Re: [Histonet] Retirement in sight!

2021-09-09 Thread Victor Tobias via Histonet
Congratulations Tim,

It has been a long road. Interesting how we both worked at VMC at different 
times and I would have to say it was prominent in our careers. It was where I 
was first exposed to Histology. I have enjoyed your friendship and comradeship.

Take care
Victor


Sent from my iPad

> On Sep 9, 2021, at 9:26 AM, Morken, Timothy via Histonet 
>  wrote:
> 
> 
> After 40 years in the lab I've decided to retire this year - in a week 
> actually!
> 
> It has been an interesting 4 decades...
> 
> I started out in an EM lab after getting a degree in Physiology and then  
> competing a 2 year EM course at Delta College in Stockton, CA - the only 
> dedicated EM program at that time. I started out running a scanning EM lab 
> for an electronics company looking at microchips but after a couple years 
> moved to a hosptial lab in Fresno, CA running their EM lab. I was the only 
> one, so from day one was the "Manager" of the lab! I did about 150 EM cases a 
> year and in those days it was a mix of kidney and tumor cases - there was no 
> IHC yet so some tumor diagnostics depended on EM. I did not have quite enough 
> work to keep me busy so I started hanging out in the histology lab. As with 
> many people in this field the day I started working there was the first I had 
> heard of "histology."  At first it was helping set up grossing, coverslipping 
> slides and doing immunofluorescence for the kidney cases (and taking 
> "kodachromes" of the results! Does anyone under 30 know what a Kodachrome 
> is?!). But then our director wanted to bring in IHC and so had a tech from a 
> lab at Cedars Sinai in LA come to teach us how to do it. We did all of 10 
> stains at first. Of course it was all manual and so had to know what was 
> going on with every step. I didn't use an automated stainer for the first 12 
> years that I did IHC, and at times was doing 150 slides a day manually.
> 
> Gradually I ended up doing half time in histology and learned cutting, 
> special stains, muscle histochemistry, immunofluorescence for kidney cases. I 
> decided to work on the HT exam since I was doing all that work anyway. We had 
> a lab of four men - pretty rare, Imagine - and we started a study group to 
> all take the test. We met after work a couple times a week for 6 months 
> pretty  much memorizing the Sheehan book. We all took the HT and all but one 
> passed. Later I passed the HTL as well.
> 
> After 11 years of that I moved on to a job in Saudi Arabia - and my wife and 
> daughter went along. I managed the IHC and muscle lab at King Faisal 
> Specialist Hospital in Riyadh. My wife was lucky enough to get a teaching 
> position at the American School where our daughter was in 9th grade. That 
> made all the difference in our life there because if she had not gotten a job 
> I don't think we would have stayed there  5 years. She would have been stuck 
> doing pretty much nothing. I moved on to managing the histology lab as  
> whole. Living in another country is a great experience, even if it is a 
> totally different culture. It certainly changed our outlook on the world and 
> I would not trade that experience for anything. We also did a lot of 
> travelling during those years - being on "that" side of  world makes 
> traveling there much easier!
> 
> Once we decided to leave Saudi I looked for a job back in the States and was 
> lucky enough to land one at the Centers for Disease Control in Atlanta in 
> their Infectious Disease Pathology division. I worked with 5 infectious 
> disease pathology specialists and a dozen technologists from histotechs to EM 
> techs, to microbiologists to molecular biologists. We worked on routine cases 
> to world-wide outbreak cases. During the 5 years I was there we identified at 
> least one novel human virus every year that caused outbreaks. And that was in 
> addition to numerous cases of outbreaks of known diseases for which we 
> received samples from all over the world. Probably the most notorious case 
> was the anthrax attack after 9/11. Four of us histotechs manned the lab 24 
> hours a day, 7 days a week for 6 weeks running IHC tests on endless samples 
> while trying to get on top of that case. In the middle of it all the power 
> went out to the facility and we had to work on generator power with temporary 
> lighting set up in the lab and battery packs to keep the equipment running. 
> After 9/11 and then anthrax everyone was thinking it was a bioterror attack 
> by the same group, so things were crazy. When  I think of all the efforts we 
> made to enhance our detection and diagnostic capabilities, and all our 
> meetings about how to handle outbreaks, it was hard to see the stumbles the 
> CDC made in this current pandemic. But I can say that we had discussed, 
> studied and predicted pretty much everything that has happened in this Covid 
> 19 era. Indeed, we had the first-hand experience with SARS in the last year I 
> was there, so knew exactly how it could 

Re: [Histonet] Cassette Printers: Leica vs Sakura vs Thermo

2019-04-19 Thread Victor Tobias via Histonet
Denise,

Don’t forget General Data. I’m retired now, but we had about 10 of them. Real 
workhorse, fastest printer at the time and very reliable.

Victor

Sent from XFINITY Connect Mobile App



-- Original Message --

From: Long, Denise via Histonet
To: histonet@lists.utsouthwestern.edu
Sent: April 19, 2019 at 12:18 PM
Subject: [Histonet] Cassette Printers: Leica vs Sakura vs Thermo

Hi all, We're looking at purchasing a new cassette printer. Looking at Leica, 
Sakura and Thermo models. I'd love to hear good and bad feedback on any model 
you might be using. You can send your comments privately. Thanks in advance, 
Denise M Long Denise M. Long, MS, HTL (ASCP), QIHC University of Connecticut 
Dept. of Pathobiology and Veterinary Sciences Connecticut Veterinary Medical 
Diagnostic Laboratory 61 N. Eagleville Road, Unit 3089 Storrs, Connecticut 
06269-3089 (860) 486-0851 ___ 
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Re: [Histonet] Lillie, 3rd Edition

2011-12-07 Thread Victor Tobias

But they're not autographed by you know who.

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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On 12/7/2011 9:35 AM, WILLIAM DESALVO wrote:

I just checked and Amazon has used, good condition, hard cover for $6.00. No 
matter the cost, the book is priceless if you work in a Histology lab.

William DeSalvo, B.S., HTL(ASCP)




Date: Wed, 7 Dec 2011 12:14:51 -0500
From: mcaul...@umdnj.edu
To: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Lillie, 3rd Edition

I wonder what my 4th edition (1976) is worth?

Geoff

On 12/7/2011 10:27 AM, Breeden, Sara wrote:

In honor of my impending RETIREMENT on April 1, 2012, I have decided to
offer for sale my copy of Histopathologic Technic and Practical
Histochemistry by R.D. Lillie, 3rd edition (1964). It is complete and
in very good condition; pages unbent, minor page darkening (age) and
comes with a FREE autograph in my maiden name. First offer of eighty
dollars ($80.00) takes it and I'll pay the postage to get it to you.
I've got to pay for my bon-bons and TV cable bill somehow!



First offer gets it.



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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Geoff McAuliffe, Ph.D.
Neuroscience and Cell Biology
Robert Wood Johnson Medical School
675 Hoes Lane, Piscataway, NJ 08854
voice: (732)-235-4583
mcaul...@umdnj.edu
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Re: [Histonet] Trying to get in touch with Gayle Callis.

2011-12-06 Thread Victor Tobias

gayle.cal...@bresnan.net

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
=
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if the message has been addressed to you in error, do not read,
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then destroy all copies of the message and any attachments.


On 12/6/2011 9:59 AM, Clough, Bret wrote:

I would like to get in touch with Gayle Callis but she is no longer at Montana 
State University.  Does anyone know how to reach her and if so,  would you be 
willing to share that information with me or have her contact me?

Thanks,
   Bret Clough
  Texas AM Health Science Center
Temple, TX.
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[Histonet] Specimen Couriers

2011-11-07 Thread Victor Tobias

One of our Lab Managers asked me to throw this topic to the Histonet.

Who is transporting surgical specimens between sites and are you using a 
tracking system, if so what is it?  Also, do you use a hired courier or 
have a department courier system?


I will forward all replies to the manager.

Thanks
Victor

--
Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
=
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Re: [Histonet] Cat Scratch fever

2011-10-12 Thread Victor Tobias

Google it and Ted Nugent is on the 1st page, although not the top spot.

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
=
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On 10/12/2011 7:19 AM, Galbraith, Joe wrote:

No one under 30 would have a clue what that joke means.  Lol  Joe

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bernice 
Frederick
Sent: Wednesday, October 12, 2011 8:38 AM
To: Andrew Byrnes; Mauger, Joanne
Cc: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Cat Scratch fever

Too true!

Bernice Frederick HTL (ASCP)
Senior Research Tech
Pathology Core Facility
ECOGPCO-RL
Robert. H. Lurie Cancer Center
Northwestern University
710 N Fairbanks Court
Olson 8-421
Chicago,IL 60611
312-503-3723
b-freder...@northwestern.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Andrew Byrnes
Sent: Wednesday, October 12, 2011 8:31 AM
To: Mauger, Joanne
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Cat Scratch fever

Good song!

Andrew Byrnes
AccelPath.com

On Oct 12, 2011, at 7:35 AM, Mauger, Joannemau...@email.chop.edu  wrote:


Newcomer Supply sells cat scratch control slides.
Jo

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jessica Snay
Sent: Wednesday, October 12, 2011 1:47 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cat Scratch fever


Does anyone know where I can get a paraffin control block for cat scratch fever?

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Re: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick a Pin

2011-08-31 Thread Victor Tobias
 Just curious, does NAACLS perform inspections like CAP to re-accredit 
and are all the programs out there NAACLS accredited?


Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
=
Privileged, confidential or patient identifiable information may be
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On 8/31/2011 12:16 PM, Marcum, Pamela A wrote:

Tim, I understand that and he got one to sign it!!  So it can be done and yes 
it is not legal or fair and unfortunately, it is not the first time I have 
heard of it just the first time I actually could verify.  Way too late when I 
got here and it shows we have flaws in the system that are not being seen.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Wednesday, August 31, 2011 2:11 PM
To: 'Pam Marcum'; Emily Sours
Cc: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick a 
Pin

But, to take the test you need an affidavit from the pathologist that you 
worked in the histology lab for at least a year. So something fishy there...

Tim Morken

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pam Marcum
Sent: Wednesday, August 31, 2011 11:54 AM
To: Emily Sours
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick a 
Pin



I will clarify.  This person worked in the gross room as a PA and decided he wanted 
an HT.  So he watched over the shoulders of the histologists and learned enough to 
see the basics and then studied for the exam without ever cutting or staining a 
slide in Histology.  His theory was - I cut frozens and do HEs it won't be 
hard to pass a test with no practical and no one is checking to really see what I 
know besides what I learned in books and through acquiring testing examples so why 
not.  Guess what it was enough and he has an HT now.  I don't believe he has ever 
worked in the field as he is gone now and somewhere out of state.



Pam




- Original Message -


From: Emily Sourstalulahg...@gmail.com
To: histonet@lists.utsouthwestern.edu
Sent: Wednesday, August 31, 2011 12:52:43 PM
Subject: Re: [Histonet] Re:peggy wenk comments on HT/HTL practical - To stick   
 a Pin

How do you become a certified HT and not have any lab experience?!
That's crazy.
Not that i know anything about being an HT, but I'm a lab tech and I can't
imagine going into the job never having been in a lab at all.  What exactly
do they teach you?!

Emily


A great book should leave you with many experiences, and slightly exhausted.
You should live several lives while reading it.
-William Styron
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Re: [Histonet] MSDS binders

2011-08-25 Thread Victor Tobias
 In practicality you would turn to your online version first. What 
happens if the computer system/network is down. Seems like it would be 
prudent to have a hard copy available.


Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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On 8/25/2011 12:08 PM, William wrote:

Not certain about CLIA, but CAP only requires immediate available access to the 
MSDS's by any personal using chemicals. I interpret that as digital copies ok, 
as long as everyone has access. I have passed three inspections with digital 
MSDS only.

Will Chappell

Sent from my iPhone

On Aug 25, 2011, at 11:58 AM, Jill Coxjco...@yahoo.com  wrote:


Hello Histonetters,

Does anyone know if there is a rule as to MSDS binders having to be in yellow 
and black bold lettering? Do we even still need to have hard copy if we have 
access to msds.com on desk top? I am in Ca and will be CLIA licensed.. Thank 
you in advance!!

Jill Cox, HT ASCP
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Re: [Histonet] What is a great manual mirotome

2011-07-12 Thread Victor Tobias
 The old black ones, gotta love them. Most of the young techs out there 
probably have never seen one.


Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
=
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contained in this message. This information is meant only for the use
of the intended recipients. If you are not the intended recipient, or
if the message has been addressed to you in error, do not read,
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transmission. Instead, please notify the sender by reply e-mail, and
then destroy all copies of the message and any attachments.


On 7/12/2011 12:46 PM, Bernice Frederick wrote:

I want my AO820 back!

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patrick Laurie
Sent: Tuesday, July 12, 2011 2:40 PM
To: sdys...@mirnarx.com
Cc: Histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] What is a great manual mirotome

I've always been a fan of the Leica microtomes, I've used all kinds, from the 
Leica RM 2025 Microtome to the Leica RM 2265.  A good non-automated version is 
the RM 2235.  I've also used the Microm (thermo-fisher-shandon) HM325S which 
work well.  The Sakura Accucut SRM is manufactured by Leica, I believe it is 
equivalent to the RM2025.  I however have never used the Leica 2125.  I've 
always had good service from them, especially if you have a service contract.  
Good luck!

On Tue, Jul 12, 2011 at 12:11 PM,sdys...@mirnarx.com  wrote:


I am a manual tome junky!  I like the Thermo Finesse (I think it's 325).
These are the old microms...they work like a charm =)

Sarah Goebel-Dysart, BA, HT(ASCP)
Histotechnologist
Mirna Therapeutics
2150 Woodward Street
Suite 100
Austin, Texas  78744
(512)901-0900 ext. 6912


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
lsc...@sfcn.org
Sent: Tuesday, July 12, 2011 1:22 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] What is a great manual mirotome

  Hi,
Our small lab is looking for some advise on what microtome to replace
a fairly new Leica RM2235 with. We have been looking at the Sakura SRM
200 and the Leica 2125. We are looking for reliability and have net
gotten it from the RM2235. Is anyone using either of these that would
be willing to offer suggestions?

Thanks,

Scott Hendricksen HT (ASCP)


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--
Patrick Laurie HT(ASCP)QIHC
CellNetix Pathology  Laboratories
1124 Columbia Street, Suite 200
Seattle, WA 98104
plau...@cellnetix.com
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[Histonet] Pathologic the Game

2011-06-13 Thread Victor Tobias

Here is something for the evening entertainment at the next NSH conference.

http://www.gamespot.com/pc/adventure/pathologic/index.html

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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On 6/13/2011 1:56 PM, Emily Sours wrote:

I'm going to start using this pronunciation.  It's so hardcore!

A great book should leave you with many experiences, and slightly exhausted.
You should live several lives while reading it.
-William Styron



On Mon, Jun 13, 2011 at 4:54 PM, Robert Richmondrsrichm...@gmail.comwrote:



Periodic acid is pronounced purr-eye-OH-dik. The word is derived
from iodic (eye-OH-dik, derived from iodine), with the per-
referring to a higher oxidation state, as in peroxide.

Period.

Bob Richmond
Samurai Pathologist
Knoxville TN

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Re: [Histonet] ThermoScientific Printmate

2011-04-15 Thread Victor Tobias
My apologies to the group and Thermo for my comment yesterday, if they 
seemed misleading. I was referencing the Slidemate not the Printmate. I 
have no personal knowledge of the Printmate.


Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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Privileged, confidential or patient identifiable information may be
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On 4/15/2011 6:42 AM, Blazek, Linda wrote:

So, is there a cassette printer out there that someone really loves?
Linda

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence
Sent: Friday, April 15, 2011 9:28 AM
To: Robin Negron; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] ThermoScientific Printmate

I have had a Printmate for about 3 months now. I think the idea behind
the design and how it is suppose to work is fine, but ours has not work
correctly since we got it. It continues to jam up and we have had it
worked on 3 times now. I think they have decided to replace the unit at
this point (most likely with another unit that was sent in for repair
and refurbished)! I see little difference in cost to run. We switched
cassette vendors and they matched our current price. I think it is worth
the added security of patient safety if I can ever get a unit that
works.

Mike

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robin
Negron
Sent: Thursday, April 14, 2011 2:59 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] ThermoScientific Printmate




 Can anyone give me any information Re: Thermo Scientific
Printmate?



 I would like to get general information about this
equipment including maintenance experience, dependability, efficiency,
and any other experiences you have had either liked or dislike about
this machine.



  Thanks,



 Robin

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Re: [Histonet] ThermoScientific Printmate

2011-04-14 Thread Victor Tobias

Robin,

Here is my take on the product from what I have observed. We are a high 
volume teaching hospital.


ProsCons
SizeCost
Clean BarcodeService/Support
Low MaintenanceCost
Can be Networked  Service/Support
Relatively Fast for
Printing in real timeCost

Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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On 4/14/2011 12:59 PM, Robin Negron wrote:



 Can anyone give me any information Re: Thermo Scientific
Printmate?



 I would like to get general information about this
equipment including maintenance experience, dependability, efficiency,
and any other experiences you have had either liked or dislike about
this machine.



  Thanks,



 Robin

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Re: [Histonet] QC documentation

2011-04-07 Thread Victor Tobias

Dorothy,

I'm only going to address what we are doing for IHC.  We have a custom 
worksheet that is printed from the LIS for each patient. We were totally 
manual until 3 weeks ago when we went live with the Bond. We are still 
using our custom worksheet for the techs and pathologists.  Boxes for 
them to check off and write comments.  We just modified our IHC 
resulting tool and added fields for the pathologist to electronically 
record the QC.  The manual QC paperwork gets returned to the lab and can 
be used for CAP and we can generate an electronic report also.  
Hopefully we'll get more paperless with time.


Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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On 4/7/2011 9:59 AM, Webb, Dorothy L wrote:

How does everyone handle their QC documentation on special stains and IHC?  We 
currently print out the run information from our stainer(s) and have the tech 
initial for her QC and the pathologist sign after they review the slides.  I am 
hoping that someone has a way of doing this electronically.  I hope to learn of 
a better way to save some trees!!!  Thank you ahead of time!

Dorothy Webb, HT
Regions Histology Technical Specialist



   
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Re: [Histonet] band saws

2011-03-07 Thread Victor Tobias

From Tim Taylor of Home Improvement, You're darn right more power!.

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-744-2735
206-744-8240 Fax
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On 3/7/2011 12:48 PM, Rene J Buesa wrote:

Blade speed is more important than size or power.
René J.

--- On Mon, 3/7/11, Horn, Hazel Vhor...@archildrens.org  wrote:


From: Horn, Hazel Vhor...@archildrens.org
Subject: [Histonet] band saws
To: 'histonet@lists.utsouthwestern.edu'histonet@lists.utsouthwestern.edu
Date: Monday, March 7, 2011, 2:10 PM


I am looking for a band saw to cut our bone tumors.  What do I need to be 
looking for?  Power?  Size?  Other suggestions?
Thanks!

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] Consult accessioning question

2011-02-03 Thread Victor Tobias

Richard,

We use the date of accessioning as the DOS and we wouldn't accession it 
until we have received the specimen/materials.


Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 2/3/2011 10:43 AM, Richard Cartun wrote:

When accessioning a case for consultation, do you use the date on the paperwork from the 
referring hospital/pathologist as the new Date-of-service?  If so, what do 
you do when the paperwork gives a date (say Friday) and then the specimen is not sent out 
until the following Monday?  Thank you.

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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[Histonet] CAP Question regarding procedure manual

2010-12-22 Thread Victor Tobias
Is there a requirement to have a signature of every staff member on a 
procedure if they perform that procedure in a manual? Wouldn't one 
signature on a cover page suffice that you have read and understand what 
is in the manual?


Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Re: [Histonet] Frozen Section TAT

2010-11-01 Thread Victor Tobias

Allison,

We have 2 fields in the database for when the frozen specimen was 
received and when the surgeon was notified. We can then run a report to 
show us the cases with frozens and the TAT.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 11/1/2010 11:54 AM, Scott, Allison D wrote:

Hello to all in histoland.  How is everyone calculating the FS TAT.
Does any anyone have a file that automatically calculates that tat when
you plug in the data, that they would be willing to share.  Any help
would be appreciated.

Allison Scott
Histology Supervisor
LBJ Hospital.
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Re: [Histonet] Clarification-interfacing the IHC bond andCassettelabelers to Co-Path

2010-10-22 Thread Victor Tobias

 Toni,

We will be going live with the Bond shortly and will have the same 
workflow with a different LIS. Our pathologists have been ordering their 
own tests for years so there is no impact, except to save time in the 
Immuno Lab.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 10/22/2010 10:56 AM, Rathborne, Toni wrote:

I'd be interested in knowing how this has impacted your pathologists. Were they 
resistant at first? The extra time inputting requests would now fall on them.  
And there is still a chance of keystroke errors with pathologist entry.
I'm not disagreeing with the comments you made, only wondering since you were 
able to save .7 FTE, where the .7 pathologist came from. Or is it the interface 
itself that saves the time, and not who enters it?
Also, did you have the slide printers before the LEAN process was implemented? 
or was it done because of LEAN and is part of the FTE savings?
I'm very interested in this process, but know the types of questions I'll need 
to have answers for. We're a Cerner facility, so some things will be different 
but the principal will be the same.

Toni

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]on Behalf Of Feher,
Stephen
Sent: Friday, October 22, 2010 1:32 PM
To: Akemi Allison; Walter Benton
Cc: Histonet
Subject: RE: [Histonet] Clarification-interfacing the IHC bond
andCassettelabelers to Co-Path


We have interfaced our Bonds with Soft Path LIS system.  My
justification for this started with using it for LEAN processes in that
the orders for IHC went directly from the Pathologist to the Bond and
eliminated the need for my techs to have to input individual orders for
IHC by hand.  Since we have set up our slide labelers to be recognized
as just another printer as far as the LIS is concerned, we do not use
paper labels at all but have 2d barcodes printed directly on our slides.
When an order is put in by the pathologist for IHC, my techs can see the
order, cut the section and print the slide with the correct bar code.
Bond recognizes the barcode and initializes the tests that have been
ordered and transferred from the pathologist.

This has accomplished the following:

No tech time lost in printing labels for slides to go on the bond.  No
ambiguity or lost IHC orders due to hand writing orders by the
pathologist.  No chance of keystroke errors on the part of my IHC tech
while putting manual orders into the Bond.  In addition to eliminating
hand writing and manual keystrokes, which are distinct patient safety
issue, I have calculated that having the interface has saved me
approximately 0.7 FTE.  Instead of having to hire extra staff to cover
increased workloads or wasting existing staff on extraneous tasks (hand
labeling, manually entering orders, etc), I can utilize them in other
areas.

The patient safety aspect of eliminating extra tasks involving manual
data entry is huge.  A majority of the lawsuits against pathology labs
involve some aspect of human error resulting from manual tasks in
labeling or data entry.  In addition to being able to market my lab as
patient safety focused, we have eliminated a major source of potential
lawsuits.  It's hard to put a price tag on what that saves other than to
say that the costs are sometimes much more than the dollar figures paid
out.


Steve

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Akemi
Allison
Sent: Thursday, October 21, 2010 4:01 PM
To: Walter Benton
Cc: Histonet
Subject: Re: [Histonet] Clarification-interfacing the IHC bond and
Cassettelabelers to Co-Path

Hi Walter and Histo-subscribers,

Ist I want to thank Walter for his quick reply.  I appreciate your
answer!  2nd, I appreciate any and all replies, but does anyone have an
article that addresses issues that can occur such as:

Efficiency
Omitting Duplication of Tests ordered: Additional Slides, Special
Stains, IHC, FISH, CISH, Cost effectiveness due to omission of errors
Patient Safety

Thanks

Akemi Allison BS, HT (ASCP) HTL
Director
Phoenix Lab Consulting
Tele: 408.335.9994
E-Mail: akemiat3...@yahoo.com

On Oct 21, 2010, at 11:38 AM, Walter Benton wrote:


Efficiency
Patient Safety
Orders

Re: [Histonet] Cassette Marking

2010-10-19 Thread Victor Tobias
 I'm somewhat surprised that many labs are still handwriting blocks and 
slides. If you are using a LIS, can it integrate printing blocks and 
slides? Is the cost too high to add the printing capability? The cost of 
equipment is so cheap compared with one lawsuit.


It would also reduce the stress of loosing your job over a labeling 
mistake. Just seems like a win win for everyone.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 10/19/2010 1:38 PM, Sean McBride wrote:

Nita,

We use HistoTec pens by Newcomer Supply

~Sean


On Oct 19, 2010, at 2:22 PM, Nita Searcy wrote:


** High Priority **

If you HAVE to manually mark cassettes - what are you using? Cassette pens ? 
Pencils ? What is the rest of the world doing?

Anything else on the market?

Thanks



Nita Searcy, HT/HTL (ASCP)
Scott and White Hospital
Division Manager, Anatomic Pathology
2401 S. 31st. Street
254-724-2438
Temple, Texas, 76502
nsea...@swmail.sw.org


254-724-2438

Nita Searcy.vcf___
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[Histonet] Fwd: [PPMA] See OmniTrax at UWMC

2010-09-23 Thread Victor Tobias
 For any of you PowerPath users or anyone else curious about barcoding 
workflow, that are visiting Seattle, please see the message below. You 
may reply directly to Dr. Schmidt.


Victor

 Original Message 
Subject:[PPMA] See OmniTrax at UWMC
Date:   Thu, 23 Sep 2010 10:31:29 -0700 (Pacific Daylight Time)
From:   Rodney Schmidt schmi...@u.washington.edu
Reply-To: 	A mutual assistance forum for PowerPath users 
p...@u.washington.edu

To: PowerPath Mutual Assistance p...@u.washington.edu



There are several events in the next few weeks that may be bringing
PowerPath users to Seattle.  If any of you would like to visit the
University of Washington Medical Center to see the best workflow-driving
and comprehensive barcoding solution available anywhere (OmniTrax), please
send me a private email.  We’re anticipating being able to host tours on
Monday, Tuesday and Wednesday during NSH and can work with your schedule
if you’re in the area for other reasons (e.g. a users conference).


Rodney A. Schmidt, M.D., Ph.D.
Professor of Pathology
Director of Medical Informatics
University of Washington, Seattle, WA
(206) 598-6462
(206) 344-0532 (pager)
(206) 598-3803 (fax)

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Re: [Histonet] Odd question

2010-09-08 Thread Victor Tobias
 After my surgery for a rare tumor, someone on Histonet was looking for 
that particular tumor for a control. They would not give me the wet 
tissue, even though I work here and had the surgery done here. They did 
process the remainder of the tissue into paraffin blocks which I then 
mailed off after signing a bunch of release forms. Just my personal 
experience.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 9/8/2010 2:36 PM, sgoe...@xbiotech.com wrote:

Formalin  is  a  biohazard  and I think there are restrictions on tra   
nsporting  it  anywhere (even home from the hospital).  I know at past
j=obs, we did not allow anything that had touched formalin to leave.
It=ould be potential for lawsuits if somehow it got injested, not to
mention=if  they saw something they didn't think was right?  Doesn't
your faci=ity have something the patient signs before surgery saying
that  anything  r=emoved  during  surgery  becomes  property  of the
facility?  This usually =tops things quickly?

Sarah Goebel, B.A., HT (ASCP)

=m

Histotechn=cian

XBiotech USA Inc.

8201 East Riverside D=. Bldg 4 Suite 100
Austin, Texas  78744
(51=)386-5107

 Original Message 
Subject: [Histonet] Odd question
From:  [1]kim.dona...@bhcpns.org=br   Date: Wed, September 08, 2010
2:31 pm
To: [2]histo...@lists.uts=uthwestern.edu
Hi Histonetters,
Can  anyone  give  me any idea of any laws that guide giving a patient
there  organ  after  we  have  taken  from  it  what we need to do the
Histology?
I  know we have to keep it for a minimum of two weeks after sign out (
our=r  policy is 6 weeks after sign out ). But then we dispose of
it as medical waste.
Are  any  of  you  aware  of  any guidelines on giving a patient there
entire
organ which would be submerged in formalin?
Help and thanks in advance :-)
Kim Donadio
Pathology Supervisor
Baptist Hospital
1000 W Moreno St.
Pensacola FL 32501
Phone (850) 469-7718
Fax (850) 434-4996
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References

1. 3Dmailto:kim.dona...@bhcpns.org;
2. 3Dmailto:histonet@lists.utsouthwestern.edu;
3. 3Dmailto:Histonet@lists.utsouthwestern.edu;
4. 3Dhttp://lists.utsouthwestern.edu/mailman/listinfo/histonet;
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Re: [Histonet] RE: LIS systems

2010-08-31 Thread Victor Tobias
 We have used PowerPath since 1999 and have made so many custom changes 
that we probably can't ever leave. If I were looking today I would 
consider http://www.pathview.com/.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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On 8/31/2010 7:23 AM, Blazek, Linda wrote:

I've never used Meditech so I don't know what the down side is to that system.  
I have used PowerPath and it was a great system but if you want a system that 
has most of what PowerPath has but not the enormous cost you may want to look 
at Pathlogix.  http://www.pathlogix.com/
I use it now and like it.  It does have some glitch things but they are not 
major and there is a simple workaround for them.


Linda Blazek HT (ASCP)
Manager/Supervisor
GI Pathology of Dayton
Digestive Specialists, Inc
7415 Brandt Pike
Huber Heights, OH 45424
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 Mitchell, 
Janice A
Sent: Tuesday, August 31, 2010 9:43 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] LIS systems

Good Morning,
We are looking for new LIS system.  Right now there are two options, a system  for 
all of Clinical Labs  AP or  a new system for just AP.  Right now we use 
Meditech. Any advice on which systems work best for AP.  I know each system will 
have some flaw since nothing is perfect but, anything has got to be better than 
Meditech.

Thanks, Janice

Janice A. Mitchell, BS, HT(ASCP)
Assistant Histology Supervisor
Children's Hospital of Philadelphia
Anatomic Pathology and Laboratory Medicine
324 S. 34th Street
Philadelphia, Pa 19104-4399
215-590-1738(lab)
267-426-7754(office)

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[Histonet] IHC Control Questions

2010-08-31 Thread Victor Tobias

 I am writing on behalf of our supervisor.

For those of you that place the control tissue on the same slide as the 
patient, do you precut the control blocks or cut them at the same time 
as the patient? If you precut, how are you storing the slides and how 
long can they be stored?


We will be starting off with a control block with 3 tumors in it. Are 
you acquiring your control material from positive patient cases or are 
you purchasing your control blocks?


I think we are going to need to move to either a sausage roll or micro 
array. I believe they are putting the final numbers together and we are 
getting a Bond.


Thanks for any feedback
Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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[Histonet] OmniTrax

2010-07-22 Thread Victor Tobias

 Good morning all,

Just to clarify Dr. Perkocha's request on tracking programs. OmniTrax 
was developed by the Pathology Dept. at University of Washington Medical 
Center. For more information please go to 
http://pathwaypathologyconsultants.com/


Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
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[Histonet] Cytology 100 slide limit

2010-07-16 Thread Victor Tobias
 Our Cytology Supervisor was telling me about the 100 slide maximum 
that they can screen in a day. Our LIS is not capturing the NON-GYN 
slides being screened, so unless you are very diligent in recording the 
slides screened, you could go over the 100 limit.


Our supervisor also believes the computer system should notify the user 
when the limit has been reached and prevent them from continuing. Is 
this a CAP requirement? How are you dealing with this problem or is it a 
problem for you?


Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Re: [Histonet] Help! In need of positive Gram Control

2010-06-22 Thread Victor Tobias

What a waste of a good Slim Jim.

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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On 6/22/2010 7:16 AM, Gill, Caula A. wrote:

You have got to be kidding!! That's hysterical. So process a slim jim
and you have
Gram - and + controls. If you're serious I'm trying it.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Josie
Britton
Sent: Tuesday, June 22, 2010 6:10 AM
To: dianar...@aol.com; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Help! In need of positive Gram Control





Have you tried a Slim Jim?  They have gram positive and negative rods in

them.  Regardless, I still enjoy eating them once and a while!







Josie Britton Ht



Cheshire Medical Center



Keene, NH 03431











-Original Message-

From: histonet-boun...@lists.utsouthwestern.edu

[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of

dianar...@aol.com

Sent: Monday, June 21, 2010 7:43 PM

To: histonet@lists.utsouthwestern.edu

Subject: [Histonet] Help! In need of positive Gram Control







Help! We are in need of positive Gram Control Blocks if anyone has any



extra they are willing to part with.  I have lots of Fungus,

Pneumocystis  and



HPV tissue blocks to trade.







Diana Ripley



John Muir Histology



Concord Campus



2540 East Street



Concord, CA 94520



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[Histonet] Fwd: [PPMA] Barcoding in Boston!

2010-04-15 Thread Victor Tobias

For any of you in the Boston area, my boss will be speaking on barcoding.

Victor

 Original Message 
Subject:[PPMA] Barcoding in Boston!
Date:   Thu, 15 Apr 2010 10:34:31 -0700 (Pacific Daylight Time)
From:   Rodney Schmidt schmi...@u.washington.edu
Reply-To: 	A mutual assistance forum for PowerPath users 
p...@u.washington.edu

To: PowerPath Mutual Assistance p...@u.washington.edu



The topic of barcoding in pathology has suddenly gotten extremely popular.
Just about all the hardware and LIS exhibitors at the recent USCAP meeting
featured their capabilities.  Not all solutions are equal but it takes a
knowledgeable user to tell the difference between the solutions that are
good for users vs the ones that are good for the vendors.

Most of you know that the University of Washington has built out a
complete, sophisticated, and highly user-friendly barcoding and
workflow-driving system that handles all pathology materials (OmniTrax).
It's being used at multiple academic and private practices (PowerPath
sites) and has recently been revised so that it can work with any LIS.

Our experience with OmniTrax has let us understand deeply exactly what
makes a barcoding system successful from a user's perspective, including
likely benefits to labs in terms of cost savings and error reduction.  In
the last year, I've been invited to give talks about this at APIII, USCAP,
NSH, and AAPA meetings, as well as at other sites.

Thermo Scientific has asked me to speak on this topic next Wednesday in
Boston.  If you're interested and in the area, please contact your Thermo
rep for information.


Rod

Rodney A. Schmidt, M.D., Ph.D.
Professor of Pathology
Director of Medical Informatics
University of Washington, Seattle, WA
(206) 598-6462
(206) 344-0532 (pager)
(206) 598-3803 (fax)

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[Histonet] How to unsubscribe

2010-03-16 Thread Victor Tobias

Vanessa,

Did you click on this link at the bottom of every email?

http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Once you get to the page scroll down until you see;

To unsubscribe from Histonet, get a password reminder, or change your 
subscription options enter your subscription email address:



Enter your email address and press unsubscribe.

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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transmission. Instead, please notify the sender by reply e-mail, and
then destroy all copies of the message and any attachments.


On 3/16/2010 7:21 AM, Vanessa Gutierrez wrote:

UNSUBSCRIBE ME FOR THE 5TH TIME!!! I HAVE FOLLOWED INSTRUCTIONS AND STILL AM ON 
THIS LIST! SORRY, I KNOW CAPS IS NOT ALLOWED SO LETS SEE IF BREAKING THE RULES 
GETS ME OFF!

THANK YOU



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Re: [Histonet] Arcturus Laser Capture Microdissection (LCM) Systems

2010-02-16 Thread Victor Tobias

And they have since been bought by

*Danaher* company_profile.aspx?CompanyId=1002531 Completes Acquisition 
of *AB SCIEX* company_profile.aspx?CompanyId=1009895 and *Molecular 
Devices Corporation* company_profile.aspx?CompanyId=3170 (MDCC 
http://investor.biospace.com/biospace?Page=QUOTETicker=MDCC)

2/1/2010

WASHINGTON, Feb. 1 /PRNewswire-FirstCall/ -- Danaher Corporation 
announced today that it has completed the previously announced 
acquisition of AB SCIEX and Molecular Devices. AB SCIEX is a leading 
designer and manufacturer of mass spectrometers, highly sensitive and 
sophisticated instruments used by researchers and clinicians to identify 
and quantify specific molecules in complex samples. Molecular Devices 
supplies high-performance bio-analytical instrumentation systems and 
consumables that accelerate and improve research productivity and 
effectiveness in life science research and drug discovery.


Danaher Corporation


Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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then destroy all copies of the message and any attachments.




Walters, Katherine S wrote:

Molecular Devices bought them.  Here is their website:
http://www.moleculardevices.com/pages/instruments/microgenomics.html

Hope this helps,
Kathy



Katherine Walters
Histology Director
Central Microscopy Research Facilities
85 Eckstein Medical Research Building
University of Iowa
Iowa City, Iowa 52242-1101

phone: # 319-335-8142
fax:  # 319-384-4469

katherine-walt...@uiowa.edu
www.uiowa.edu/~cemrf




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kimberly
Tuttle
Sent: Tuesday, February 16, 2010 11:16 AM
To: histonet
Subject: [Histonet] Arcturus Laser Capture Microdissection (LCM) Systems

Does anyone know who to contact to get this instrument serviced?  It
seems the company is no longer in business. The phone numbers I have
dont work, and the website is no longer there. I found a company online
who repairs them, but they are in Massachusetts, I am in Maryland so
that would be my last resort.  Thanks

Kimberly C. Tuttle  HT (ASCP)
Pathology Biorepository and Research Core
University of Maryland 
Room NBW58, UMMC

22 S. Greene St
Baltimore, MD 21201
(410) 328-5524
(410) 328-5508 fax 
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Re: [Histonet] Sakura Embedding

2009-11-25 Thread Victor Tobias
As I recall you don't have to do anything special at the time of 
embedding, but what is it like for the person grossing? They have to 
correctly orientate the tissue or the specimen could be ruined?


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Anne van Binsbergen wrote:

i am - love it!!

2009/11/25 Linke, Noelle nli...@mednet.ucla.edu

  

Is anyone using the Sakura TissueTek AutoTec automated embedding machine in
their lab?  Do you like it?

Thank you!
Noelle

Noёlle Linke M.S., HTL(ASCP)QIHC
Manager, Histology Services
Department of Pathology  Laboratory Medicine
David Geffen School of Medicine at UCLA
Phone: 310-825-7397
Pager: 97471
nli...@mednet.ucla.edumailto:nli...@mednet.ucla.edu






 
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[Fwd: RE: [Histonet] Sakura Embedding]

2009-11-25 Thread Victor Tobias

Wanted to share this reply.

 Original Message 
Subject:RE: [Histonet] Sakura Embedding
Date:   Wed, 25 Nov 2009 09:56:56 -0500
From:   Durden, Kelley kelleydur...@pathology.ufl.edu
To: 'Victor Tobias' vic...@pathology.washington.edu
References: 
0c96f0bfe078d74c91a1c541d24a6ae4968cd...@emgmb1.ad.medctr.ucla.edu 
f8332fbe0911250047n617df137pdb17cb57e95d1...@mail.gmail.com 
4b0d4032.5040...@pathology.washington.edu




Hey Victor,

Just went out to CA last month for Sakura training on the VIP 6 and got to look at the 
dream lab Sakura just set up.

Very cool!  At that lab they have the Automatic Embedding system.  What they do to get proper orientation at the time of grossing is they've developed special cassettes that have, for lack of a better word, baskets.  They have a biopsy cassette basket, a basket that could be used for tubular structures (ie vas deferens), they have a basket for larger specimens (uterus etc) and baskets that have rows for breast bx and prostate bx.  


The whole idea is to maintain orientation all the way through the process.  The 
tissues are oriented in these cassette baskets at the time of grossing.  They 
are loaded onto the processor, then loaded into the auto embedding center.  
Never having to re orient the samples.

Then the baskets are embedded directly into the paraffin wax and are sectioned.  You 
section right through the basket.  It is made of a special type of plastic that is 
sectionable.  It is a really cool idea and process to watch.

I brought home some samples of the baskets so I could try them here in our lab 
even though we don't have the auto embedding station.  We sectioned through a 
couple of the different basket varieties and got good results.

I'd contact my Sakura rep for some samples so you could try to section with the 
basket and see if it works for you.

We don't have the volume that would necessitate an auto embedder b/c we are a 
research lab - but if we could justify it I'd love to have it.

On another note - we love our VIP 6 processor and the training they sent me for 
was phenomenal.

Hope this helps!


Kelley 




-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias
Sent: Wednesday, November 25, 2009 9:33 AM
To: Anne van Binsbergen
Cc: histonet@lists.utsouthwestern.edu; Linke, Noelle
Subject: Re: [Histonet] Sakura Embedding

As I recall you don't have to do anything special at the time of 
embedding, but what is it like for the person grossing? They have to 
correctly orientate the tissue or the specimen could be ruined?


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Anne van Binsbergen wrote:

i am - love it!!

2009/11/25 Linke, Noelle nli...@mednet.ucla.edu

  

Is anyone using the Sakura TissueTek AutoTec automated embedding machine in
their lab?  Do you like it?

Thank you!
Noelle

Noёlle Linke M.S., HTL(ASCP)QIHC
Manager, Histology Services
Department of Pathology  Laboratory Medicine
David Geffen School of Medicine at UCLA
Phone: 310-825-7397
Pager: 97471
nli...@mednet.ucla.edumailto:nli...@mednet.ucla.edu






 
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1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax

Re: [Histonet] Preventing slide labeling mistakes

2009-11-20 Thread Victor Tobias

Lynette,

You might want to also investigate different fonts if that is an option. 
Keeping the same size but using a different font can make a world of 
difference.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Lynette Pavelich wrote:

Hi Tim,
We do everything you do, but we also match our blocks to the written
number on the slides.  We catch the majority of our mistakes at that
point.  The other is because the font on the label is so small, we have
a hard time seeing the difference between 5's  6's!!!  I'm sure it's
not our ages or anything!   We're working with CoPath to get a larger
font!!  Ahhh, getting old is SO fun!  And yes, reading glasses work
pretty good!! LOL

Have a great weekend everyone!!
Lynette

Lynette Pavelich, HT(ASCP)
Histology Supervisor
MSH Competency Coordinator
Hurley Medical Center
One Hurley Plaza
Flint, MI  48503
email: lpave...@hurleymc.com
ph:  810-257-9948
fax:  810-762-7082
  

Morken, Tim timothy.mor...@ucsfmedctr.org 11/19/09 7:20 PM 


Hi, Can people share their procedures for preventing manual slide
labeling mistakes? No need to include barcoding - we are exploring that
but it is a ways off.

We currently have a manual process:
We prohibit pre-labeling slides in batches (many blocks/slides at one
time), require labeling slides (hand-written) only at the time of
cutting a single block, and matching paper label to the slide after
staining. We don't currently match blocks to slides.

Thanks for any info!

Tim Morken
Supervisor, Histology / IPOX
UCSF Medical Center
San Francisco, CA

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Re: [Histonet] slide label printer ribbon type?

2009-11-17 Thread Victor Tobias

Jacqueline,

It is important to match the ribbon to the label stock. For our 
polyester slide label (chemical resistant) we use a premium resin 
ribbon. We use a paper label for specimen and requisitions that uses a 
wax ribbon. Your label vendor should be able to recommend the proper ribbon.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
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then destroy all copies of the message and any attachments.




Jacqueline Farnsworth wrote:

Hi everyone.
We are finally able to print slide labels with our new computer system!  
Wondering what type of printer ribbon should be used with our Zebra slide 
labellers?  Wax   wax/resin  or resin?  Any suggestions? (Obviously 
xylene/alcohol, etc resistant is a must).

Thank you.

Jacqueline Farnsworth
Anatomic Pathology, Tech III
Foothills Medical Centre
Calgary Laboratory Services
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Re: [Histonet] RE: This is what was sent Akemi - Urgent!

2009-11-12 Thread Victor Tobias
Here is helpful information from Yahoo. Akemi you will want to contact 
Yahoo ASAP.


http://safely.yahoo.com/faq

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Akemi Allison-Tacha wrote:

This is the Yahoo  ALERT that was sent it looks legitimate;From:  
basant...@yahoo.com
Subject:Dear Valued Member,
Date:   November 11, 2009 10:49:15 AM PST
To:   undisclosed recipients: ;
Reply-To: messagecenter2...@live.comaccount Alert

Dear Valued Member,
Yahoo Mail has discovered series of illegal attempts on your Yahoo Account from 
bad Ip Location and will shut your account as it has been flagged as a spam 
account. You are the thus immediately required to Secure Your Online Access by 
Manually Filling The Form Below by clicking on the reply-to button on your 
page, Filling Correct Information Carefully and Sending to Yahoo Alert Center: 
UserName: ...Password: ...Date of Birth: 
..Country Or Territory : ...

 After following the instructions in the sheet, your account will not be 
interrupted and will continue as normal. Thanks for your attention to this 
request. We apologize for any inconvenience.
 Warning!!!  Account owner that refuses to update his or her account before two 
weeks of receiving this warning will lose his or her account permanently.
Akemi Allison-Tacha BS, HT(ASCP)HTL
PresidentPhoenix Lab ConsultingE-Mail: akemiat3...@yahoo.com



--- On Thu, 11/12/09, Adam . anonwu...@gmail.com wrote:

From: Adam . anonwu...@gmail.com
Subject: Re: [Histonet] RE: Akemi - Urgent!
To: histonet@lists.utsouthwestern.edu
Date: Thursday, November 12, 2009, 9:13 AM

Phishing also happens over the phone as well. It is not unheard of that
people get phone calls claiming to be from a bank asking for personal
information (why would a bank need your account number... aren't they your
bank and don't they already have this information?). It is generally a very
bad idea to give any personal information out in any venue other than the
physical office of the institution which you do business. If the company
suspects that your account has been compromised, they will disable it and
then ask you to contact them. If you receive such an e-mail, do not click on
any links in it or dial any phone number contained within. Instead, look up
the company's contact information (in a phone book or via a search engine)
and use the publicly available contact information.

Adam

On Thu, Nov 12, 2009 at 11:04 AM, Rene J Buesa rjbu...@yahoo.com wrote:

  

Akemi:
And that was your second mistake. Why the server, in this case Yahoo, would
like your password and your birth day when that is not originally needed?
I NEVER EVER answer anything even if I am told that my life depends on it.
Never answer a request for information of any kind. If it a legitimate
request they will call you on the phone.
René J.

--- On Thu, 11/12/09, Akemi Allison-Tacha akemiat3...@yahoo.com wrote:


From: Akemi Allison-Tacha akemiat3...@yahoo.com
Subject: Re: [Histonet] RE: Akemi - Urgent!
To: SaraBreeden sbree...@nmda.nmsu.edu, 
histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu,
Helen Fedor hfe...@jhmi.edu
Date: Thursday, November 12, 2009, 11:03 AM


Hi All,
I received an e-mail and an early morning call from my friend Helen Hedor
this morning stating that she received a e-mail scam from me stating;
FISHING FOR MONEY.  I did in NO WAY send this e-mail!  Please do not in
anyway answer or send money to the bogus e-mail scam which was sent in my
name..  THIS IS SCARY!
I don't know what has happened, but I came home last night and my yahoo
account sent me an e-mail which stated that my e-mail has been compromised
for scam purposes, and if I didn't answer the questions below I would have
my account frozen.  I immediately replied and answered the questions, but
then I thought, what if this is a scam to extract personal information, so I
copied the the questionnaire and sent it to the yahoo alert center.  I
received a reply that they would check into it.  This morning I couldn't get
into my e-mail account so I had to jump a bunch of hoops and reset my
password.  I hope none of you have this happen to you.
The Yahoo Account warning stated: Yahoo Mail has discovered series of
illegal attempts

Re: [Histonet] Plants windows in lab

2009-10-23 Thread Victor Tobias

Seattle, WA

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Dana Settembre wrote:

Where is PhenoPath?


Dana Settembre, HT ASCP
Immunohistochemistry Lab
UMDNJ - University Hospital
Newark, NJUSA


  

Merced M Leiker lei...@buffalo.edu 10/23/09 9:59 AM 


Yes that's exactly what I was going to say - I'd like to toss in my
resume, 
please! :-)


--On Thursday, October 22, 2009 10:02 PM -0500 Ingles Claire 
cing...@uwhealth.org wrote:


  

# 1- Any openings?
2#- I think the ships would depress me a bit as I would constantly


be
  

reminded that I am not ON said luxury ship. 3#- Still couldn't give


up my
  

wonderful career though.
Claire



Linda,
Patti's lab would make you envious indeed!  Not only does she have
windows, but she has windows lining the whole length of the lab


looking
  
onto a canal that has sailboats, as well as luxury ships passing by! 


The
  

break room has the same view.  The architect wanted the break-room to


be
  

offices, but Dr. Gown thought his staff needed a space to enjoy when


they
  
were taking a break.  WOW a pathologist that thinks of his staff. 


That's
  

a novel concept! Dr. Gown provides a professional Starbucks coffee


maker
  

that brews coffee to order, as well as provides Stash teas.  He also


has
  

fresh organic fruit brought in every Monday for the staff, and stocks


the
  

frig with condiments.  Unfortunately, most of the young people who


have
  

never had to pitch money in the coffee fund don't appreciate these
bonuses.  PhenoPath is a great place to work. Akemi Allison-Tacha


BS,
  

HT(ASCP)HTL



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Merced M Leiker
Research Technician II
Cardiovascular Medicine
348 Biomedical Research Building
State University of New York at Buffalo
3435 Main St, Buffalo, NY 14214  USA
lei...@buffalo.edu 
716-829-6118 (Ph)

716-829-2665 (Fx)

No trees were harmed in the sending of this email.
However, many electrons were severely inconvenienced.


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[Histonet] [Fwd: [PPMA] NSH meeting] Barcoding

2009-10-01 Thread Victor Tobias
For those of you interested in barcoding, this might be a worthwhile 
talk. Yes, he is my boss so I should put in a plug for him.


Victor

 Original Message 
Subject:[PPMA] NSH meeting
Date:   Wed, 30 Sep 2009 17:17:37 -0700 (Pacific Daylight Time)
From:   Rodney Schmidt schmi...@u.washington.edu
Reply-To: 	A mutual assistance forum for PowerPath users 
p...@u.washington.edu

To: PowerPath Mutual Assistance p...@u.washington.edu



For those of you attending the NSH meeting this next week, I hope to see 
some of you there.  I'll be giving a talk on Tuesday morning about the 
quality and efficiency benefits of barcoding in the AP lab.


If you'd like to get together for dinner or meet some other time, please 
drop me an off-line email.  Unfortunately, my stay in Birmingham is going 
to be fairly short -- from Monday afternoon until Tuesday afternoon.


See you there!


Rodney A. Schmidt, M.D., Ph.D.
Professor of Pathology
Director of Medical Informatics
University of Washington, Seattle, WA
(206) 598-6462
(206) 344-0532 (pager)
(206) 598-3803 (fax)

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--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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if the message has been addressed to you in error, do not read, 
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transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.



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Re: [Histonet] Clear-Rite 3

2009-08-05 Thread Victor Tobias
The last time I was around a citrus based clearing agent was in the 80's 
and it gave me severe headaches. I didn't have any problems with it's 
performance, just the health aspects. I was using a closed processor at 
the time, but no hood..


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Sherwood, Margaret wrote:

We also use d-limonene (sold as CitriSolv).  We used Hemo-De before.  I also
would be curious you (and others) do not like d-limonene.

Peggy 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Va Paula
Sicurello
Sent: Wednesday, August 05, 2009 12:49 PM
To: Rene J Buesa; HistoNet
Subject: Re: [Histonet] Clear-Rite 3

Hi Rene,

Why do you not like the d-limonene solvents? 


I work with them and the results seem fine.  I have to mention that I use an
AutoTechnicon Duo and cannot place it in a fume hood to vent the xylene vapors. 
Without proper ventilation the safety people willnot allow the use of Xylenen. 
I work in the research unit of a VA hospital and they will not provide larger

fume hoods nor buy me a self contained processing sytem.

Please let me know what other safe alternatives (ones that can be used out on
the bench) are you suggest.

Thanks,

Paula Sicurello

VA Medical Center San Diego

Veterans Medical Research Foundation (VMRF) 


Core for Micro Imaging(C-MI)

3350 La Jolla Village Dr., MC151

San Diego, CA 92161

858-552-8585 x2397



C-MI for your imaging needs.

--- On Wed, 8/5/09, Rene J Buesa rjbu...@yahoo.com wrote:

From: Rene J Buesa rjbu...@yahoo.com
Subject: Re: [Histonet] Clear-Rite 3
To: Histonet@lists.utsouthwestern.edu, BillO'Donnell
billodonn...@catholichealth.net
Date: Wednesday, August 5, 2009, 2:01 PM

Bill:
Xylene substitutes are not all pretty much the same. There are d-Limonene
derivatives (something to stay absolutely away from) and alkane derivatives with
many known and unknown constituents.
Since you are about to change and not have any preference, your best option both
in processing quality and price, would be to get a reliable supplier of mineral
spirits (the same you can find at any home improvement store) and use it.
René J. 


--- On Wed, 8/5/09, O'Donnell, Bill billodonn...@catholichealth.net wrote:


From: O'Donnell, Bill billodonn...@catholichealth.net
Subject: [Histonet] Clear-Rite 3
To: Histonet@lists.utsouthwestern.edu
Date: Wednesday, August 5, 2009, 9:11 AM


Greetings!

We have been using Clear-Rite 3 here at our lab, and we are happy with
the product. Our supplier says it will be on back-order for some time
now. Our crack supply folks are looking for another source. I'm taking
another route to find out what products out there are comparable.

Are all Xylene Substitutes pretty much the same and there for pretty
much interchangable?
Are there some to stay away from?

Any help is appriciated.

William (Bill) O'Donnell, HT (ASCP) QIHC 
Lead Histologist

Good Samaritan Hospital
10 East 31st Street
Kearney, NE 68847 
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Re: [Histonet] computer order enrty

2009-07-28 Thread Victor Tobias
I thought I'd give you my observations on OE. I don't know anything 
about Meditech, but with PowerPath it can be very nice. We have 
established OE with EPIC. When we receive the specimen, we enter the 
order number and virtually every field you need is filled in, patient 
demographics, referring physician, specimen and clinical information. 
Our accessioner just verifies the information, sometimes the specimen 
needs to be changed to pull in the correct lab orders. It is a great 
time saver.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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contained in this message. This information is meant only for the use 
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if the message has been addressed to you in error, do not read, 
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Horn, Hazel V wrote:

We are hoping to do the same here.  But OE does not assign a specimen
number.  The specimen number would be assigned when you receive the
specimen.

As for like specimens, we have to accession them together as we get so
many GI bx's that's it's impossible to separate them.We do use a
color code system to separate the biopsy cases.  We use 6 different
alternating colors and the color is dictated in the gross description.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
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
 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hutton,
Allison
Sent: Tuesday, July 28, 2009 9:41 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] computer order enrty

We are currently looking into computer order entry for our pathology
specimens (using meditech).  However, our major concern is that the
specimens will be assigned a surgical number when the specimen is
ordered in the OR, GI, radiology, etc and like specimens may not be
separated.   Does anyone utilize the order entry module, and if so, how
do you prevent like specimens for getting back to back numbers?
Thanks in advance,
Allison
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Re: [Histonet] Hi Jan,

2009-07-16 Thread Victor Tobias

Tony,

LOL, someone with a funny accent in Alabama. Something only a local can 
appreciate.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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if the message has been addressed to you in error, do not read, 
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transmission. Instead, please notify the sender by reply e-mail, and 
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Tony Henwood wrote:

Hi Carrie,

The NSH convention in Alabama will also be my first.
It has only taken me 30 years to finally get to one.

Assuming I don't get lost I hope to see you all there (?turn right at
Honolulu, left at Los Angeles, then second exit on the left?)

I'll be the short tubby man with the funny accent.

Regards

Tony Henwood JP, MSc, BAppSc, GradDipSysAnalys, CT(ASC)
Laboratory Manager  Senior Scientist
Tel: 612 9845 3306
Fax: 612 9845 3318
the children's hospital at westmead 
Cnr Hawkesbury Road and Hainsworth Street, Westmead 
Locked Bag 4001, Westmead NSW 2145, AUSTRALIA 





-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carrie
Disbrow
Sent: Friday, 17 July 2009 6:15 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Hi Jan,


Hi   Jan,
Thanks for your input! I have two A. S. degrees. One in veterinary
nursing/technology and one in histology. And I have an AA where all my
electives were biology,chemistry and micro. Then I'll have a BS in
veterinary nursing/management. I'm starting a molecular program in
January. So, I have a strong skills in courses you mentioned. I'm sure I
want to do the R  D techniques but not so sure about the management!
The other thing about a histology career is learning how vast the field
is. Did anyone ever have a counselor in their program that explained the
different types of positions? I'm looking forward to attending the NSH
convention in October. It will be my first one! Carrie



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This note also confirms that this email message has been
virus scanned and although no computer viruses were detected, The Childrens 
Hospital at Westmead accepts no liability for any consequential damage 
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Re: [Histonet] What percent of HTL's do not have a BS degree?

2009-07-15 Thread Victor Tobias

Kemlo,

You may not know who the pimp is, but you know who got screwed.

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
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transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Kemlo Rogerson wrote:

The histology world doesn't look for well qualified workers they look
for cheap labor (SIC).  I have heard more than one pathologist state
that a monkey can do our job. 

See my other post. The retort ought to be that a Histology BMS/
Histotech can do yours!! A honest Pathologist once told me that a good
Histotech could report 80% of what he did, you needed some medical
knowledge to maybe report the next 15% or so, Pathologists with a
speciality probably reported the next 2% or 3% and it took an expert to
deal with the top few percent. He taught me Pathology of the skin and I
was good at it; I naturally then became a Cytologist as there's no way,
without a MRCPath, that I could ever report skin biopsies.

A Gynaecologist friend of mine once told that the Pathologist/ Histotech
(BMS) relationship was perceived by many of his colleagues to be the
last bastion of prostitution. I never figured out who was the pimp!! 



 
 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michael
Bradley
Sent: 14 July 2009 21:50
To: Weems, Joyce
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] What percent of HTL's do not have a BS degree?

HI all

I am a rarity.  I am an HTL with a Bachelors Degree.  I got my HTL in
the early 90s and I guess I was misguided because I thought it would
open more doors for me than just an HT.  I was sadly mistaken.  After I
passed my test I waited 9 months for a raise and promotion (which was
just a greater title) and when I got my raise so did 2 other employees
that didn't even have or try for their certification.  I spent many
nights and weekends studying and doing my stains for the test.  I am
proud of my accomplishments.  It is a shame that our industry does not
reconize the difference between HT and HTL.  A few years back I was
working as a traveling histotech and when I tried to get a permanent
position no one wanted to hire me because I was over qualified by having
over 15 years experience and a HTL certification.
I worked hard to no avail.  The histology world doesn't look for well
qualified workers they look for cheap labor.  I have heard more than one
pathologist state that a monkey can do our job.  I have also worked in
a lab where they would hire someone with a GED to cut slides.  A career
in histology is for the most part a dead end and there is no future.  As
long as our industry doesn't respect education and experience there will
be less and less histotechs and the quality of the slides will suffer
which in turn will bring down patient care.
Just my 2 cents.

MB proud HTL
On Tue, Jul 14, 2009 at 3:37 PM, Weems, Joyce jwe...@sjha.org wrote:

  
Honey... You are a mere child! There are some of us that have been in 
the business for 40+ years. I missed the grandfather approach by 7 mo 
- time that I didn't work moving from place to place with my military 
ex-husband.


But I did finally get the degree and do the exam. But we're still 
around. And I'll probably be working till I'm 100!!! J:)



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
Thomas Jasper

Sent: Tuesday, July 14, 2009 15:16
To: Feher, Stephen
Cc: histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] What percent of HTL's do not have a BS degree?

Hi Steve,

I've got no statistics to offer you...just an observation.  I would 
say that finding an HTL, without a Bachelor's degree is akin to the 
proverbial needle in a haystack.  Anyone that obtained their HTL, 
if/when they could be grandfathered in, is likely to be retired or 
close to it.  First of all, most folks that went the OJT route for 
certification were eligible to sit for the HT only (to my knowledge).
I've never met anyone with an HTL that did not have a Bachelor's as a 
pre-requisite.  I've been doing histology for ~25 years.  I've met 
people from all over the country and various parts of the world.  
Truth is there isn't an abundance of HTLs out there.  Unlike the 
Medical Lab world, with the basic differences between MTs and MLTs

Re: [Histonet] Re: tracking turnaround time of intraoperative consultations

2009-06-24 Thread Victor Tobias

Vinnie,

We have always measured from the time the specimen is received in 
Pathology. Our frozen section room is adjacent to the OR.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Della Speranza, Vinnie wrote:

Thanks Dr. Richmond. CAP's turnaround time requirement for frozen sections is 
unchanged.

My question was prompted by the fact that we have an individual internal to our 
organization pushing for measuring turnaround from time of order to time result 
is issued, which muddies the water, at least for us as we do not have 
electronic ordering from the OR. This is prompted by JCAHO's requirement that 
turnaround time for critical tests be measured (Frozen section is considered a 
critical test by this organization)

As far as I know, there is no national standard to be met if one measures turnaround from time of order, so the data then is up to the institution's interpretation for what is acceptable. 

One of the respondents indicated that they consider the time the sample gets to pathology as the time the test was ordered. Of those who responded to my query, one lab has electronic order entry and is just beginning to track both the in lab turnaround time and the time from order to result. 


Vinnie Della Speranza
Manager for Anatomic Pathology Services
Medical University of South Carolina
165 Ashley Avenue  Suite 309
Charleston, South Carolina 29425
Tel: (843) 792-6353
Fax: (843) 792-8974
 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robert Richmond
Sent: Wednesday, June 24, 2009 1:29 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: tracking turnaround time of intraoperative consultations

Vinnie Della Speranza, Manager for Anatomic Pathology Services Medical
University of South Carolina
Charleston SC asks about tracking turnaround time of frozen sections (note
that not every intraoperative consultation requires a frozen section).

The few services I've worked on that attempted to track turnaround time
timed them from time of receipt in the laboratory (using a time stamp for
that) to telephoning the report (the pathologist had to write down the time
on the hand-scribbled report). The prescribed maximum turnaround was 20
minutes, which is pretty easy to meet. Cases with multiple frozen sections
were not timed.

Has there been some change in the CAP requirements for recording turnaround
time of frozen sections in the last three years?

Bob Richmond
Samurai Pathologist
Knoxville TN
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Re: [Histonet] Budget Microarray - Finally

2009-06-23 Thread Victor Tobias

Bill,

Very nice and thanks for sharing.

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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O'Donnell, Bill wrote:
 
Good day Histonetters,


A few weeks back, I posted that I had a method for making a tissue
microarray on the cheap. I have received a lot of requests for how I do
this. I wanted to write it up because, even though it is pretty easy to
do, it is difficult to describe. 


So...I made a PowerPoint on how to do it and posted it at this address:

http://highperformancehistology.yolasite.com/

With your indulgence I will re-post a few times iin the next couple of
weeks so that those who contacted me won't miss out. (I suppose I could
have saved all those addresses...ah, the wonder of hindsight!

William (Bill) O'Donnell, HT (ASCP) QIHC 
Lead Histologist

Good Samaritan Hospital
10 East 31st Street
Kearney, NE 68847 




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Re: [Histonet] Microtome Alignment

2009-05-07 Thread Victor Tobias
I just went to Newcomer Supply to see what you get for $700, not much. 
Go to Ace Hardware and get each employee one of these. It will work just 
as well and works on any microtome. Buy your staff lunch with what you save.


http://www.acehardware.com/product/index.jsp?productId=1286367cp=fbc=1pg=3kw=levellmdn=Price+Rangefbn=StorePrice%7CUnder+%2425.00fr=StorePrice%2FACE%2F%2F2500parentPage=searchsearchId=37640061873 
http://www.acehardware.com/product/index.jsp?productId=1286367cp=fbc=1pg=3kw=levellmdn=Price+Rangefbn=StorePrice%7CUnder+%2425.00fr=StorePrice%2FACE%2F%2F2500parentPage=searchsearchId=37640061873


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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Jodie Robertson wrote:

Newcomer Supply.


Jodie Robertson, HT (ASCP) QIHC
Pathology Sciences Medical Group
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of kristen
arvidson
Sent: Thursday, May 07, 2009 6:24 AM
To: histonet
Subject: [Histonet] Microtome Alignment

Does anyone know where I can an alignment device? 



  
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Re: [Histonet] Information Systems: Specimen Tracking MiddleWare

2009-03-26 Thread Victor Tobias
If anyone is seriously looking at a new Lab Information System LIS, 
please give Michael a call. This is not a paid endorsement. We do not 
use his product, but being only a few miles away from where they went 
live with their first client, has given us the opportunity to see the 
program. We use PowerPath currently, but if we were in a shopping mood, 
Michael's product Pathview would be on the short list. Michael and our 
team have met several times and his philosophies and ours' are so in 
sync it is scary.


We have developed our own software to incorporate with PowerPath. Cases 
that need only one cassette are printed at accessioning. For complex 
cases the PA or Resident orders the cassettes in real time. They scan 
the specimen label and select the quantity of cassettes. This was a 
major change in workflow for us, which had it's challenges. Now that the 
bugs are out of the system, the end users really like it. No more 
wasting cassettes because too many were printed.


The cassettes are scanned at embedding to provide information or special 
instructions to the embedder. Scanning the cassette at the microtome 
generates the slide labels. Scanning the slide after staining marks the 
order as completed and starts the tracking of the slide to the 
pathologist and back to the slide room.


Enough rambling, the technology is available and getting better all the 
time.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Michael Mihalik wrote:

Quote:  You cannot check a process step which introduces human errors of
oversight and transcription with another process that introduces the same
type of error potential.

 

I love that line.  May I use it?  

 

 

 


The only thing I would add is a subtlety.  The easiest way to use barcoding
in any information system is to just 'add it on'.  A truly efficient system
INCORPORATES the technology.  What do I mean?  Here's an example:

 

 


In Scenario 1:  bar coded cassettes are printing at accessioning.  They are
then moved to the gross area with the requisitions and specimen.  However,
we know that cassettes can be separated from the requisitions and specimen,
so some systems have you scan the specimen and each block to confirm that
they match.  This is an example of an 'add on' functionality.  The
additional step to scan the specimen and blocks has been added.  This
increases quality at the cost of more work.

 


In Scenario 2:  bar coded cassettes are printed at the grossing station by
scanning the bar code on the specimen label.  Only the blocks for that
specimen are printed.  This provides the same increase in quality WITHOUT
any extra work.  This is an example of an 'incorporated' technology.

 


The difference between the two philosophies is huge and it's a hard one to
ferret out by simply reading product brochures because in both scenarios
'barcodes are used'.

 


.but you have to ask yourself, which system would you use?

 


And finally, I apologize if this is coming across as a sales pitch, but I'm
very, very passionate about work flow analysis.  The best systems out there
don't just collect information, they help you get your work done faster,
better, etc.  and you can't do that without analyzing how work flows to the
department, within the department, and out of the department.

 

 


Michael Mihalik

 http://www.pathview.com/ PathView Systems | cell: 214.733.7688 |
800.798.3540 | fax: 270.423.0968

 

 

 

From: joelle weaver [mailto:joellewea...@hotmail.com] 
Sent: Thursday, March 26, 2009 5:09 AM

To: m...@pathview.com; Histonet
Subject: RE: [Histonet] Information Systems: Specimen Tracking  MiddleWare

 


Thanks for posting this.I just couldn't help commenting on this post because
as a working histologist,  I have tried to convince managers in the past who
have tried to recituify the need for specimen tracking in histology, and the
general situation with very time consuming, tedious and inaccurate manual
transcription steps in the effort to create tracking and not have to buy
anything. I have printed off information from vendor websites, showing that
middleware was not always needed, and presented this information to them,
but they just don't believe it. Lack of understanding I think, caused them
to instead go with manual the manual processes to create

Re: [Histonet] PSLIM slide printer

2009-03-19 Thread Victor Tobias

Andi,

How are you utilizing the printer? We are trying to incorporate the 
printer with real time printing as the tech scans the bar coded 
cassette. We have had one tech working with the PSLIM and they have 
printed about 200 slides over a couple of days, but it has been getting 
progressively worse in performance.If there is more than one slide 
needed for the block then the PSLIM can hang. It's as if it doesn't have 
enough memory. We are on our second or third unit and are about to give 
up and go to labels. The PSLIM was questionable at $5K, but out of the 
question at Fisher's $10+K pricing. The print quality is so much better 
than the Leica.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Andrea Grantham wrote:
I think mine was probably the last lab to purchase a PSLIM from 
AccuPlace before they  sold off the printer to Fisher. Just in time!
For what it is worth, I do like the printer. It is great for a small 
lab and is saving what is left of my wrist. However, we are on the 
second machine. The first one wasted about as many slides as I 
accepted. We called tech support and tried their suggestions but 
nothing worked. After we sent them a picture of what the slides looked 
like they called with an RMA number and sent out a replacement that is 
working perfectly.

I'm happy!
We had an option of purchasing a service/replacement agreement with 
the printer and I'm glad we did. I don't know if Fisher is offering 
this option but if you are considering the printer it might be a good 
idea.


Andi
.
: Andrea Grantham, HT(ASCP) Dept. of Cell Biology  Anatomy :
: Sr. Research Specialist   University of Arizona   :
: (office:  AHSC 4212)  P.O. Box 245044 :
: (voice:  520-626-4415)Tucson, AZ  85724-5044USA   :
: (FAX:  520-626-2097)  (email:  algra...@u.arizona.edu)   :
:...:
  http://www.cba.arizona.edu/histology-lab.html


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Re: [Histonet] Dako, Thermo and others

2009-03-12 Thread Victor Tobias

Jeff,

It is not just Dako, but many vendors have jacked up the cost of goods. 
Let's take the PSLIM from Accuplace. About a month ago you could 
purchase this for $5K. Now that Thermo has acquired distribution rights 
it costs over $10K and nothing has changed. To me, it is better to sell 
10 at $5K than 5 at $10K. We were ready to purchase several more of 
these, but have to reconsider our options now. No wonder Healthcare 
costs are out of control.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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jeff wrote:

I was wondering if anyone else is being blackmailed by Dako to sign a contract 
with them. We have enjoyed our relationship a number of years buying there 
product as we need it. We also have changed detection kits as we where advised. 
Now they are telling us that if we do not go  with price per slide they will 
raise our costs of purchasing our supplies. Example  EnVision + dual link 
system last year cost 1,580.70 this year 3,300 and that this will go in effect 
March 1st ( just talked to the rep about this Tues) Just 1 example. S. Has 
anyone else had this happen to them and what did you do?   Thanks  Jeff

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Re: [Histonet] Practical Exam

2009-02-19 Thread Victor Tobias

Barry,

I agree with your statement,

What is really needed is a national standardized written and practical test 
that is administered by NSH.

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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Rittman, Barry R wrote:

Victor
I cannot believe that you have said this.
Although I did not think that the practical examination was the ultimate test 
of skill ,  it did at least provide some uniformity.
With an extension of the logic that you use it is just as easy to allow the pathologist to certify that the technician is qualified even without a written examination. 
Without a somewhat standardized practical there is no guarantee that the technician will have any practical knowledge outside their individual laboratory.

Didactic without adequate practical knowledge is, as far as I am concerned, 
useless.
What is really needed is a national standardized written and practical test 
that is administered by NSH.
I am not holding my breath that this will happen.
Barry 



From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor Tobias 
[vic...@pathology.washington.edu]
Sent: Thursday, February 19, 2009 5:03 PM
To: Histonet
Subject: [Histonet] Practical Exam

There has been discussion regarding the removal of the practical exam.
To me it has not been removed, but the responsibility has shifted to
whomever signs off on the student. In the case of OJT, the pathologist
has verified that this student can cut and stain. Of course what is
acceptable to one pathologist may not be to another. Do they get tested
in the art of troubleshooting.. As far as the schools go, they
shouldn't be graduating anyone that can't cut, stain and troubleshoot.
So I don't really see a problem with the absence of the practical. It is
Friday somewhere.

Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
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[Fwd: Re: [Histonet] uncertified techs in Histology]

2009-02-11 Thread Victor Tobias

I forgot to send this to the group.

 Original Message 
Subject:Re: [Histonet] uncertified techs in Histology
Date:   Wed, 11 Feb 2009 15:07:41 -0800
From:   Victor Tobias vic...@pathology.washington.edu
To: Podawiltz, Thomas tpodawi...@lrgh.org
References: 	cb0.39876c03.36c47...@aol.com 
5a2bd13465e061429d6455c8d6b40e39086ead7...@ibmb7exchange.digestivespecialists.com, 
851617.95653...@web53601.mail.re2.yahoo.com 
38667e7fb77ecd4e91bfaeb8d98638631d32f1f...@lrghexvs1.practice.lrgh.org




Thomas,

I first heard about Histology while going to school as a Nursing major. 
I worked at the county hospital and did Phlebotomy and covered morgue 
duties on the weekend. I would deliver stuff to Histology, but didn't 
know exactly what they did. One day the Supervisor(MT) over Histology 
asked me if I would be interested in learning to become a Tech. He 
explained about getting certified and where it could lead.


I got my certification through OJT in 1979. While at the county hospital 
I learned plastics both GMA and Epon. I would assist the EM tech and 
process, embed and thick section in their absence. The opportunities 
were there for the taking. Some of the senior techs just wanted to put 
in their time and go home. I personally enjoyed the challenges. At the 
time I had no degree, but did get my AS in 1981. I have changed jobs 
over the years, but each one was a career move up. Without 
certification, I don't believe I could ever have gotten into management. 
Now I use my Histology background to help fine tune our LIS. It is a lot 
easier for me to communicate with the staff then a computer geek.


I know the techs here got a big raise a couple of years ago after they 
joined the Union. Not everyone was for it, but you go with the majority.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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Podawiltz, Thomas wrote:

Question for everyone. When you were in High school, college or in the military 
had you ever heard of Histology? How did you find out? One of our problems is 
no press coverage.
I am a Navy trained MLT, that 3 months after graduating gave up my position in 
Hematology to so my wife could have it and keep her out of blood bank. I met 
the Chief that ran Histology and thought I would give it a try. Everyone of us 
in that lab in Portsmouth, VA fell were MLT's that fell in love with Histology 
and all were OJTs, in fact the last year  that I was the assistant leading 
Petty Officer it was may job to train new people. What I tried to teach was how 
to get your knowledge to come not from you mouth but your finger tips. I would 
rather have a tech that knows how to embed properly, cut a complete section 
without cutting through the block,  what a good stain looks like and above all 
how to trouble shoot. I never needed or wanted the know-it-all that could tell 
me the molecular structure of xylene, but could not grasp the concept of 
setting up a gross run.

My point? We as Supervisor's are the mentors, it is are job to teach our techs 
on how we need the work performed, to me working on your certification is 
showing that you are committed to your profession, not all people are good at 
taking a test and passing the test just meant you were really good that day. 
Would I take an un-certified tech over a certified tech? That would depend on 
their  attitude and how well they perform on my tests.

Linda: one day I started an argument in the clinical lab at when I said Histology 
is an art, it is only as good as the person performing, anyone can ready a manual and run 
a chemistry analyzer. I'd like to say that it went over well, but I can't


Tom Podawiltz, HT (ASCP)
Histology Section Head/Laboratory Safety Officer
LRGHealthcare
603-524-3211 ext: 3220

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Larry Woody 
[slappyc...@yahoo.com]
Sent: Wednesday, February 11, 2009 2:14 PM
To: Blazek, Linda; ddittus...@aol.com; tmcne...@lmhealth.org; 
rjbu...@yahoo.com; Histonet@lists.utsouthwestern.edu; sjchta...@yahoo.com
Subject: Re: [Histonet] uncertified techs in Histology

Good one Linda! You won't get many MTs to agree with that.

Larry A. Woody
Seattle, Wa

Re: [Histonet] Microtomy of LEEP specimens

2009-02-09 Thread Victor Tobias

3 levels.

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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Joanne Clark wrote:

Hi,

 


How many of you have a protocol to cut multiple deepers/levels on LEEP
specimens and if so, how many do you cut?

 


Thanks

Joanne Clark, HT, MLT

Pathology Consultants of New Mexico

Roswell, NM

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Re: [Histonet] Sectioning on different microtomes

2009-01-26 Thread Victor Tobias
I don't know how these aligning tools work, but I always used an 
inexpensive level from the hardware store. You need one that can read in 
the vertical position.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
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of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
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Jodie Robertson wrote:

There are microtome aligners that can help.  They are available for Leica, 
Microm and Shandon Finesse.  We used to use them here before we got all of the 
same microtomes.  They worked pretty well.  We purchased ours from Newcomer 
Supply.  They're super easy to use and take lots less time than the paraffin 
block method.  Hope this helps.

Jodie Robertson, HT (ASCP) QIHC
 
-Original Message-

From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of kristen arvidson
Sent: Saturday, January 24, 2009 4:11 AM
To: histonet
Subject: [Histonet] Sectioning on different microtomes

How are people lining up the microtomes so they cut in approximately the plane.  I use 
the old fashioned test paraffin block method but it just seems so time 
consuming and it doesn't always yield the best results especially if you are having techs 
line up there own.  Our paths have complained about recuts being too deep.  HELP!!!
Kristen


  
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Re: [Histonet] Re: Xylene substitute

2009-01-23 Thread Victor Tobias
In defense of the good Samurai, he was using a comment posted by someone 
else that the product smelled like ether.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
vic...@pathology.washington.edu
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
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transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Blazek, Linda wrote:

Dear Bob Richmond, our honorable Samurai Pathologist.  The consensus of opinion 
around here is that you have been spending too much time smelling formalin!  We 
can't figure out how you get the smell of ether from Formula 83!  Most of us 
here are old enough to remember the smell of ether but don't equate it with 
Formula 83.

Respectfully,
Linda

Linda Blazek HT (ASCP)
Manager/Supervisor
GI Pathology of Dayton
7415 Brandt Pike
Huber Heights, OH 45424
Phone: (937) 293-4424 ext 7118
Email: lbla...@digestivespecialists.com

 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robert Richmond
Sent: Thursday, January 22, 2009 9:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Xylene substitute

Questions about xylene substitutes: This has been discussed a good
many times on Histonet.

There are two classes of xylene substitutes:

Limonene and turpentine are terpenes. Several brands; AmeriClear was
mentioned. Limonene is prepared by steam distillation of orange peels.
It has a strong citrus smell variously described as pleasant,
overwhelming, disgusting, and allergenic, and cannot be made odorless.
It is not very toxic, is not easily set afire, and is to a degree
biodegradable. It cannot be distilled. With America's declining citrus
industry, this once cheap product has become considerably more
expensive.

Aliphatic solvents are now in much more widespread use. They are more
expensive than xylene, but can be recovered by distillation. Most of
them are odorless, at least to my nose. They are not very toxic. Some
have much lower flash points than others, so that fire hazard varies
considerably. They are not easiy biodegradable. Different brands
differ considerably in chemical and physical properties, and
distillation routines for one brand cannot be used with another brand.

Richard Allan's Clear-Rite 3 may be the most widely used aliphatic.
ANATECH's Pro-Par was mentioned in this correspondence, and is very
meticulously described on their Web site.

I hadn't heard of CBG Biotech's Formula 83 before. Slightly different
from ordinary aliphatics, it is described as a naphthenic hydrocarbon
blend (cycloalkane). It is described as smells  like ether, and I
would be concerned about its very low flash point (45 F, below room
temperature, as described in the MSDS).

When you mention who makes a commercial product, please tell us who
makes it, and read the Materials Safety Data Sheet (MSDS) at the
product's Web site and see what you can find out what's in it.

I have no commercial connection with any product I've mentioned.

Bob Richmond
Samurai Pathologist
Knoxville TN

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Re: [Histonet] Error tracking

2008-11-17 Thread Victor Tobias
In our LIS we have one screen that we can customize what appears. We 
have created a section for quality control and have various topics that 
only require the user to check the box. We also have a section for free 
text.  Some topics include block mislabeled, slide mislabeled, 
requisition incomplete, etc. A monthly report is run compiling the data 
by problem. For issues outside Pathology, a supervisor will talk with 
the offenders.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
[EMAIL PROTECTED]
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Maray Weirauch wrote:

Hey Histonetters,

The lab administration at our hospital has asked us to come up with a
method to record all errors in Histology, categorize them by type of
error/impact of error, and develop a plan of action to reduce/eliminate 
(haha) errors.

I have done a literature search for information regarding error
tracking in laboratories and have found some info, mostly relating to
clinical pathology.
Does anyone have any ideas or information they'd be willing to share
with us?

Thanks in advance!
Maray

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Re: [Histonet] REMOVE FROM LIST

2008-11-06 Thread Victor Tobias

Ford,

I hope you took your blood pressure medication today?

Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
[EMAIL PROTECTED]
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Ford Royer wrote:
You have GOT to be kidding! ... someone's just has to be pulling our leg. 


;-)

 


(If not. Ellen, click on the link that is shown at the very bottom of this
page, and read what it says when you get to the web page that it is linked
to. I wish you the very best, and good luck to you.) 

 


Ford M. Royer, MT(ASCP)

Minnesota Medical, Inc.

 


-Original Message-
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Ellen
Pearlstein
Sent: Thursday, November 06, 2008 3:35 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] REMOVE FROM LIST

 

 


please remove me from the list.

 


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Re: [Histonet] Protect fingers during Microtomy

2008-10-27 Thread Victor Tobias
Yes, nicked the corner of a steel blade reaching for slide. This was 
back in 78 or 79. It was a Saturday, working by myself and I had to wait 
for 3 hours in the ER. No preferential treatment for employees in a 
county hospital.


Victor

Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
[EMAIL PROTECTED]
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
disclose, reproduce, distribute, disseminate or otherwise use this 
transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.




Jackie M O'Connor wrote:
OK - time to poll - who has had sutures from microtomy?  Me!23 years 
ago - 8 months pregnant, and not paying attention to what I was doing.  Oh 
yeah, and one other time, I cut off the tip of my finger beta testing a 
microtome safety invention from EHS.






Peter Carroll [EMAIL PROTECTED] 
Sent by: [EMAIL PROTECTED]

10/27/2008 03:17 PM

To

cc
histonet@lists.utsouthwestern.edu
Subject
Re: [Histonet] Protect fingers during Microtomy






  I am looking some think (like gloves)to protect the fingers during 
microtomy


No offense, but if you're that prone to injury, I recommend steering 
clear of microtomes in general ;)



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[Histonet] PSLIM Update

2008-10-16 Thread Victor Tobias
Our PSLIM died before it ever made it to production testing. Our 
developer finally got some nice looking slides to print with a 2D bar 
code. Then for some unknown reason it jammed and had to be returned. 
They are sending a new unit with updated software.


It has potential but can't be jamming after a few slides. I'll let you 
know when we take the new unit live into the lab.


Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
[EMAIL PROTECTED]
206-598-2792
206-598-7659 Fax
=
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use 
of the intended recipients. If you are not the intended recipient, or 
if the message has been addressed to you in error, do not read, 
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transmission. Instead, please notify the sender by reply e-mail, and 
then destroy all copies of the message and any attachments.



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