely do them on all stomach biopsies.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Diana McCaig
Sent: Wednesday, October 17, 2012 11:04 AM
To: Histonet
Subject: [Histonet] Stain for HP

What stain are you using for HP?--Giemsa. Warthin Starry or IHC.
Do you do them routinely or only when requested?
Are they done on an autostainer or with a kit?

Diana


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[Histonet] Tossing old tissues...

2012-09-11 Thread Tom McNemar
Hello all,

A question came up during our last JCAHO inspection regarding the dumping of 
old tissues.  Do you just throw out the intact specimen containers with 
formalin and all into biohazard trash?  Do you drain/collect the formalin for 
other disposal and just place the drained tissues into the biohazard trash?  If 
you drain/collect, do you wear a respirator while doing it?

We have always drained and only thrown the tissues into the bio trash and have 
not used a respirator.  We monitor regularly and always make certain to include 
this task (along with the making of formalin) when monitoring for exposure and 
are always way below the acceptable limits.  I don't think we have ever done 
and STEL just for the dumping of tissues though.

Just wondered what everyone else did.  I would like to stop draining and just 
dispose of container and all but we pay by the pound for disposal.

Thanks.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


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RE: [Histonet] Remote processor alarms

2012-08-28 Thread Tom McNemar
We are tied into the main lab system. It is a wireless system from Rees 
Scientific.  We have the VIP 5 and it monitors the voltage.  I get a call if 
there is an error of any type.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of angela smith
Sent: Monday, August 27, 2012 4:53 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Remote processor alarms

What kind of remote alarms do you all have on your various processors when 
something goes wrong when you are not open but have processors running. So far 
I found sensaphone for the Peloris. I am interested in all types.
Thank you
Angela Smith
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RE: [Histonet] RE: Two identifiers...

2012-08-16 Thread Tom McNemar
I am a little confused.  Are you referring to specimen bottles?  I was 
inquiring about what identifiers are being used on printed cassettes.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: Pratt, Caroline [mailto:caroline.pr...@uphs.upenn.edu]
Sent: Thursday, August 16, 2012 9:47 AM
To: Ron; pamar...@uams.edu; Tom McNemar; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Two identifiers...

It doesn't meet criteria for TJC, we used that for years and it was acceptable 
until our last survey.  We were written up for it and had to send labeling 
instructions to all of our submitting clinicians and conduct bottle audits to 
evidence that 90% of all bottles had patient full name (last and first), DOB 
and site along with the accession number.  It is a tremendous ongoing effort, 
but we are there now.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ron
Sent: Wednesday, August 15, 2012 12:39 PM
To: pamar...@uams.edu; tmcne...@lmhealth.org; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] RE: Two identifiers...

We do the same as Pam with the patient name and case number

Sent from my Verizon Wireless 4G LTE smartphone



Marcum, Pamela A pamar...@uams.edu wrote:

We use the specimen or accessioning number and the patient name as the two 
identifiers and that seems to meet the criteria.  We use the Thermo cassette 
writer and it transfers the information to the slides.

Pam Marcum
UAMS

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom
McNemar
Sent: Wednesday, August 15, 2012 10:03 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Two identifiers...

Hello all,

For those of you using cassette and slide labelers
Does your system permit you to print the accession number, patient name, and  
DOB on the face of the cassette?  Are you using the specimen number and name 
as your two identifiers?

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Applica
tion%20Data\Microsoft\Signatures\www.LMHealth.org


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[Histonet] Two identifiers...

2012-08-15 Thread Tom McNemar
Hello all,

For those of you using cassette and slide labelers
Does your system permit you to print the accession number, patient name, and  
DOB on the face of the cassette?  Are you using the specimen number and name as 
your two identifiers?

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


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RE: [Histonet] tissue highlighting for visibility

2012-08-08 Thread Tom McNemar
We just add about 10-15 ml of eosin in the last alcohol on the processor

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
cont...@histocare.com
Sent: Tuesday, August 07, 2012 6:10 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] tissue highlighting for visibility



Hello all,

Earlier today I had a VERY tiny sample from the esophogus. When I say it was 
tiny, it looked to be only a few microns in thickness. It was inside of, you 
guessed it,
a teabag! :) But that wasn't the problem, as it was appropriate in this case to 
be put in a teabag because of the size. When I pulled it out of the cassette, I 
had to go over it very carefully to even find it. It's sad that I know of a not 
insignificant number of people who wouldn't have taken the time to find it and 
most likely have dispositioned it as not surviving processing or no tissue 
found, but that is another issue. I'm sure the patient would appreciate the 
extra effort.

I know of a few techniques to make tissue, and specifically tiny or fatty 
tissue, more easily visible in cases like these. For example, I've seen using a 
different colored wax or putting eosin in the alcohol during processing.  What 
do some of you guys do?

www.HistoCare.com
Histology Staffing

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[Histonet] Hologic Imaging System

2012-06-14 Thread Tom McNemar
Hello all.  For anyone who is using the Hologic Imaging System for Cytology 
 I was wondering about the pre-analytical steps involved.  I would appreciate 
any thoughts you could share regarding the process of preparation and scanning. 
 Equipment, space requirements, time, labeling/barcoding, etc.

Thanks so much!

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
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[Histonet] RE: processors

2012-06-13 Thread Tom McNemar
VIP all the way.  Still got one that I bought in 1985 as a backup

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy Schmitt
Sent: Tuesday, June 12, 2012 11:35 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] processors

Hi Histonetters-

Is anybody using the ASP6025 from Leica? Pros and cons please.

Then I would also appreciate any input on the Leica ASP300 vs Sakura VIP6.

As always, Thank You for your help - it is highly appreciated.

Nancy Schmitt HT, MLT(ASCP)
Histology Coordinator
United Clinical Laboratories
205 Bluff Street
Dubuque, IA  52001




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[Histonet] RE: Approval and review of procedures

2012-06-07 Thread Tom McNemar
As supervisor of Histology, I review and sign off on the SOPs yearly.  Any new 
or altered are final approved by our medical director.  The medical director 
also signs off on the hardcopy manuals each year.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sproles, Judy A.
Sent: Wednesday, June 06, 2012 5:30 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Approval and review of procedures

Hello,
I am currently helping organize histology SOPs and need some help clarifying 
who can perform SOP review. In cytology, the technical supervisor (MD) reviews 
and approves procedures. CLIA rules for clinical departments allow MT as 
technical supervisors. Can an HT be a technical supervisor and perform annual 
review of SOPs?

Judy Sproles CT(ASCP

Methodist. Leading Medicine. Recognized by U.S.News  World Report as one of 
America's Best Hospitals in 13 specialties. Named to FORTUNE®  Magazine's 
100 Best Companies to Work For® list seven years in a row. Designated as a 
Magnet hospital for excellence in nursing. Visit us at  methodisthealth.com. 
Follow us at  twitter.com/MethodistHosp and  
www.facebook.com/MethodistHospital.  ***CONFIDENTIALITY NOTICE*** This e-mail 
is the property of The Methodist Hospital and/or its relevant affiliates and 
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prohibited. If you are not the intended recipient (or authorized to receive for 
the recipient), please contact the sender and delete all copies of the message. 
Thank you.
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RE: [Histonet] Re: Color Blindness Testing

2012-03-13 Thread Tom McNemar
I've been watching this thread with great interest  I have been in 
Histology for 30+ years now and am myself colorblind (at least according to the 
Unites States Navy).  I do see color even though I could not pass the old card 
test (failed it 3 times).  My problem is with shades of color.  I cannot 
distinguish real light shades or real dark shades.

I started my laboratory life about 32 years ago on an aircraft carrier and was 
trained to read diffs, ph strips, etc. by a senior lab tech who was... you 
guessed it, color blind!

The point of all of this is that you can do histology even if you cannot pass 
the test for colorblindness.  For myself, if I know what a color is supposed to 
be and what that color looks like to me, I generally do not have any problems 
at all. As mentioned below, I too have trouble with acid fast stains.  I cannot 
judge the stain quality of the acid fast stain and don't even bother to look at 
them.

I was very nearly fired after only a short time in my present position when the 
Medical Director found out that I was colorblind.  He couldn't see how I could 
possibly do histology.  I convinced him to give me a chance and 28 years later 
I am still here.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond
Sent: Tuesday, March 13, 2012 11:59 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Color Blindness Testing

Laurie asks: Does  anyone  know of any (free) online testing for
color blindness? Does  anyone have an alternate method that they have
used to satisfy CAP requirements?

Here are some online Ishihara plates quickly found through Wikipedia:

http://offsetpressman.blogspot.com/2009/10/color-blindness-test-for-printers.html

There are many others. Two reservations: Color monitors don't
reproduce colors with sufficient accuracy. And an online test may not
satisfy bureaucrats. You'd have to ask.

I have normal color vision, but I've been interested in color
blindness among pathologists for about 50 years. I know of only one
major problem, finding red acid-fast bacilli in a blue-background
stain. This problem should be solved by banning light-microscopic
acid-fast stains, something the CAP should have done years ago.

I don't like the implication of color-blindness testing in the absence
of a significant problem. Can somebody lose their job, or not get
hired in the first place, because of color-blindness?

It may be Good Management, but it's not good medicine or good social policy.

Bob Richmond
Samurai Pathologist
Knoxville TN

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[Histonet] RE: Destain/Restain

2012-03-06 Thread Tom McNemar
We do not destain he slides.  We just take them back to water and stain right 
over top of the he.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Virginia Chladek
Sent: Monday, March 05, 2012 3:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Destain/Restain



I need your help-

My doc needs me to destain an he slide to run a ck5 on the Bond3, how
can I do this without the tissue falling off? I ran the slide back down
from xylene to water and destained, then introduced the slide to bond
wash before starting the protocol in bond wash again and lost the
tissue. Any suggestions?

Thanks!
Maggie

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RE: [Histonet] Agar for cell blocks

2012-02-29 Thread Tom McNemar
We use soy agar slants that we get from our Micro department.  We just melt one 
as needed.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ann Angelo
Sent: Tuesday, February 28, 2012 5:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Agar for cell blocks


Is anyone using an agar for their cell block preparation that they can 
recommend?  ann
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RE: [Histonet] Ribbon won't stay on knife

2012-02-16 Thread Tom McNemar
I use my forceps to round over the top edge of the block when this happens.  If 
you ever have trouble getting a ribbon to form because the sections do not 
stick together, you can also use the forceps to straighten the bottom edge of 
the block.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jerry Ricks
Sent: Wednesday, February 15, 2012 6:53 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Ribbon won't stay on knife


Sometimes while cutting 5 micron paraffin sections...

I turn the wheel once and a nice section gets cut and lays down on my blade.  
When I turn the wheel again, as the knife holder is traveling Upwards, the top 
of my paraffin block will grab the ribbon and lift it off of the microtome 
blade, ruining my ribbon. Any ideas what is going on, how to fix it.

Today I'm using my old trust Spencer 820 microtome, but it also sometimes 
happens on my Leica RM2125.

Thanks,

Jerry Ricks
Research Scientist
University of Washington
Department of Pathology


  
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[Histonet] IHC and negative controls?

2012-02-16 Thread Tom McNemar
Hi All,

We have one Ventana XT and often exceed the slide capacity.  Our pathologists 
no longer want us to run negatives and will use internal negatives instead.  Is 
this common practice?  Thanks.  I appreciate any feedback.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


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[Histonet] RE: IHC and negative controls?

2012-02-16 Thread Tom McNemar
Thanks to everyone for the quick responses.

I am looking at ANP.22580 rev 12/12/2006 and it clearly talks about a separate 
section of patient tissue... but just a little further it talks about using 
internal negative controls (The type of negative tissue control used (i.e., 
separate sections, internal controls or multitissue blocks) should be specified 
in the laboratory manual (refer to ANP.22250).)  I did not see anything useful 
in ANP.22250.

We are JCAHO accredited not CAP but I cannot find any JCAHO discussion on the 
subject.  Personally, I believe that we should run separate negative controls 
for each case.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar
Sent: Thursday, February 16, 2012 10:27 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC and negative controls?

Hi All,

We have one Ventana XT and often exceed the slide capacity.  Our pathologists 
no longer want us to run negatives and will use internal negatives instead.  Is 
this common practice?  Thanks.  I appreciate any feedback.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


This e-mail, including attachments, is intended for the sole use of the 
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[Histonet] RE: H. pylori

2012-02-14 Thread Tom McNemar
Dako concentrate on the Ventana XT.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Tuesday, February 14, 2012 10:22 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] H. pylori

Happy Valentines Day!

Our lab is looking into ordering H. pylori now and I was wondering what clone, 
or whose antibody everyone is using.
As always, thanks for your responses. I know I can always count on this group 
to offer opinions and suggestions :)

Toni




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RE: [Histonet] medi tech users

2012-01-12 Thread Tom McNemar
We do not.  We order all of our specimens.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Adey
Sent: Wednesday, January 11, 2012 5:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] medi tech users


Hello:Are any of the medi tech users having the OR order the pathology 
specimens into the system before they arrive in the lab?:)Sheila
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[Histonet] RE: H. Pylori - IHC

2011-11-17 Thread Tom McNemar
We get beautiful staining with Dako's concentrate on the Benchmark XT.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
beth@hcahealthcare.com
Sent: Wednesday, November 16, 2011 5:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] H. Pylori - IHC

Does anyone have recommendations for a good vendor for H.Pylori  for IHC?  We 
have tried many, but our pathologists complain that they are not specific for 
H.Pylori and that all gram negative bacteria are staining.  Currently we are 
not running this but our pathologists are interested in it.

Thanks!

Beth A. Fye, CT (ASCP)
Pathology Technical  Manager
HCA Richmond Hospital Laboratories
office:  (804)228-6564
fax: (804)323-8638
mailto:beth@hcahealthcare.com




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[Histonet] Regarding MOHS....

2011-11-04 Thread Tom McNemar
Hello all,

I have some questions for the community sized hospital that are doing MOHS.  I 
would appreciated any input on the following questions:

Do you have people specifically dedicated to performing MOHS?
About how many specimens per patient do you receive?
Are MOHS procedures performed STAT?
Do you have more than one person working on MOHS (one to cut  one to stain)?

Again, thanks in advance for you input.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org



This e-mail, including attachments, is intended for the sole use of the 
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contents of this e-mail and attachments is prohibited. If you have received 
this in error, please advise the sender by reply e-mail and delete the message 
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error-free as information could be intercepted, corrupted, lost, destroyed, 
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[Histonet] RE: Cold Plates - Source?

2011-10-10 Thread Tom McNemar
Check out the Histo-Cool trays http://www.marketlabinc.com/product.asp?P_ID=4854

You can get them from several places.  They stay cold all day.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Monfils, Paul
Sent: Friday, October 07, 2011 4:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cold Plates - Source?

Hello All,



Does anyone know where Tissue-Tek cold plates can be purchased?  They
are plastic, black on the bottom, white on top, gel filled, for chilling
blocks.  I got them from Cardinal Healthcare a couple of years ago, but
I don't see it in their catalog now.  Or, if no longer available, a
comparable other product?  I know I can use a pan of ice, but I prefer
something like this if available.  Thanks.

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[Histonet] RE: Slide/Block Retention

2011-10-03 Thread Tom McNemar
Are you including Cytologies as well?  Cytology has the requirement of a five 
year look-back.  We keep all surgical and cytology blocks and slides for 10 
years.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dessoye, 
Michael J
Sent: Monday, October 03, 2011 9:50 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Slide/Block Retention

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] RE: Controls with patient specimen on same slide

2011-07-20 Thread Tom McNemar
We put patients and controls on the same slide.  We used to use the slides with 
the red box for the control but encountered staining issues.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Tuesday, July 19, 2011 3:28 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Controls with patient specimen on same slide


Hi,
I'm interested in knowing how many of you are performing ihc with the control 
tissue and the patient tissue on the same slide. I have seen slides available 
which have designated areas for each tissue to be placed so there will not be 
any confusion. If you're doing it, have you encountered any problems? What 
benefits have you noticed since implementing this process? Are your 
pathologists in favor of this?  If you're not, why not?
Thanks,
Toni


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RE: [Histonet] Leica Service Technician

2011-07-20 Thread Tom McNemar
It is really just a freezer with a microtome in it.  Do you have an on-site 
refrigeration guy that could look at it?  I have used our in-house guy a time 
or two.  Ours is pretty simple and does not have all of the electronics that 
you may have on the Leica but it is worth a shot.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amanda Madden
Sent: Wednesday, July 20, 2011 11:32 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Leica Service Technician

Hi Histonetters!

A few months back I emailed regarding a service contract through Leica for
our CM 3050S, and (unfortunately?) we chose not to purchase one. This week
we have had a serious issue with it... the specimen head and arm is covered
in frost, and the object temperature sensor is reading ## instead of a temp.
In any case, we called Leica and asked for a service call, but it is
extremely expensive and they couldn't give us an estimate of when they will
be here because cryostats used for clinical applications have priority over
those, like ours, that are used for research. Understandable, but
frustrating nonetheless. So my question is: does anyone know of a good,
reputable cryostat service technician (who is authorized by leica, if
possible) that is located in the Boston, MA area?

Any help would be greatly appreciated!

Thanks in advance,
Amanda
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RE: [Histonet] Controls with patient specimen on same slide

2011-07-20 Thread Tom McNemar
Each case gets one positive control per antibody.  If, for example, I run a 
bone marrow bx and aspirate, I use one positive control for both slides.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, July 20, 2011 9:19 AM
To: 'Richard Cartun'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Controls with patient specimen on same slide

All of these responses are great. So here's a follow up question.
Do you place a control tissue on EACH slide if you have multiple blocks for a 
case, or just on one of the slides?

-Original Message-
From: Richard Cartun [mailto:rcar...@harthosp.org]
Sent: Tuesday, July 19, 2011 6:40 PM
To: histonet@lists.utsouthwestern.edu; Rathborne, Toni
Subject: Re: [Histonet] Controls with patient specimen on same slide

We do not put our positive control tissue on the test slide; we run batch 
controls.  Many of the unstained slides (breast, GI, and prostate biopsies) 
that we use for IHC testing are cut in our Histology Laboratory as part of a 
part-type slide protocol.  For example, we cut 7 slides, 2 sections on each 
slide, for breast biopsies and stain #1, 4, and 7 with HE, and then use (if 
needed) #2, 3, 5, and 6 for IHC.  Therefore, it would be very difficult for us 
to place the positive control tissue on the same slide.  In addition, I receive 
a lot of consult cases from other hospitals where they send us unstained slides 
for testing.  Once again, it would be difficult to place the positive control 
tissue on the same slide and it would slow us down in terms of starting those 
slides once they arrive.  However, I think the main reason we don't pursue 
putting the positive control tissue on the same slide is the fact that it would 
consume an enormous amount of control tissue.

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic 
Pathology Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax


 Rathborne, Toni trathbo...@somerset-healthcare.com 7/19/2011
 3:27 PM 

Hi,
I'm interested in knowing how many of you are performing ihc with the control 
tissue and the patient tissue on the same slide. I have seen slides available 
which have designated areas for each tissue to be placed so there will not be 
any confusion. If you're doing it, have you encountered any problems? What 
benefits have you noticed since implementing this process? Are your 
pathologists in favor of this?  If you're not, why not?
Thanks,
Toni


CONFIDENTIALITY NOTICE
This message and any included attachments are from Somerset Medical Center and 
are intended only for the addressee.  The information contained in this message 
is confidential and may contain privileged, confidential, proprietary and/or 
trade secret information entitled to protection and/or exemption from 
disclosure under applicable law.  Unauthorized forwarding, printing, copying, 
distribution, or use of such information is strictly prohibited and may be 
unlawful.  If you are not the addressee, please promptly delete this message 
and notify the sender of the delivery error by e-mail or you may call Somerset 
Medical Center's computer Help Desk at 908-685-2200, ext. 4050.

Be sure to visit Somerset Medical Center's Web site - 
www.somersetmedicalcenter.com - for the most up-to-date news, event listings, 
health information and more.
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-
This message was secured by ZixCorp(R).


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[Histonet] RE: Remote Alarm for Processor

2011-07-13 Thread Tom McNemar
We have an alarm system that monitors all of the refrigerators and freezers in 
the lab and our processor is tied into that.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Breeden, Sara
Sent: Wednesday, July 13, 2011 9:14 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Remote Alarm for Processor

Do you use a remote alarm on your processor?  If so, would you tell me
what brand/model/manufacturer and how it works (keeping in mind that I
am Electronically Challenged)?  I run a Leica ASP300 in a new building
with only digital phone lines and zero cell phone reception inside the
building.  I can't think of anything else that would complicate this
issue more than that!  Any help out there?



Sally Breeden, HT(ASCP)

New Mexico Department of Agriculture

Veterinary Diagnostic Services

1101 Camino de Salud NE

Albuquerque, NM  87102

505-383-9278 (Histology Lab)



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[Histonet] In search of a cryostat...

2011-07-10 Thread Tom McNemar
Hello all,

I am looking to budget for a new cryostat and was wondering what others are 
using.  I would like one that is safe, well lit, roomy, and has some sort of 
on-board decontamination routine.  All input appreciated.  Thanks in advance.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org



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[Histonet] p16 Protocol....

2011-06-30 Thread Tom McNemar
Hello all,

I was wondering if anyone would be willing to share a protocol for p16 
(Biogenix pre-dilute) antibody on the Benchmark XT.  I'm having a little 
trouble getting anything to stain.  Thanks.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
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RE: [Histonet] Temperature monitoring system

2011-06-14 Thread Tom McNemar
All of our laboratory refrigerators and freezers are monitored by a system from 
Rees Scientific.  In Histology we only have one refrigerator that stores our 
antibodies and we check and record the temperature daily.  We do have our 
tissue processor connected to this alarm system since there is no in the 
vicinity after 4pm. It may be more that you want or need but they can probably 
tailor a package to your needs.  You can find them online.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas
Sent: Tuesday, June 14, 2011 9:30 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Temperature monitoring system

We are looking for a system to monitor a couple of our
lab refrigerators containing expensive antibodies and probes.
Can anyone recommend a small, basic system?
Thank you in advance.
Sheila

Sheila Haas
Laboratory Supervisor
MicroPath Laboratories, Inc.
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[Histonet] RE: printed requisitions

2011-06-02 Thread Tom McNemar
We still require a paper req with all specimens.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, June 01, 2011 4:13 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] printed requisitions


Does everyone still receive printed requisitions with your surgical specimens? 
How many of your OR's have a printer in each room? Our OR has a shared printer 
for all of the procedure rooms, but would like to have a printer for each OR 
suite. Our  IT department is saying there would be problems and has suggested 
that we go paperless. I see many problems arising from this. If anyone is doing 
this successfully, I'd be very interested in hearing how you accomplished it.


Toni

Regards,
Toni Rathborne
Pathology Supervisor
Somerset Medical Center
110 Rehill Ave.
Somerville, NJ 08876




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RE: [Histonet] back up power for VIPs?

2011-05-31 Thread Tom McNemar
Hello Sheila,

We are using the Smart-UPS 2200 from APC.  We are also on a dedicated emergency 
line through our facility.  We are running the Sakura VIP 5.  I cannot give you 
any other specifics about the UPS since I can't get to the back of it but it 
was recommended and installed by our biomed people.  Seems to work fine.  That 
model has been discontinued but this is the recommended replacement...

APC Smart-UPS 2200VA USB  Serial 120V

 More Images
APC Smart-UPS, 1980 Watts / 2200 VA,Input 120V / Output 120V, Interface Port 
DB-9 RS-232, SmartSlot
Includes: CD with software, Smart

http://www.apc.com/products/resource/include/techspec_index.cfm?base_sku=SUA2200

Hope this helps...


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Adey
Sent: Friday, May 27, 2011 9:44 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] back up power for VIPs?


Hello everyone:

We are experiencing lots of quick power outages at work that keeps setting the 
processors into power outage alarms.
Can anyone recommend a back up power product. I was told we can't put them on 
battery back up b/c of their power requirements???
They are on emergency power.

Thanks for your help in advance. :)

Sheila
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[Histonet] Cassette/Slide labelers.... again....

2011-04-18 Thread Tom McNemar
Hello all,
Is anyone using the ID/Positive system from Data General?  Pros?  Cons?  Any 
info would be helpful.  Thanks!


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
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RE: [Histonet] Grossing Station Recommendation

2011-03-22 Thread Tom McNemar
Grosslab Senior here as well.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sean McBride
Sent: Monday, March 21, 2011 2:24 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Grossing Station Recommendation

Colleagues,

We are looking to replace our current pathology grossing hood with a new 
station, so I am looking for recommendations.  Thanks in advance for all of 
your wonderful advice.


Best regards,


~Sean McBride


Scientific Specialist
Bone Tissue Engineering Center
Carnegie Mellon Research Institute
Suite 4311
700 Technology Drive
Pittsburgh, PA 15219-3124

412-268-8275 (o)
412-915-1683 (m)
412-268-8275 (fax)
smcbr...@andrew.cmu.edu






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[Histonet] RE: microtome safety

2011-03-08 Thread Tom McNemar
Both.  Fingers to lift one end of the ribbon as I cut it and then with the 
other hand I use a small brush to lift the other end from the microtome.  
Allows me to stretch and smooth the ribbon as I lay it out on the water bath.

Some others here us forceps, picks, etc.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bartlett, 
Jeanine (CDC/OID/NCEZID)
Sent: Tuesday, March 08, 2011 8:20 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] microtome safety

Morning all!

I need some quick responses to this question:  do you use your fingers or an 
instrument of some sort to pull your paraffin ribbons off the block when 
sectioning?  For those that do not use their fingers, what do you use?  If 
forceps, are these the typical lab forceps or a special type?

Thanks so much!

Jeanine Bartlett, BS, HT(ASCP)QIHC
Centers for Disease Control and Prevention
Infectious Diseases Pathology Branch
1600 Clifton Road, MS/G-32
18/SB-114
Atlanta, GA  30333
(404) 639-3590
jeanine.bartl...@cdc.hhs.gov



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RE: [Histonet] PAS with Diastase Digestion

2011-02-09 Thread Tom McNemar
Spit  for 5 minutes  old school


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Erin Sarricks
Sent: Wednesday, February 09, 2011 7:38 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] PAS with Diastase Digestion

Hi Histonet-



I recently ran a PAS/D stain and had some issues with it.  Both with and
without slides came out looking the same so I'm guessing my digestion step
didn't work!  I used a Malt Diastase solution (0.5g to 500mL water) for my
digestion.  This is the procedure I used:



1.Deparaffinize and hydrate to water.

2.Place the sections labeled “with” in diastase solution preheated to
37˚C for 1 hour.  Hold the sections labeled “without” in distilled water.

3.Wash in running water for 5 minutes

4.Place all section (with and without) in 0.5% periodic acid solution
for 5 minutes

5.Wash in 3 changes of distilled water

6.Place in Schiff reagent for 15 minutes

7.Wash in lukewarm tap water for 5 minutes (immediately sections turn
dark pink color).

8.Counterstain in Mayer’s Hematoxylin for 3 minutes.

9.Wash in tap water for 10 minutes

10.   Dehydrate starting with 95% ETOH, clear, and coverslip.



I am wondering if my solution possibly got too warm in the oven and hindered
the enzyme activity, or is it possible I left it in too long?  Any tips
would be much appreciated!  Oh, and I have about 300 slides to stain, so
spitting on them is my last last last resort!  Haha!  Thanks in advance for
all your help!







Erin Sarricks, HT (ASCP)

Histology Laboratory Technician

USAMRICD Comparative Pathology Branch

Office: Bldg E-3081 Room 178

E-mail: erin.p.sarri...@us.army.mil
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[Histonet] RE: Saponin Technique

2010-10-25 Thread Tom McNemar
I don't know about the procedure you have but ours only uses a 1% solution of 
saponin, a 3% solution of calcium gluconate, and a balanced salt solution.   We 
get the balanced salt solution from our pharmacy.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hannen, Valerie
Sent: Monday, October 25, 2010 11:40 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] FW: Saponin Technique





From: Hannen, Valerie
Sent: Monday, October 25, 2010 11:39 AM
To: 'histo...@list.utsouthwestern.edu'
Subject: Saponin Technique


Hi folks..
I am hoping someone out there in Histo-land can help. One of our
Pathologists is asking us to check into doing the Saponin Technique to
lyse the red cells in some of our cytology specimens. She gave a copy of
one of the pages from one of her manuals, and it shows that in order for
us to do this we would need to buy alot of reagents that we currently do
not have. Being that we would probably not be doing this technique very
often, and not sure how cost effective it will be for us to buy the
reagents, we are wondering if  anyone knows of a commercial product that
we can buy that would be a cheaper way out.

Thanks in advance!!
Valerie Hannen, Histotechnologist
Parrish Medical Center
Titusville,Florida


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[Histonet] RE: bar coding specimens, slides, blocks

2010-09-09 Thread Tom McNemar
Also interested in this...

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V
Sent: Wednesday, September 08, 2010 4:08 PM
To: histo...@pathology.swmed.edu
Subject: [Histonet] bar coding specimens, slides, blocks

I am looking for a vendor that has the capability to barcode specimens, blocks 
and slides.   Also if it can interface with Meditech client server 6.0 it would 
be a plus.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Autopsy/Histology/Transcription
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR   72202

phone   501.364.4240
fax501.364.3155

visit us on the web at:www.archildrens.org

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RE: [Histonet] Lung biopsies - Question

2010-08-27 Thread Tom McNemar
We cut 6 extra up front.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Richard Cartun
Sent: Thursday, August 26, 2010 4:54 PM
To: Histonet
Subject: [Histonet] Lung biopsies - Question

How many labs cut extra tissue sections (or tissue curls) for molecular testing 
(KRAS, BRAF, EGFR, etc.) on lung biopsies up front (at the time of HE 
sectioning)?  Thanks.

Richard

Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax



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RE: [Histonet] Microtome alignment

2010-08-18 Thread Tom McNemar
I assume you are referring to a small carpenter's square.  That will only allow 
you to square up the chuck from top to bottom.  It would not work for left and 
right adjustments.  Marketlab sells an alignment tool that they claim will work 
for multiple microtomes.  I have not tried it though.  It lists for $775.

I have considered having a piece of steel welded to an old knife holder and 
just adjust the chuck until it is flat against the steel.  Should work and 
won't cost $775.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Sicurello
Sent: Wednesday, August 18, 2010 7:00 AM
To: WILLIAM DESALVO
Cc: histonet
Subject: Re: [Histonet] Microtome alignment

A while back I remember someone suggestion something like a right angle
device that carpenters use.  It's basically just a piece of metal that is a
right angle triangle that you put up against the chuck and on the knife
mount.  Then you align the chuck so it is a a right angle to the knife
mount.

It looks like this:l\
l  \
l\   This is my best attempt at computer
drawing.
l __ \

I don't thing they cost very much, much less that $700.


Paula  :-)



On Tue, Aug 17, 2010 at 8:05 PM, WILLIAM DESALVO
wdesalvo@hotmail.comwrote:


 Since you have older microtomes, I suggest using an alignment block at
 each microtome instead of purchasing the alignment tools. The tools can be
 found on the web  ttp://www.grale.com.au/products/view/804 , but they can
 be expensive (as much as $700.00 each). If you have more than one
 manufacturer for your microtomes, you will need to purchase one for each
 brand.

 Try using your largest embedding mold and make a blank block for each
 microtome. This can bee done first thing each morning. Use the block to
 align the chuck each morning before cutting. If you see drift throughout the
 day, add one or more checks during the day. Making a fresh block each day
 gives you a good standard and keeps the variation down.

 I also suggest you look at your embedding method and make sure you have a
 standardized procedure for all tissue types for orientation of tissue and
 exact placement in the mold. Embed your tissue on one plane with as little
 paraffin as possible on the bottom of the mold. Reducing variation at
 embedding will greatly assist you in reducing the amount of facing
 required to start producing sections and also reduce the need to align the
 chuck to the block/tissue.

 William DeSalvo, B.S., HTL(ASCP)
 Chair, NSH QCC
 Prodcution Manager, Sonora Quest Laboratories




  From: sharon.davis-dev...@carle.com
  To: histonet@lists.utsouthwestern.edu
  Date: Tue, 17 Aug 2010 14:16:26 -0500
  Subject: [Histonet] Microtome alignment
 
  We are having a continuing issue of too much tissue being cut off when
 facing off a block for recuts. We have tried a couple of different methods
 for aligning our microtomes without much success. Does anyone out there have
 any advice on how to properly align them and what tool to use? Also, how
 often do you perform this re-alignment? The majority of our microtomes are
 older so more wear and tear and things move out of place more often. Any
 help or suggestions will be greatly appreciated. Thanks.
 
  Sharon Davis-Devine, CT (ASCP)
  Cytology-Histology Supervisor
  Carle Foundation Hospital
  Laboratory and Pathology Services
  611 West Park Street
  Urbana, Illinois 61801
  217-383-3572
  sharon.davis-dev...@carle.com
 
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--
Paula Sicurello
6 of 6
Duke Healthcare System EM Lab
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[Histonet] Full-time day Job open in Central Ohio..

2010-06-25 Thread Tom McNemar
We have and opening for a full time day shift histotech.  We are a small but 
progressive hospital of around 250 beds in Newark, Ohio (about 30 miles from 
Columbus).  If interested you may apply through our website 
(www.lmhealth.orghttp://www.lmhealth.org/)


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org



This e-mail, including attachments, is intended for the sole use of the 
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error-free as information could be intercepted, corrupted, lost, destroyed, 
arrive late or incomplete, or contain viruses. The sender therefore does not 
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RE: [Histonet] Prepared Solutions

2010-06-25 Thread Tom McNemar
Long, long ago, we made everything up (mostly from powders), we kept all the 
procedures written on recipe cards filed alphabetically in a recipe box and it 
worked very well.  About the only thing we make up anymore is formalin, and 
graded alcohols.  I have a procedure for the formalin but none for the alcohols.

We labeled the working solutions with the chemical name, percentage, and a 
shelf life date.  Dry powders lasted forever (many did not even give an 
expiration) so we just fabricated a reasonable shelf life date.

I also think it is advisable to list and spell out the name and concentration 
of every ingredient used.



Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Brandi Higgins
Sent: Friday, June 25, 2010 12:34 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Prepared Solutions

Hello All,

I work in a small lab where we purchase most of our chemicals already
prepared.  The only solutions we routinely prepare ourselves are our acid
alcohol and acid water for our staining procedures, Carnoy's Fixative (since
it needs to be fresh) and our 50%, 70% etc alcohol solutions for our Pap
stain and for our processing machine.  I would also like to start preparing
our 1% and 3% acetic acid solutions instead of purchasing them since I have
glacial acetic acid on hand anyway for our Carnoy's Fixative  (not that the
acetic acid acid solutions are expensive but every dollar counts, plus the
shipping charges always shock me).

My questions are
1 - in your labs, do you have a policy with instructions on how to prepare
each solution?  (eg 1 ml acetic acid diluted with water to 100 ml to prepate
1% Acetic Acid Aq and is it neccessary to say 500 ml water and 500 ml
reagent alcohol to form 50% alcohol)

2 - when you label the solutions you prepare, do you transfer the lot
numbers and expiration dates of the chemicals that were used to make the
solutions onto the new chemical bottles and use the expiration date of the
concentrated chemical as the expiration date of the prepared chemical?

Thanks in advance for all input.  Im always amazed at how fast, how many,
and how thorough/helpful the responses are!

Brandi Higgins, BS, HT(ASCP)
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RE: [Histonet] Retaining empty jars

2010-06-23 Thread Tom McNemar
CAP retention guidelines say that wet tissues are to be retained for 2 weeks 
after final signout.  We keep all containers, empty or not, for the 2 weeks 
then strain and discard them in biohazard trash.

We have a large cabinet and designate a shelf for each day.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rosa Fields
Sent: Wednesday, June 23, 2010 9:09 AM
To: mtitf...@aol.com; histo...@pathology.swmed.edu
Subject: RE: [Histonet] Retaining empty jars

We also retain ours; for about 2 weeks.  I have plastic bins labeled Monday 1/ 
Monday 2.. ect.. that way I don't have to search through all of them if I have 
a question about a case.


Rosa Fields, HT (ASCP)
Gastroenterology Specialties
Histology Supervisor
4545 R Street
Lincoln, NE  68503
402-465-4545
rfie...@gidocs.net


The information contained in the message and the documents accompanying this 
message contain information that is privileged and confidential and is intended 
only for the use of the individual or entity named above.  If the reader of 
this message is not the intended recipient or the employee or agent responsible 
for delivering it to the intended recipient, you are hereby notified that any 
dissemination, distribution or copying of this communication, other than its 
return to the sender, is strictly prohibited.



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of mtitf...@aol.com
Sent: Wednesday, June 23, 2010 7:26 AM
To: histo...@pathology.swmed.edu
Subject: [Histonet] Retaining empty jars


Rhonda Hartz asks if anyone else retains empty jars after grossing.

We too retain our empty jars after grossing for about a month. We keep them in 
a red biohazard trash bag. It pays dividends. If once the case has been signed 
out the physician/surgeon complains that they removed more biopsies than we 
listed in the report, or submitted more jars, etc, we can go back and check. On 
rare occasions we have found tiny pieces of tissue in the jars, or hidden in 
the grooves of the lid. These enquiries most often happen with tiny pieces of 
tissue, of course, like GI biopsies.

 We have the physicians write on the label on the jar what is inside it (like 
everyone else I guess) as well as listing it on the surgical pathology slip. 
You can also go back and check what they wrote down.

Afterwards the jars are incinerated as they have all that HIPPA related stuff 
on the labels.

Michael Titford
USA Pathology
Mobile AL USA



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RE: [Histonet] number of slides

2010-03-24 Thread Tom McNemar
We do 2 levels on all GIs, 3 on all needle bx, 3 on cervical, and 2 on bone 
marrows.  We also do special stains up front on the bone marrows, H Pyloris, 
prostates, etc.

We tend to cut a ton of extra slides that we just throw away.  I don't like it 
but I don't think there's any way around it.  Probably like most places, we get 
more and more smaller and smaller biopsies so it's better to keep a few extras 
than to try to go back later.



Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sue
Sent: Tuesday, March 23, 2010 6:08 PM
To: anita dudley
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] number of slides

We do three levels on all diagnostic biopsies. Liver and Kidney also get 
upfront special stains, as do gastric biopsies (h pylori)
We did cut down on extra unstained slides since we were discarding most of 
them. As far as stopping levels, my pathologist thinks it goes against standard
of care. As for prostate biopsies, they are so small any more, that we are 
thinking o cutting 4 slides staining 1and 4 for HE and holding 2 and 3 for 
possible IHC. We
are finding that when we have to go back there is minimal tumor for IHC 
demonstration.

Susan T. Paturzo
Thomas Jefferson University Hospital


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RE: [Histonet] RE: Plants in the Histology Lab

2009-10-22 Thread Tom McNemar
I don't know about any list but I can tell you that spider plants grow like 
crazy they like the formalin.

Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.org
www.LMHealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Shelly
Christenson
Sent: Thursday, October 22, 2009 12:38 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Plants in the Histology Lab


Some time back I took a workshop on Plants in the Histology Lab. Some where I 
have the list as to which plants are the most beneficial in the lab and which 
chemical fumes they like best. I don't remember who did the workshop.  I will 
have to do a little hunting for the paper, but My Mother-IN-Tongues really like 
the lab's fumes they are 3 to 4 feet tall and I've divided them 3 times now. 
 

Shelly Christenson HT(ASCP)
Veterinary Diagnostic Lab.
Kansas State University




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