Re: [Histonet] A Question About Paraffin Times

[Weems, Joyce K. via Histonet]

And that should say MUCH better..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: Weems, Joyce K. via Histonet [mailto:histonet@lists.utsouthwestern.edu] 
Sent: Tuesday, May 16, 2017 3:15 PM
To: P Sicurello <pat...@gmail.com>
Cc: Histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] A Question About Paraffin Times

Must better to remove them on Sat than to leave in the hot paraffin. We do this 
all the time so we can meet the CAP time in formalin for the breasts.

Good luck! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: P Sicurello via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, May 16, 2017 11:34 AM
To: HistoNet <histonet@lists.utsouthwestern.edu>
Subject: [Histonet] A Question About Paraffin Times

Good Morning Listers,

I am asking the collective wisdom of the Histonet this question:


Is it better to remove baskets from the processor on Saturday morning and:

A.  Let the cassettes freeze, then melt them down and embed Monday morning?
OR
B.  Leave the cassettes in molten paraffin and embed Monday morning?


I am of the opinion that leaving the samples (not fatty, like breast cores) in 
molten paraffin (62 degrees C)  is bad practice, and causes them to get 
"crunchy", among other things.

What do you think?

Thank in advance.

Sincerely,

Paula Sicurello, HTL (ASCP)CM

Histotechnology Specialist

UC San Diego Health

200 Arbor Drive

San Diego, CA 92103

(P): 619-543-2872 <#>



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Re: [Histonet] A Question About Paraffin Times

[Weems, Joyce K. via Histonet]

Must better to remove them on Sat than to leave in the hot paraffin. We do this 
all the time so we can meet the CAP time in formalin for the breasts.

Good luck! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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intended recipient, please delete this message, and reply to the sender 
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-Original Message-
From: P Sicurello via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Tuesday, May 16, 2017 11:34 AM
To: HistoNet 
Subject: [Histonet] A Question About Paraffin Times

Good Morning Listers,

I am asking the collective wisdom of the Histonet this question:


Is it better to remove baskets from the processor on Saturday morning and:

A.  Let the cassettes freeze, then melt them down and embed Monday morning?
OR
B.  Leave the cassettes in molten paraffin and embed Monday morning?


I am of the opinion that leaving the samples (not fatty, like breast cores) in 
molten paraffin (62 degrees C)  is bad practice, and causes them to get 
"crunchy", among other things.

What do you think?

Thank in advance.

Sincerely,

Paula Sicurello, HTL (ASCP)CM

Histotechnology Specialist

UC San Diego Health

200 Arbor Drive

San Diego, CA 92103

(P): 619-543-2872 <#>



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Re: [Histonet] Tissue Fixation

[Weems, Joyce K. via Histonet]

Aren't LEEPS done with some sort of electric method that will damage the tissue 
before it even reaches formalin. I'm not positive but Google it - I believe 
that might be the problem. j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
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-Original Message-
From: Morken, Timothy via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Friday, March 31, 2017 11:07 AM
To: Rene J Buesa ; T H 
Cc: Histonet 
Subject: Re: [Histonet] Tissue Fixation

Tim, I have to agree with Rene that the formalin or time in formalin is 
obviously not the problem - it has plenty of time in formalin (and who would 
dilute it anyway?). Handling before formalin must always be determined when 
problems arise. If the sample sits on a paper towel, gauze etc it does not 
really degrade faster, rather the tissue may dry out and so fixes by 
dehydration rather than by formalin. It may be the formalin cannot get into the 
tissue in those dried out portions of the tissue. However that is just 
speculation. Since these all seem to be from one particular client, the client 
is the place to start. The only way to determine the problem is to follow the 
specimen from start to finish. Can you or someone you trust physically observe 
the way samples are handled from the time they are taken to the time put in 
formalin? One issue I always run up against is people  saying they do one thing 
but actually doing another. And they may realize during questioning that they 
are not doing it right but don't want to admit it. It wastes a lot of time. 
I've had physicians tell me to ignore the part of the process they are 
responsible for because they do it right. I just tell them that to be complete 
we need to follow the process from start to finish, nothing personal, just 
business. Leaving any part out may lead to not resolving the problem. Probably 
99% of the process is just fine, but that 1% is damaging the sample and needs 
to be illuminated.


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



-Original Message-
From: Rene J Buesa via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Friday, March 31, 2017 6:33 AM
To: T H; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Tissue Fixation

What you describe as a possible scenario is absolutely possible.If your PT does 
not "want to hear" about it, suggest she gets a "hearing aid" or to study 
something about histotechnology or even better yet, pay attention to what a 
professional on the subject (you) has to say about it. You would never dare to 
question her diagnosis, why would she question yours on this subject?René

On Friday, March 31, 2017 9:11 AM, T H via Histonet 
 wrote:


 Good Morning,


I have a pathologist that is not happy with the fixation on some of our LEEP 
specimens.  She swears its histology doing something to the specimen to cause 
the tissue to look unfixed on only "part" of the LEEP specimens (all the same 
client specimens).  She claims we must be diluting our formalin to cause this 
issue or "something".  We mentioned maybe it was on the clients end not placing 
them in 10% formalin right away, she wouldn't hear of it.


Let me give you some back ground on how our process works.  Our clients send us 
all our specimens to us via Overnight FedEx or UPS in 10% formalin they will 
then they sit in 10% formalin in-house until the processors are started around 
3pm and sits an additional 5 hours in 10% formalin on the processor before the 
processor actually starts.  That being said the fixation process has had a 
pretty good start before we ever even touch it.


My question is, and I thought I had read this in the past is, when a specimen 
is left out prior to fixation and lying on a absorbent surface such as a paper 
towel, won't the area of the tissue touching the absorbent surface begin the 
disintegration processes faster in that exact area then the rest of the 
specimen?  Or if you have any other suggestion on what might be happening to 
only "certain" specimens would be great as well.


Thanks for your help!


Tim

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Re: [Histonet] IHC billing on archived case

[Weems, Joyce K. via Histonet]

However, if it is a Medicare Patient - it would now be an archived case and 
would be treated as non-hospital. Medicare should pay. j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: Rene J Buesa via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Wednesday, March 22, 2017 12:28 PM
To: Haines, Beth ; 
'histonet@lists.utsouthwestern.edu' 
Subject: Re: [Histonet] IHC billing on archived case

You should treat it as a new request.René

On Wednesday, March 22, 2017 11:25 AM, "Haines, Beth via Histonet" 
 wrote:


 Hello all,
After some discussion on IHC billing, I have been asked to verify accepted 
billing practice for the following situation:
An IHC request for 2 single antibody stains has been made by outpatient 
oncology practice on a case (same block) that was completed nearly a year ago. 
6 IHCs were done initially (billed as 88342 & 88341 x 5). How should the new 
request be billed? Should a new visit/encounter be created and 88342 & 88341 be 
billed for this encounter?
Thanks in advance for the guidance.


Beth Haines BS, HTL (ASCP)
bhai...@caperegional.com
Histology Supervisor
Cape Regional Medical Center

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[Histonet] Peloris and Eosin

[Weems, Joyce K. via Histonet]

Hello All,

For those of you using Peloris processors,  what do you use instead of Eosin to 
dye your biopsies for better visibility at embedding? Inquiring minds...

TIA! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org

www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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[Histonet] Shandon Cytoblock

[Weems, Joyce K. via Histonet]

Hi Folks,

Does anyone have any experience/advice/feedback on the Shandon Cytoblock for 
cell block preparation?

TIA - j




Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org

www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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[Histonet] Peloris problem

[Weems, Joyce K. via Histonet]

Hello Everyone!

Has anyone ever had a problem with a Leica Peloris, in which an incorrect 
reagent was pulled or missed entirely by the instrument - no user error?

Thanks and Merry Christmas/Happy Holidays! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
770-380-8099 Cell
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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[Histonet] Sakura Cassette Printer

[Weems, Joyce K. via Histonet]

Hello Histo Peeps!

Who has the new Sakura Cassette Printer? Would you share your experience with 
me?

TIA  - j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org

www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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[Histonet] Histo control

[Weems, Joyce K. via Histonet]

Would anyone happen to have oodles and oodles of Histoplasmosis control tissue 
you could share with me? I would be very grateful.

Thanks!! j



Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
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[Histonet] Case distribution

[Weems, Joyce K. via Histonet]

Hello Folks,

Would you all please share your fair and just distribution of cases so that 
your pathologists are doing an equal share of work?

I'd appreciate it!

Thanks, j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and Histology Laboratories

[Weems, Joyce K.]

The problem in the clinical world is that many clinical trials require formalin 
fixation, so I would not want to substitute anything that would prevent a 
patient from being in a trial.

It's not new to me that formalin is a carcinogen. I just try to make sure to 
use PPE and have good ventilation and monitor as necessary. (Unlike when I put 
my ungloved hands in it and had no ventilation when I started down this path a 
hundred years ago.)  j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Stedman, Nancy [mailto:nancy.sted...@buschgardens.com]
Sent: Monday, July 13, 2015 3:12 PM
To: Adesupo, Adesuyi (Banjo); 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde 
Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

We are using Excell Plus made by American Master Tech.  It is a combination of 
alcohol, ethylene glycol, and glyoxal.  It does not fix quite as fast as 
formalin but fixes just as well as long as tissue samples are small and not too 
fatty.  We work in veterinary pathology and mostly with necropsy tissues, and 
try to keep everything 5 to 10 mm maximum thickness that goes into Excell Plus. 
 It definitely won't fix an entire intact brain no matter how long you let it 
sit so we book the brains into thin slices 24 hours after collection.   We have 
done some limited IHC and DNA extraction from Excell Plus fixed tissue and have 
not had any issues.   We tried another low tox fixative too - Statlab's GTF 
formalin substitute, which is glyoxal - and it did not fix as well as Excell 
Plus.  GTF fixed CNS tissues especially had a lot of artifact like shrunken 
neurons.

Hope this is helpful.  I would also be curious to know how many labs use 
formalin substitutes because it seems like they have not caught on much (or at 
all) in the veterinary world.

-Nancy


Nancy L. Stedman DVM PhD Dipl ACVP
Veterinary Pathologist
Busch Gardens Tampa
nancy.sted...@buschgardens.com



-Original Message-
From: Adesupo, Adesuyi (Banjo) [mailto:abades...@nrh-ok.com]
Sent: Monday, July 13, 2015 12:52 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can 
Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

 Hi,
   I read this article (National Academy of Sciences Confirms That 
Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic 
Pathology and Histology Laboratories) this morning.
I wanted to know whether some of you guys out there are using Formaldehyde 
substitute.


Best regards,

   Banjo Adesuyi, BMLS, HT (ASCP) HTL, QIHC, QLS
   Histology Supervisor
   Norman Regional Health System,
   Norman, OK 73071.
   Tel: 405- 307- 1145
   abades...@nrh-ok.commailto:abades...@nrh-ok.com

==
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Re: [Histonet] Leica bond

[Weems, Joyce K.]

We have for several years and are very satisfied with them.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
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-Original Message-
From: Miller, Wendy [mailto:miller.we...@mhsil.com]
Sent: Wednesday, July 08, 2015 9:09 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Leica bond

Hi!  Does anyone out there use the Leica IHC Bond stainer?  We are looking into 
purchasing one and I would like to input.  Do you like it?  Pros and cons?

Thanks


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Re: [Histonet] Unsubscribe

[Weems, Joyce K.]

Hello Lea,

You must go to the website listed at the bottom of the email  and unsubscribe.

Here it is...
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Best wishes,

Joyce Weems
Pathology Manager
678-843-7376 Phone
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joyce.we...@emoryhealthcare.org



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-Original Message-
From: Alminde, Lea S [mailto:lea.almi...@tuhs.temple.edu]
Sent: Wednesday, July 01, 2015 5:51 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Unsubscribe



Lea S. Alminde
Anatomic Pathology Supervisor
Jeanes Hospital
215-728-2034

  email lea.almi...@tuhs.temple.edu







  

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Re: [Histonet] billing question

[Weems, Joyce K.]

Breast for margins is an 88307.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Eck, Allison [mailto:a...@dh.org]
Sent: Monday, June 29, 2015 1:12 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] billing question

I am looking for advice on a current billing problem.

Breast specimens: We recieve the lumpectomy with orienting sutures - 88307 
along with that are the accompanying margins (inferior, superior, medial, etc). 
 Our breast surgeon has been placing orienting sutures on all of her margins.  
We had previously been billing under the assumption that the unsutured margins 
were 88305, but now with the sutures should we be billing an 88307 or still 
88305 since they are margins?

Thank you in advance for your help

Allison

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Re: [Histonet] Removing paraffin sections from glass slides

[Weems, Joyce K.]

This is what I would do...

Soak the coverslip off in xylene
Either  - rehydrate back to water and just wipe the tissue off - then dip the 
slides in absolute and let dry..

OR   - air dry out of xylene and wipe off with a wet gauze  - then do the 
alcohol dip

Whichever worked best. Just my 2 cents..

Happy Monday!!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Coffey, Anna (NIH/NCI) [C] [mailto:anna.cof...@nih.gov]
Sent: Monday, June 22, 2015 10:25 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Removing paraffin sections from glass slides

Hello,

I'm wondering if anyone has experience removing dried unstained paraffin 
sections from charged glass slides. I don't need to preserve the sections, just 
want to reuse the slides.

Thanks!
Anna

Anna Coffey, MS, HTL(ASCP)CM
Histotechnologist
Center for Advanced Preclinical Research Frederick National Laboratory for 
Cancer Research Leidos Biomedical Research, Inc.
Bld 539, 224
Frederick, Maryland 21702
anna.cof...@nih.gov
301-846-1730

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Re: [Histonet] Competency assessment for PA's

[Weems, Joyce K.]

Me too, me too!!   Thanks

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Blake Taylor [mailto:bcdu...@lexhealth.org]
Sent: Monday, June 22, 2015 8:30 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Competency assessment for PA's

Would anyone be willing to share your competency assessment for PA's

Thanks so much

Blake Taylor
Surgical Pathology Supervisor
Lexington Medical Center
803-936-8214
bcdu...@lexhealth.org

-Original Message-
From: histonet-requ...@lists.utsouthwestern.edu 
[mailto:histonet-requ...@lists.utsouthwestern.edu]
Sent: Saturday, June 20, 2015 1:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 139, Issue 20

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Today's Topics:

   1. Re: IHC turnaround time (Jay Lundgren)
   2. Re: Microscope (Rene J Buesa)
   3. Looking for a used tissue processor (dusko trajkovic)
   4. Re: IHC turnaround time (Sebree Linda A)
   5. Re: IHC turnaround time (Sebree Linda A)
   6. competency assessment for Anatomic Pathologist (Jamal)


--

Message: 1
Date: Fri, 19 Jun 2015 13:04:25 -0500
From: Jay Lundgren jaylundg...@gmail.com
To: STEVEN PINHEIRO spinhe...@lumc.edu
Cc: Olszewski, Dawn dawn.olszew...@sgmc.org,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC turnaround time
Message-ID:
CANCZNua682V44e6EKoiJ5E09gRJ=6aaq4ce3zn1crhzvpmf...@mail.gmail.com
Content-Type: text/plain; charset=UTF-8

 Let me get this straight, Dawn.  You are running In by 12, out by 5.
on IHCs and your pathologist is* complaining*?  A 5 hour TAT is awesome!
Most places I've worked (and I've seen a lot in 16 years as a traveling
tech) have at least a 24 hour TAT for IHC.

 I've got to get a shirt to the cleaners before 9 to get it back by 5!
Which is more complex, washing a shirt, or doing IHC on human tissue?!

  Sincerely,

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

On Fri, Jun 19, 2015 at 10:54 AM, STEVEN PINHEIRO spinhe...@lumc.edu
wrote:

 Dawn,
 TAT has many variables. We run mostly Leica Bond platforms, but do
 have some Ventana Benchmark access if needed. The average volume here
 about 125 slides a day. The available time is directly dependent or order 
 protocols.
 If the order is available before 11 am, the slides will be available
 mid to late afternoon the same day. If the order is created between 11
 am and 4 pm, the slides will be available late that same evening (but
 usually not reviewed by pathology until the next morning). Order
 placed after 4 pm are variable and may make the evening run but will
 most likely not be run until the next day. We do not have an overnight run.

 Steve Pinheiro
 708-327-2642


 -Original Message-
 From: Olszewski, Dawn [mailto:dawn.olszew...@sgmc.org]
 Sent: Friday, June 19, 2015 9:53 AM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] IHC turnaround time

 Hi Histonetters,

 6-19-15

 We are wondering what the average turnaround times for IHC are for
 other labs.  We use the Biocare Intellipath instrumentation. It holds
 up to 50 slides ( 10 slides per 5 racks) with continuous feed per open
 rack.  All IHC orders placed by 12pm are usually out the same day by
 5pm. We average
 434 IHC slides per month and have a staff of 3 FTE's.

 A pathologist has voiced concerns over our IHC output.  We are trying
 to determine best practices for IHC turnaround time as measured from
 time order placed to time of slide delivery.

 If you could respond with your IHC TAT including number of techs and
 average of IHC slides monthly, we would appreciate any input you may
 be able to provide.

 Thank you in advance,

 Dawn Olszewski, HTL(ASCP)QIHC

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Re: [Histonet] Pre-floating tissue sections in dilute alcohol

[Weems, Joyce K.]

I've never done two steps... just pour it in the water bath.. works great.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Gudrun Lang [mailto:gu.l...@gmx.at]
Sent: Sunday, June 07, 2015 6:39 AM
To: 'Garrey Faller'
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Pre-floating tissue sections in dilute alcohol

Some of our histotechs use just cold tapwater for wrinkled sections before 
transferring them  into the warm waterbath. I don't know, if the added ethanol 
makes any difference (maybe reducing surface tension).

I would offer the possibility of using the additional waterbath, but let the 
histotechs decide, if it is necessary to use it.

Gudrun Lang
Leading histotech, Linz Austria


-Ursprüngliche Nachricht-
Von: Garrey Faller [mailto:garr...@gmail.com]
Gesendet: Samstag, 06. Juni 2015 16:29
An: histonet@lists.utsouthwestern.edu
Betreff: [Histonet] Pre-floating tissue sections in dilute alcohol

Hi everyone,

I just became aware of this technique last week, and it seems to work great.
I did a quick google search and found this quick reference.
http://www.scielo.cl/pdf/ijmorphol/v30n1/art07.pdf
http://www.scielo.cl/pdf/ijmorphol/v30n1/art07.pdf
Anyone out there float their sections in dilute ethyl alcohol before 
transferring to the water bath?
Its an extra step and introduces an extra chance to introduce floaters.
But, the quality seems to be improved.
Any thoughts?

Thanks in advance.
Garrey Faller
Pathologist
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Re: [Histonet] Specimen Accessioning .....

[Weems, Joyce K.]

We do A, B, C, etc.. for the specimens.

And then do A1, A2, A3, B1, B2, B3, etc... for the blocks. Took be a while to 
get them to change to that, but it is what makes sense to me... j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Cartun, Richard [mailto:richard.car...@hhchealth.org]
Sent: Wednesday, June 03, 2015 3:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Specimen Accessioning .

We have always accessioned specimens with multiple parts as 1, 2, 3, etc. and 
the corresponding paraffin blocks as A, B, C, etc.  We are in the process of 
changing this to letters for the different specimen parts and numbers for the 
blocks.  For those of you who do it this way, have you encountered any 
problems?  For example, if the specimen arrives and the different parts are 
numbered, do you simply convert them to letters?  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) 972-1596
(860) 545-2204 Fax


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Re: [Histonet] Billing

[Weems, Joyce K.]

Correct



 On May 29, 2015, at 3:13 PM, Vickroy, James jvick...@springfieldclinic.com 
 wrote:


 Just need a reminder:

 If a pathologist orders the same  several IHC stains on two blocks from the 
 same specimen am I correct to think that we can only charge the stains on one 
 of the blocks? 88342 and the remainder 88341's

 Jim

 Jim Vickroy
 Histology Manager
 Springfield Clinic, Main Campus, East Building
 1025 South 6th Street
 Springfield, Illinois  62703
 Office:  217-528-7541, Ext. 15121
 Email:  jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com



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Re: [Histonet] Co-path users logging Slides in

[Weems, Joyce K.]

We accession them as a case and document what is received in the report.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Histology Technician [mailto:histology81...@att.net]
Sent: Tuesday, May 19, 2015 5:02 PM
To: Histonet; histonet-requ...@lists.utsouthwestern.edu
Subject: [Histonet] Co-path users logging Slides in

  Those of you who use Co-path, how do you log slides from outside hospitals?  
I see where you log slide Send outs, do you log incoming slides the same way?  
I'm trying to figure out how to keep track of my slide consult slides  - when I 
received them, how many I received, when I sent them back to the original 
hospital, etc...
Thanks!
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Re: [Histonet] Billing question

[Weems, Joyce K.]

Special stains are charged per block. If you have blocks A1, A2, and A3, and do 
AFB and GMS on all three that would be 6 charges.

Sh... this will probably change next year!!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: Campbell, Tasha M. [mailto:tmcam...@fmh.org]
Sent: Friday, May 08, 2015 7:51 AM
To: Vickroy, James; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing question

From my understanding its just one charge.  Its per specimen such as A, B, C, 
etc.  Someone else said that it would be 2 charges so am I wrong on this??  If 
you did GMS on A1 and AFB on A2 then that would be 2 charges because its two 
different stains.




Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144 (w)
304-685-9307 (c)

-Original Message-
From: Vickroy, James [mailto:jvick...@springfieldclinic.com]
Sent: Thursday, May 07, 2015 4:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Billing question

If I have two sections on an A specimen A1 and A2 and both had a GMS stain, 
do I charge 1 - 88312 or  2 - 88312?

Jim

Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois  62703
Office:  217-528-7541, Ext. 15121
Email:  jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com



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Re: [Histonet] Billing question

[Weems, Joyce K.]

2 - specials are per block..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
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regarding the error in a separate email.

-Original Message-
From: Vickroy, James [mailto:jvick...@springfieldclinic.com]
Sent: Thursday, May 07, 2015 4:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Billing question

If I have two sections on an A specimen A1 and A2 and both had a GMS stain, 
do I charge 1 - 88312 or  2 - 88312?

Jim

Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois  62703
Office:  217-528-7541, Ext. 15121
Email:  jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com



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Re: [Histonet] IHC billing question

[Weems, Joyce K.]

And what LIS to you have? 

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 


-Original Message-
From: Horn, Hazel V [mailto:hor...@archildrens.org] 
Sent: Friday, May 01, 2015 11:50 AM
To: Weems, Joyce K.; 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: RE: IHC billing question

We have 2 billing codes for IHC.  One for the first IHC and another for all 
additional IHC's on the same case.

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





-Original Message-
From: Weems, Joyce K. [mailto:joyce.we...@emoryhealthcare.org]
Sent: Friday, May 01, 2015 8:13 AM
To: 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC billing question

I do it every day  - change every first to 88342.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Thursday, April 30, 2015 5:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC billing question

Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for 
IHC from our CoPath stain dictionary since you couldn't tell whether a 
Cytokeratin-7 was being performed as an 88341 or as an 88342.  Now, as you 
might have expected,  none of the inpatient IHC testing has been accounted 
for (the outpatient IHC has been billed manually from the pathology report), 
and they want someone to go back and enter all the CPT codes into the system 
(hopefully, not me!).  Has anyone else encountered this problem?  Thanks (I 
think).

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) 972-1596
(860) 545-2204 Fax


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Re: [Histonet] IHC billing question

[Weems, Joyce K.]

We have CoPath.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email. 


-Original Message-
From: Horn, Hazel V [mailto:hor...@archildrens.org] 
Sent: Friday, May 01, 2015 12:00 PM
To: Weems, Joyce K.; 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: RE: IHC billing question

Meditech

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





-Original Message-
From: Weems, Joyce K. [mailto:joyce.we...@emoryhealthcare.org]
Sent: Friday, May 01, 2015 10:51 AM
To: Horn, Hazel V; 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: RE: IHC billing question

And what LIS to you have? 

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 


-Original Message-
From: Horn, Hazel V [mailto:hor...@archildrens.org]
Sent: Friday, May 01, 2015 11:50 AM
To: Weems, Joyce K.; 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: RE: IHC billing question

We have 2 billing codes for IHC.  One for the first IHC and another for all 
additional IHC's on the same case.

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





-Original Message-
From: Weems, Joyce K. [mailto:joyce.we...@emoryhealthcare.org]
Sent: Friday, May 01, 2015 8:13 AM
To: 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC billing question

I do it every day  - change every first to 88342.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Thursday, April 30, 2015 5:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC billing question

Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for 
IHC from our CoPath stain dictionary since you couldn't tell whether a 
Cytokeratin-7 was being performed as an 88341 or as an 88342.  Now, as you 
might have expected,  none of the inpatient IHC testing has been accounted 
for (the outpatient IHC has been billed manually from the pathology report), 
and they want someone to go back and enter all the CPT codes into the system 
(hopefully, not me!).  Has anyone else encountered this problem?  Thanks (I 
think).

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) 972-1596
(860) 545-2204 Fax


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intended recipient(s) and may contain confidential and privileged information. 
Any unauthorized review, use, disclosure, or distribution is prohibited. If you 
are not the intended recipient, or an employee or agent responsible for 
delivering the message to the intended recipient, please contact the sender by 
reply e-mail and destroy all copies of the original message, including any 
attachments

Re: [Histonet] IHC billing question

[Weems, Joyce K.]

It's per specimen - 88342 for the first ab on a specimen, 88341 for ea 
additional on same specimen. (Not multiple blocks on same specimen).

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 


-Original Message-
From: Michael Mihalik [mailto:m...@pathview.com] 
Sent: Friday, May 01, 2015 1:06 PM
To: 'Horn, Hazel V'; Weems, Joyce K.; 'Cartun, Richard'; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] IHC billing question

Am I misunderstanding, or should it be per specimen and not per case?

Michael Mihalik
PathView Systems | cell: 214.733.7688 | 800.798.3540 | fax: 952.241.7369

-Original Message-
From: Horn, Hazel V [mailto:hor...@archildrens.org]
Sent: Friday, May 01, 2015 8:50 AM
To: 'Weems, Joyce K.'; 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC billing question

We have 2 billing codes for IHC.  One for the first IHC and another for all 
additional IHC's on the same case.

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





-Original Message-
From: Weems, Joyce K. [mailto:joyce.we...@emoryhealthcare.org]
Sent: Friday, May 01, 2015 8:13 AM
To: 'Cartun, Richard'; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC billing question

I do it every day  - change every first to 88342.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Thursday, April 30, 2015 5:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC billing question

Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for 
IHC from our CoPath stain dictionary since you couldn't tell whether a
Cytokeratin-7 was being performed as an 88341 or as an 88342.  Now, as you 
might have expected,  none of the inpatient IHC testing has been accounted 
for (the outpatient IHC has been billed manually from the pathology report), 
and they want someone to go back and enter all the CPT codes into the system 
(hopefully, not me!).  Has anyone else encountered this problem?  Thanks (I 
think).

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) 972-1596
(860) 545-2204 Fax


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Re: [Histonet] IHC billing CoPath workaround

[Weems, Joyce K.]

Interesting! Thanks!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: Terri Braud [mailto:tbr...@holyredeemer.com]
Sent: Friday, May 01, 2015 2:34 PM
To: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC billing CoPath workaround

We have a great workaround in built in CoPath.
Every antibody in our IHC dictionary, is built in triplicate.
One is called [Ab name]-Primary with a 88342 CPT code, the second is called 
[Ab name]-Add with an 88341 CPT code.
The third is [Ab name]-NC for no charge or N/A in the CoPath dictionary. This 
is for when the pathologists wants the same antibody on multiple blocks for the 
same specimen (which can't be charged) Then we just educated everyone on how to 
order correctly and provided a cheat sheet.  For panels, the stain groups were 
built correctly so that the first Ab ordered is always 88342, and the remaining 
charge as 88341.
It has worked very well for us with few mistakes at implementation. It bills 
correctly, counts stained slides correctly, and orders across the interface to 
the stainer correctly, so that we get the right bar code labels for our IHC 
stainer.
A win-win situation.

From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Thursday, April 30, 2015 5:33 PM
Subject: [Histonet] IHC billing question

Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for 
IHC from our CoPath stain dictionary since you couldn't tell whether a 
Cytokeratin-7 was being performed as an 88341 or as an 88342.  Now, as you 
might have expected,  none of the inpatient IHC testing has been accounted 
for (the outpatient IHC has been billed manually from the pathology report), 
and they want someone to go back and enter all the CPT codes into the system 
(hopefully, not me!).  Has anyone else encountered this problem?  Thanks (I 
think).

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) 972-1596
(860) 545-2204 Fax
**


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Re: [Histonet] IHC billing question

[Weems, Joyce K.]

I do it every day  - change every first to 88342.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Thursday, April 30, 2015 5:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC billing question

Effective January 1, 2015, our LIS team removed all of the CPT 88342 codes for 
IHC from our CoPath stain dictionary since you couldn't tell whether a 
Cytokeratin-7 was being performed as an 88341 or as an 88342.  Now, as you 
might have expected,  none of the inpatient IHC testing has been accounted 
for (the outpatient IHC has been billed manually from the pathology report), 
and they want someone to go back and enter all the CPT codes into the system 
(hopefully, not me!).  Has anyone else encountered this problem?  Thanks (I 
think).

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) 972-1596
(860) 545-2204 Fax


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[Histonet] RE: Can you please add me to this mailing list

[Weems, Joyce K.]

Hi Chris,

You must go to http://lists.utsouthwestern.edu/mailman/listinfo/histonetand 
sign yourself up..

Welcome!!!


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Chris Ringler
Sent: Thursday, April 16, 2015 4:57 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Can you please add me to this mailing list

cring...@ironwooddermatology.com



Respectfully,



Chris



Chris Ringler

CEO

Ironwood Dermatology PC

1735 E Skyline Dr

Tucson AZ  85718

520-618-1630 ext. 106   I   Fax 520-618-1636



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[Histonet] RE: Release of blocks to research facilities

[Weems, Joyce K.]

The notes say that after two years it can be released if approved, but the best 
way is to intentionally preserve material if you have any idea there may be a 
need.

And we could provide unstained slides.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Abbott, Tanya
Sent: Monday, March 16, 2015 3:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Release of blocks to research facilities

CAP checklist ANP.12500 refers to Record Retention. I am looking specifically 
at NOTE 2: Regarding extra-institutional release of blocks for research 
purposes.
I am wondering how everyone handles this, especially if you have only 1 block 
on newly diagnosed patient and the Doctor wants it sent out for research.
Thanks in advance for your help! Tanya

Tanya G. Abbott
Manager Technologist
Histology/Cytology
St Joseph Medical Center
(phone) 610-378-2635

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[Histonet] RE: Sterile slides for FNA

[Weems, Joyce K.]

Ours are placed in the sterile pack for the procedure.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence
Sent: Wednesday, February 11, 2015 9:42 AM
To: 'Rathborne, Toni'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Sterile slides for FNA

We make our own sterile slides. We package 2 slides per package and send to 
sterile processing where then sterilize them for us. We then let the 
radiologist smear/touch/do their thing on the slide and the needle remains 
sterile. You can make up 200 packets in just a few minutes and save a lot of $$.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, February 11, 2015 8:38 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Sterile slides for FNA

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile 
slides for FNAs, if you do them. While most of the radiologists transfer the 
core from the end of the needle onto the slide by using a scalpel to assist, we 
have one radiologist who prefers to place the core directly onto the slide by 
using the needle. This is fine, unless he needs to go back in and make another 
pass. If the needle has touched a slide which is not sterile, then the needle 
would have to be changed to prevent contamination of the site. Does anyone use 
sterile slides, and are these available in a small quantity so that there is no 
waste?
Vendors are welcome to reply to me directly, unless others would like the 
information as well.

Toni

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[Histonet] RE: Sterile slides for FNA

[Weems, Joyce K.]

We do...

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni
Sent: Wednesday, February 11, 2015 9:37 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Sterile slides for FNA

Good morning everyone.

I was wondering if I could get some feedback about whether anyone uses sterile 
slides for FNAs, if you do them. While most of the radiologists transfer the 
core from the end of the needle onto the slide by using a scalpel to assist, we 
have one radiologist who prefers to place the core directly onto the slide by 
using the needle. This is fine, unless he needs to go back in and make another 
pass. If the needle has touched a slide which is not sterile, then the needle 
would have to be changed to prevent contamination of the site. Does anyone use 
sterile slides, and are these available in a small quantity so that there is no 
waste?
Vendors are welcome to reply to me directly, unless others would like the 
information as well.

Toni



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[Histonet] RE: specials stainers

[Weems, Joyce K.]

I recommend Leica.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mitchell, 
Janice A
Sent: Tuesday, January 20, 2015 6:43 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] specials stainers

Good Morning,
We are looking for an automatic stainer for special stains.   Ventana vs Dako?  
Thoughts?
Thanks for any input, Janice Mitchell
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[Histonet] RE: specials stainers

[Weems, Joyce K.]

Oops   -  I had IHC on the brain and didn't pay close attention!

Leica does not have a dedicated special stainer  - but they have a multistainer 
which stains specials as well as HE. Is too slow in a busy lab tho.

I very much recommend the DAKO Artisan..

It is Monday on Tuesday... right?

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: Weems, Joyce K.
Sent: Tuesday, January 20, 2015 8:59 AM
To: 'Mitchell, Janice A'; histonet@lists.utsouthwestern.edu
Subject: RE: specials stainers

I recommend Leica.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mitchell, 
Janice A
Sent: Tuesday, January 20, 2015 6:43 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] specials stainers

Good Morning,
We are looking for an automatic stainer for special stains.   Ventana vs Dako?  
Thoughts?
Thanks for any input, Janice Mitchell
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RE: [Histonet] P26 billing for IHC Professional component

[Weems, Joyce K.]

Yes, that is how it would be done. Just a reminder if patient is 
Medicare/Medicaid, the hospital must bill for the technical component as well - 
UNLESS the patient is from an outreach physician's office. And you cannot go 
exclusively by age - there are underage Medicare patients.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Eileen Akemi 
Allison
Sent: Friday, January 16, 2015 9:19 AM
To: Histonet
Subject: [Histonet] P26 billing for IHC Professional component

Good morning Histoland:

Happy Friday! I was asked by a friend to post this on histonet.  They have a 
question for those of you who may be familiar with billing for the IHC 
professional component only.

Here is the scenario; a small lab who does not perform IHC in-house sends a 
block to be cut and stained for IHC to a reference lab who performs a stain 
only IHC. The reference lab then sends the stained slides back to the ordering 
facility and their pathologist makes the interpretation of the stained slides.

Arrangements have been made for the reference lab to charge the patients 
insurance company and/or patient for the technical component of the IHC stain.  
How would the requesting facility billing department charge for the 
pathologists professional component? Do they charge with a P26 CPT code only?

Thank you in advance for your responses!

Akemi Allison BS, HT/HTL (ASCP)
President
Phoenix Lab Consulting
Marina, CA 93933
Tele: (408) 335-9994
Email: akemiat3...@gmail.com




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RE: [Histonet] Levels for Gastic and Esophogeal Bx's

[Weems, Joyce K.]

And I should have added that we do two unstained at level 2 - if needed for 
alcian blue/PAS and H. pylori on all gastrics. We only do them when ordered.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Friday, January 09, 2015 11:07 AM
To: 'Eileen Akemi Allison'; Histonet
Subject: RE: [Histonet] Levels for Gastic and Esophogeal Bx's

Akemi, it is really up to the pathologists to decide what they want. In some 
cases there is literature promoting certain standards (e.g, Hirschprung's) but 
in most cases it is just the comfort level of the person reviewing the case. We 
have a large variety of levels and unstained protocols but for standard 
biopsies it is two levels on one slide, no unstained. We only cut unstained if 
they are ordered as part of a protocol or ordered specifically. We do not cut 
extra unstained just in case. We had tens of thousands of unstained slides 
sitting in files just in case so I convinced them to stop that practice.

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC 
San Francisco Medical Center San Francisco, CA

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Eileen Akemi 
Allison
Sent: Friday, January 09, 2015 6:07 AM
To: Histonet
Subject: [Histonet] Levels for Gastic and Esophogeal Bx's

Good morning Histoland:

Happy Friday!  I believe this question was asked last year, but I would like to 
revisit this again. I have worked in a variety of laboratories in my career, 
both small and large. Most of my experience was in Oregon with large hospital 
laboratories and University institutions. Back then, we cut (6) levels on all 
our bx’s, and picked-up (2) sections on each level.  My current facility is 
cutting (3) levels and picking up (1) section on each level.

I would like to ask what everyone else is doing.  The reason I am asking is 
because our pathology director is requesting a change in our protocol to cut 
only (2) levels and (1) section at each level.

Sincerely,

Akemi Allison BS, HT/HTL (ASCP)

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RE: [Histonet] Levels for Gastic and Esophogeal Bx's

[Weems, Joyce K.]

Same here

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Marcum, Pamela A
Sent: Friday, January 09, 2015 9:34 AM
To: 'Eileen Akemi Allison'; Histonet
Subject: RE: [Histonet] Levels for Gastic and Esophogeal Bx's

We do 3 levels with no more than 2 sections per level.  It is what the 
pathologists prefer and therefore what we do.

Pam Marcum
UAMS

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Eileen Akemi 
Allison
Sent: Friday, January 09, 2015 8:07 AM
To: Histonet
Subject: [Histonet] Levels for Gastic and Esophogeal Bx's

Good morning Histoland:

Happy Friday!  I believe this question was asked last year, but I would like to 
revisit this again. I have worked in a variety of laboratories in my career, 
both small and large. Most of my experience was in Oregon with large hospital 
laboratories and University institutions. Back then, we cut (6) levels on all 
our bx’s, and picked-up (2) sections on each level.  My current facility is 
cutting (3) levels and picking up (1) section on each level.

I would like to ask what everyone else is doing.  The reason I am asking is 
because our pathology director is requesting a change in our protocol to cut 
only (2) levels and (1) section at each level.

Sincerely,

Akemi Allison BS, HT/HTL (ASCP)

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message.



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[Histonet] RE: unsubscribe

[Weems, Joyce K.]

Hi Marilyn,

You must go to the website and do that. Just follow the instructions..

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

Best wishes,

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Marilyn Tyler
Sent: Sunday, December 21, 2014 4:09 AM
To: histonet
Subject: [Histonet] unsubscribe



Marilyn Tyler
UCT Dept Surgery
J50/30 Old Main Building
Groote Schuur Hospital
Observatory
Cape Town S.A.
021-4066227

UNIVERSITY OF CAPE TOWN

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[Histonet] RE: Non-GYN Prep Safety

[Weems, Joyce K.]

Specimen prep under a hood - universal precautions - ThinPrep not under a hood.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amanda Reichard
Sent: Wednesday, December 03, 2014 11:27 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Non-GYN Prep Safety

Question for you all

Do you process Non-GYN specimens under a hood?
What type of precautions are taken for suspect mycobacterium specimens?
Are your ThinPrep machines under a hood as well?

Thanks in advance

Amanda Reichard, HTL (ASCP)cm
Histotechnologist
Laboratory
Licking Memorial Health Systems
1320 W. Main St.
Newark, OH 43055
(740) 348-4157


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[Histonet] RE: Water baths

[Weems, Joyce K.]

It is no longer a CAP requirement to do this, so we haven't for many years.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Abbott, Tanya
Sent: Tuesday, December 02, 2014 10:29 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Water baths

Does anyone take daily temperature checks of their water bath (used for cutting 
only) for CAP?

Tanya G. Abbott RT (CSMLS)
Manager Technologist, Histology/Cytology St. Joseph Medical Center Reading, PA 
19603-0316 ph  610-378-2635 fax 610-898-5871
email: tanyaabb...@catholichealth.net

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RE: [Histonet] Jores, Klotz and that pesky chloral hydrate

[Weems, Joyce K.]

How about formalin substitute from Anatech - Propar I think it is..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Truscott, Tom
Sent: Thursday, November 20, 2014 4:24 PM
To: Molly Murphy; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Jores, Klotz and that pesky chloral hydrate

Hi Molly, You might just want to fix in buffered 10% formalin and then rinse 
specimens well in water ( maybe 20 minutes) before using in class and then put 
back in formalin. Tom T

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Molly Murphy
Sent: Thursday, November 20, 2014 1:13 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Jores, Klotz and that pesky chloral hydrate

Hi All,
I am looking for a tissue fixative to preserve gross specimens for a veterinary 
pathology teaching lab (eg. no histo, only gross specimens). I have used Jore's 
in the past, and Klotz has been recommended, but the chloral hydrate is a 
problem child due to its status as a controlled substance (eg disposal is a 
hassle).

Does anyone have any thoughts about just leaving the chloral hydrate out?
Or, an alternative fixative that doesn't have the chloral hydrate?  I have 
access to a refrigerator for samples, and would *hopefully* keep the specimens 
for a year or two.

Thanks a bunch,
M

--
Molly Murphy DVM, Ph.D
Assistant Professor of Veterinary Pathology College of Natural Sciences  
Mathematics University of Alaska Fairbanks
Office: (907) 474-1990
Fax: (907) 474-1932
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[Histonet] CPT Code changes

[Weems, Joyce K.]

Have you all seen this news?


To eliminate these discrepancies, CPT(r) 2015 revises parent code 88342, 
imunohistochemistry or immunocytochemistry, per specimen; initial single 
antibody stain procedure, deletes indented code 88343, and adds two new 
indented codes, +88341, each additional single antibody stain procedure, and 
88344, each multiplex antibody stain procedure.


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
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[Histonet] RE: Cold plates for icing blocks?

[Weems, Joyce K.]

I have an old cold plate from an old embedding center that one of my techs 
uses. I do wish someone would make a reasonably sized/priced one for individual 
use.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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

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

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

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

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please contact the sender by reply email and destroy all copies of the original 
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RE: [Histonet] Solvent Recyclers

[Weems, Joyce K.]

Ditto

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blazek, Linda
Sent: Thursday, October 30, 2014 3:45 PM
To: madeathri...@pastnashville.com; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Solvent Recyclers

CBG
 http://www.cbgtechnologies.com/

Completely dependable.  I've had mine for years with no problems at all.  It 
runs forever!
Linda

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Maryann 
Deathridge
Sent: Thursday, October 30, 2014 2:54 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Solvent Recyclers

Any recommendations for solvent recyclers?  Due to space issues benchtop unit 
preferred.  Dependability more preferred.
 Pros and cons?  You may email if preferred.  Thanks in advance for responses

 Maryann .

  madeathri...@pastnashville.com






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RE: [Histonet] ALK IHC

[Weems, Joyce K.]

We've always done FISH..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mark Tarango
Sent: Friday, October 24, 2014 3:49 PM
To: Joelle Weaver
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] ALK IHC

Did you ever run ALK IHC on lung cancer cases or have they always used FISH?

thanks

Mark Tarango

On Fri, Oct 24, 2014 at 12:34 PM, Joelle Weaver joellewea...@hotmail.com
wrote:

 Recently all the pathologists I work with prefer the ALK FISH.


 Joelle Weaver MAOM, HTL (ASCP) QIHC





  Date: Thu, 23 Oct 2014 13:41:15 -0700
  From: marktara...@gmail.com
  To: Histonet@lists.utsouthwestern.edu
  CC:
  Subject: [Histonet] ALK IHC

 
  Does anyone stain lung cancer specimens for ALK using IHC? If not,
  any opinions?
 
  thanks
 
  Mark
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[Histonet] RE: Working on Saturday

[Weems, Joyce K.]

We stopped Sat a few years ago. We have someone on call if something is needed. 
We trained the clinical lab to take the breast cases off the processor so we 
rarely need to come in.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Smallwood, 
Lorraine
Sent: Thursday, October 23, 2014 1:28 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Working on Saturday

We are a 450 bed hospital.  Due to our size and volume of work, our work week 
is Monday-Saturday. Because of healthcare reform, budget cuts and staffing 
shortage, we are faced with closing the department on Saturday (!!Histotechs 
are happy!!). One tech will continue to come in on Saturday to process any 
breast specimens received.   I am curious to find out what is the norm 
concerning working on Saturdays.  How many other Histology departments work on 
Saturday?  Thanks in advance for your opinions!

Lorraine Smallwood MScEd, PA(ASCP)
BB(ASCP)IHC, MLS(ASCP)HT, MT(AMT)
Pathologist Assistant


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[Histonet] RE: Working on Saturday

[Weems, Joyce K.]

We get OP specimens that we need to take off sooner, but no problems with our 
clin lab help

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email. 


-Original Message-
From: Rathborne, Toni [mailto:toni.rathbo...@rwjuh.edu] 
Sent: Thursday, October 23, 2014 1:59 PM
To: Weems, Joyce K.; 'Smallwood, Lorraine'; histonet@lists.utsouthwestern.edu
Subject: RE: Working on Saturday

Since ANP 22983 has been changed to state that breast fixation in formalin is 
between 6-72 hours, we no longer have staff come in on weekends. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K.
Sent: Thursday, October 23, 2014 1:44 PM
To: 'Smallwood, Lorraine'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Working on Saturday

We stopped Sat a few years ago. We have someone on call if something is needed. 
We trained the clinical lab to take the breast cases off the processor so we 
rarely need to come in.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Smallwood, 
Lorraine
Sent: Thursday, October 23, 2014 1:28 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Working on Saturday

We are a 450 bed hospital.  Due to our size and volume of work, our work week 
is Monday-Saturday. Because of healthcare reform, budget cuts and staffing 
shortage, we are faced with closing the department on Saturday (!!Histotechs 
are happy!!). One tech will continue to come in on Saturday to process any 
breast specimens received.   I am curious to find out what is the norm 
concerning working on Saturdays.  How many other Histology departments work on 
Saturday?  Thanks in advance for your opinions!

Lorraine Smallwood MScEd, PA(ASCP)
BB(ASCP)IHC, MLS(ASCP)HT, MT(AMT)
Pathologist Assistant


Disclaimer:
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Protected Health Information (PHI) related to a person's healthcare. 
Information being faxed to you may include PHI after appropriate authorization 
from the patient or under circumstances that do not require patient 
authorization. You, the recipient, are obligated to maintain PHI in a safe and 
secure manner. You may not re-disclose without additional patient consent or as 
required by law. Unauthorized re-disclosure or failure to safeguard PHI could 
subject you to penalties described in federal (HIPAA) and state law. If you the 
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[Histonet] RE: Unsubscribe me please

[Weems, Joyce K.]

You will need to do that at the website - 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Best! j



Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robert Fauck 
[CCDHB]
Sent: Wednesday, October 22, 2014 3:28 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Unsubscribe me please

Can you please unsubscribe me from your Histo-List.



Thanks,



Robert Fauck



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(1C_S1)

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[Histonet] RE: white plastic scrapers

[Weems, Joyce K.]

I've seen them at Bed Bath and Beyond  if you're talking about the little ones 
about 2 1/2 or 3 in squarish ones.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Betsy Molinari
Sent: Tuesday, October 14, 2014 8:04 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] white plastic scrapers

Hi all,
Where can I purchase the whit plastic scrapers used to scrape the paraffin off 
embedding centers and other surfaces. I believe ours went out with the trash.
Thanks.

Betsy Molinari HT(ASCP)
Texas Heart Institute
Cardiovascular Pathology
6770 Bertner Ave
Houston,TX 77030
832-355-6524 (lab)
832-355-6812 (fax)



http://www.texasheart.org



Betsy Molinari
Senior Histology Research Technician
832-355-6524 | bmolin...@texasheart.orgmailto:bmolin...@texasheart.org | 
www.texasheart.orghttp://www.texasheart.org



6770 Bertner Ave., MC 1-283, Houston, TX 77030



[Texas Heart 
Institute]https://secure3.convio.net/thi/site/SPageNavigator/GlobalSiteOptInPage.html[THI
 News] [THI on Facebook] http://www.facebook.com/Texas.Heart.Institute  [THI 
on Flicker] http://www.flickr.com/photos/texasheart/sets/  [THI on Google] 
https://plus.google.com/u/0/118043615690351997044/posts   [THI on Pinterest] 
http://pinterest.com/texasheartinst/  [THI on Twitter] 
http://twitter.com/Texas_Heart  [THI on You Tube] 
http://www.youtube.com/TexasHeartInstitute



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[Histonet] RE: Another TGIF Friday...

[Weems, Joyce K.]

LAB HIERARCHY

Chief Pathologist
  Leaps tall building in a single bound
 Is more powerful than a locomotive
Is faster than a speeding bullet
   Walks on water,
   Gives policy to God

Associate Pathologist
  Leaps short buildings in single bound
  Is more powerful than a switch engine
Is just as fast as a speeding bullet
  Walks on water if sea is calm
  Talks with God

The Department Head
  Leaps short buildings with a running start and favorable winds
  Is almost as powerful as a switch engine
 Is faster than a speeding bullet
  Walks on water in an indoor pool
  Talks with God if special request is approved

Director of Laboratories
  Rarely clears a Quonset hut
  Loses tug of war with locomotive
Can fire a speeding bullet
 Swims well
 Is occasionally addressed by God

Associate Director of Laboratories
  Makes high marks on the walls when trying to leap tall buildings
  Is run over by locomotives
 Can sometimes handle a gun without inflicting self-injury
Dog paddles
 Talks to animals

Supervisor
 Runs into building
  Recognizes locomotives two out of three times
  Is not issued ammunition
   Can stay afloat with a life jacket
 Talks to walls

Chief Technologist
   Falls over doorstep when trying to enter building
 Says look at the choo-choo
Wets themselves with a water pistol
  Plays in mud puddles
Mumbles to Themselves

Histotechnologist
 Lifts tall buildings and walks under them
   Kicks locomotives off the tracks
 Catches speeding bullets in their teeth and eats them
  Freezes water with a single glance
They are God

Anonymous

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
sarah.dys...@stdavids.com
Sent: Friday, October 10, 2014 11:50 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Another TGIF Friday...

Does anyone have that thing handy that says what different positions in the 
histology lab do?  It's like Superman, leaping buildings and such...

Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's 
North Austin Medical Center
12221 North Mopac Expressway
Austin, Texas  78758
(512)901-1220

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RE: [Histonet] Ebola

[Weems, Joyce K.]

http://news.discovery.com/human/health/why-ebola-wont-spread-in-the-united-states-141009.htm

http://www.voanews.com/media/video/us-doctors-learn-from-treating-ebola-patients/2477893.html

http://www.washingtonpost.com/lifestyle/travel/tips-for-traveling-to-africa-in-the-age-of-ebola/2014/10/09/46af8ae8-4efd-11e4-8c24-487e92bc997b_story.html



In our Emory news today... I haven't listened yet, but you all might like to 
look...

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of James Watson
Sent: Thursday, October 09, 2014 5:32 PM
To: 'histonet@lists.utsouthwestern.edu' (histonet@lists.utsouthwestern.edu); 
'Finley, Sue [PH]'
Subject: RE: [Histonet] Ebola

Correction,  due to years of formalin abuse,  it was 1 hour in concentrated 
formic acid.  We then processed and cut them with all other cases.  A few cases 
slipped through with just formalin fixation and additional precautions needed 
to be taken.  That said the easiest  and primary route of infection for CJD is 
ingestion.  Needless to say we did not eat any of the tissue.


A simple and effective method for inactivating virus infectivity in 
formalin‐fixed tissue samples from patients with Creutzfeldt‐Jakob disease

Paul Brown, MD,
 Axel Wolff, DVM and
 D. Carleton Gajdusek, MD

-Show Affiliations

Laboratory of CNS Studies, National Institute of Neurological Disorders and 
Stroke, National Institutes of Health, Bethesda, MD.



doi: 10.1212/WNL.40.6.887  Neurology June 1990   vol. 40  no. 6  887



Abstract
Full Text (PDF)


Abstract

We fixed brains from hamsters infected with scrapie virus in (1) formalin, (2) 
phenol-saturated formalin, (3) formalin with a 1-hour immersion in formic acid, 
or (4) phenol-saturated formalin with a 1-hour immersion in formic acid. In 
addition, we used the formalin-formic acid procedure on brains from mice 
infected with the virus of Creutzfeldt-Jakob disease. Formic acid proved 
superior to phenol in respect to both disinfection and tissue preservation, 
almost completely eliminating virus infectivity in sections that were 
histologically indistinguishable from formalin-fixed material. The inclusion of 
a formic acid step in routine formaldehyde tissue fixation will thus provide 
histologic sections of excellent quality, and virtually eliminate the risk of 
handling infectious material in the subsequent neuropathologic processing of 
tissues from patients with CJD.
© 1990 by the American Academy of Neurology


James Watson HT  ASCP
GNF  Genomics Institute of the Novartis Research Foundation Scientific 
Technical Leader II, Histology Tel858-332-4647 Fax   858-812-1915 
jwat...@gnf.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of James Watson
Sent: Thursday, October 09, 2014 1:57 PM
To: 'Emily Brown'
Cc: Histonet@Lists. Edu
Subject: RE: [Histonet] Ebola

Back in the 80 NIH did extensive studies on CJD,  their protocol requires 24 
hours in formalin, 24 hours in formic acid, followed by 48 hours in formalin, 
then paraffin processing.  Worked with CJD at Frederick Cancer Research in 
collaboration with the group from NIH.  If I find the publications I will 
forward them.

James Watson HT  ASCP
GNF  Genomics Institute of the Novartis Research Foundation Scientific 
Technical Leader II, Histology Tel858-332-4647 Fax   858-812-1915 
jwat...@gnf.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Emily Brown
Sent: Thursday, October 09, 2014 1:40 PM
Cc: Histonet@Lists. Edu
Subject: Re: [Histonet] Ebola

If formalin didn't kill CJD, what did you use? Just curious.

Emily

By bitching and bitching and bitching, they could exhaust the drama of their 
own horror stories. Grow bored. Only then could they accept a new story for 
their lives. Move forward.

-Chuck Palahniuk, Haunted

On Thu, Oct 9, 2014 at 4:34 PM, Patsy Ruegg prueg...@hotmail.com wrote:

 Well said Pam, it is just assumed that formalin will eliminate the
 biohaz for Ebola, I doubt if that has been conclusively proven yet,
 remember we only discovered fairly recently that formalin fixation did
 not protect us from CJD

 Patsy Ruegg, HT(ASCP)QIHC
 Ruegg IHC Consulting
 40864 E Arkansas 

[Histonet] RE: Ebola

[Weems, Joyce K.]

Handle with universal precautions as always is our emphasis.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Abbott, Tanya
Sent: Thursday, October 09, 2014 3:04 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Ebola

Dare I ask?! Are any Pathology labs discussing what to do with 
specimens/precautions, etc. regarding a person with a potential Ebola infection?

Tanya G. Abbott RT (CSMLS)
Manager Technologist, Histology/Cytology St. Joseph Medical Center Reading, PA 
19603-0316 ph  610-378-2635 fax 610-898-5871
email: tanyaabb...@catholichealth.net

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[Histonet] RE: Dragon and Cerner

[Weems, Joyce K.]

We use it successfully for micro. We found there was too much noise and 
muffling in the background for gross.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Pence
Sent: Wednesday, October 08, 2014 10:20 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Dragon and Cerner

Hey everyone,

Just wondering who out there is successfully using Dragon within the AP 
application of Cerner?

Does it work? Not work? Are you using templates in Dragon or Cerner?

You can PM me if you like. This is a peer benchmarking I would like to compare 
what we do now to what other Cerner users are doing. I don't want to ask this 
question in a Cerner forum where Cerner can control the commentary.

Thanks,
Mike Pence
AP Supervisor
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RE: [Histonet] RE: New CPT Codes for IHC

[Weems, Joyce K.]

Sorry, I left that part out. We don't do them, so I just didn't think. 

I understand the 88343 codes to be for multiple stains on the same slide. The 
first is 88342 additional 88343 - e.g. PIN4.

So has that changed? 


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: Andrew Horvath [mailto:ahorv...@cogipath.com] 
Sent: Monday, October 06, 2014 3:36 PM
To: Weems, Joyce K.; 'Adesupo, Adesuyi (Banjo)'; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: New CPT Codes for IHC

Actually, for non-Medicare if there are multiple stains performed on a block, 
where the initial CPT is 88342, any subsequent billing for stains on that block 
would actually be 88343 from the information I see.  

Please refer to the links below for more information...

http://ahsrcm.com/assets/2014-Pathology-CPT-Code-Changes.pdf


https://www.aapc.com/memberarea/forums/showthread.php?t=101402



quote from the forum:

Quite and uproar about this in our office - and a lot of confusion. Go to page 
360 in this document to read Medicare's decision about this. (inactive link 
removed)


The CPT Editorial Panel revised the existing immunohistochemistry code, CPT 
code 88342 and created a new add-on code 88343 for CY 2014. Current coding 
requirements only allow CPT code 88342 to be billed once per specimen for each 
antibody, but the revised CPT codes and descriptors would allow the reporting 
of multiple units for each slide and each block per antibody
(88342 for the first antibody and 88343 for subsequent antibodies). We believe 
that this coding would encourage overutilization by allowing multiple blocks 
and slides to be billed. 
To avoid this incentive, we are creating G0461 (Immunohistochemistry or 
immunocytochemistry, per specimen; first single or multiplex antibody stain) 
and G0462 (Immunohistochemistry or immunocytochemistry, per specimen; each 
additional single or multiplex antibody stain (List separately in addition to 
code for primary procedure)) to ensure that the services are only reported once 
for each antibody per specimen. We believe this will result in appropriate 
values for these services without creating incentives for overutilization.

Some of our docs are participating in conference call today with CAP to help 
clarify what this all means.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K.
Sent: Friday, October 03, 2014 12:33 PM
To: 'Adesupo, Adesuyi (Banjo)'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: New CPT Codes for IHC

For non-Medicare it is per block - CPT code 88342.

For Medicare - per specimen. G0461 for the first antibody and G0462 for each 
additional different ab.

Best, j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Adesupo, 
Adesuyi (Banjo)
Sent: Friday, October 03, 2014 2:07 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New CPT Codes for IHC


  Hi,
I hope you guys are doing well. Please I have a question about billing 
the IHC. My question is do we bill by the number of antibodies or blocks?

 Thanks,

 Banjo Adesuyi, BSMT, HT (ASCP) HTL, QIHC, QLS  Histology Supervisor  Norman 
Regional Health System,  Norman, OK 73071.
 Tel: 405- 307- 1145


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If you

[Histonet] RE: New CPT Codes for IHC

[Weems, Joyce K.]

For non-Medicare it is per block - CPT code 88342.

For Medicare - per specimen. G0461 for the first antibody and G0462 for each 
additional different ab.

Best, j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Adesupo, 
Adesuyi (Banjo)
Sent: Friday, October 03, 2014 2:07 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New CPT Codes for IHC


  Hi,
I hope you guys are doing well. Please I have a question about billing 
the IHC. My question is do we bill by the number of antibodies or blocks?

 Thanks,

 Banjo Adesuyi, BSMT, HT (ASCP) HTL, QIHC, QLS  Histology Supervisor  Norman 
Regional Health System,  Norman, OK 73071.
 Tel: 405- 307- 1145


==
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[Histonet] RE: can you unsubscribe me please?

[Weems, Joyce K.]

Hi Kathryn,

You will need to do this at 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Best wishes!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Masood, S. 
Kathryn
Sent: Friday, September 26, 2014 12:52 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] can you unsubscribe me please?



Kathryn

S. Kathryn Masood
Vanderbilt University School of Nursing
405 Godchaux Hall
461 21st Avenue South
Nashville, TN  37240
Office #:  615-936-1719
Email:  sameena.k.mas...@vanderbilt.edumailto:sameena.k.mas...@vanderbilt.edu

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[Histonet] RE: Unsubscribe me please

[Weems, Joyce K.]

Hi Robert,

You must do that at http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Thanks and best wishes!


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Robert Fauck 
[CCDHB]
Sent: Wednesday, September 24, 2014 4:28 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Unsubscribe me please

Hi

Could you please unsubscribe me from your Histo-List.

Thanks

Robert Fauck


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(1C_S1)

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[Histonet] RE: Automated Special Stainer...

[Weems, Joyce K.]

I highly recommend the Leica Bond III. Company is excellent to work with and 
reagent rental a perfect solution to no capital. On line retrieval - 3 trays of 
10 slides each that can be started as needed.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Wednesday, September 17, 2014 1:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

Brian wrote: ... one more thing.  The reagent tray capacity on the Artisan is 
about twice what it is on a Benchmark.

Are the TAT's equal? When we loaded up our old artisan with slides (50) and 
full of reagents it took over 5 hours to finish - way past our deadline. So 
nobody wanted to use it that way so the techs resisted and wanted to do manual 
to get the slide out. We ended up putting only a few stains on it.

We  are looking at doing specials the way we do immunos - on demand all day 
rather than in one batch in the AM.

It seemed to me that the 20-slide units from Ventana allow small batches and 
run in parallel or allow staggered use. Buying a 50-slide capacity instrument 
and then putting only 20 slides at a time on it seems odd somehow.


We looking at each of these as well and not sure yet which would serve us 
better. We do about 60-80 specials slides per day, and 13 stains give us 90% of 
our volume.

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC 
San Francisco Medical Center San Francisco, CA

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cooper, Brian
Sent: Wednesday, September 17, 2014 10:33 AM
To: sarah.dys...@stdavids.com; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

Dako Artisan all the way!   I've used both systems (the Artisan in my old 
institution).  We currently have a few of the new Benchmarks on demo right now. 
 Thus far, we're not that impressed.  Frequently, there's variability on the 
silver stains (even in the same run,) and adjusting timing is nowhere near as 
flexible as on the Artisan.  Even if you take away the half hour for online 
deparaffinization, the stains take significantly longer on the Benchmarks (than 
the old Nexes we are still running in our lab).   Oh yeah, one more thing.  The 
reagent tray capacity on the Artisan is about twice what it is on a Benchmark.  
You'll need two Benchmarks to do what one Artisan does, TATs being equal.

Brian D. Cooper, HT (ASCP)CM | Histology Supervisor Department of Pathology and 
Laboratory Medicine Children's Hospital Los Angeles
4650 Sunset Blvd MS#43- Los Angeles, CA 90027 bcoo...@chla.usc.edu


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
sarah.dys...@stdavids.com
Sent: Wednesday, September 17, 2014 9:13 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Automated Special Stainer...

Opinions on Ventana versus Dako...Go!

Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's 
North Austin Medical Center
12221 North Mopac Expressway
Austin, Texas  78758
(512)901-1220

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[Histonet] Vacuum Assisted Breast Biopsies

[Weems, Joyce K.]

For needle core breast biopsies, we cut several unstained slides - 3 levels and 
2 unstained serials at each level.

For vacuum assisted breast biopsies, which have much more tissue and many more 
blocks, we are finding that we are wasting a lot of slides cutting so many 
unstained.

However, just yesterday, we had a case with 16 blocks, but two of them had DCIS 
with a question of microinvasion that would not have been confirmed without the 
serials for the IHC.

So, our question is, how are you handling the vacuum assisted biopsies?

Thanks for your help! j


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.orgmailto:joyce.we...@emoryhealthcare.org


www.saintjosephsatlanta.orghttp://www.saintjosephsatlanta.org/
5665 Peachtree Dunwoody Road
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RE: [Histonet] On the lighter side...

[Weems, Joyce K.]

Funny, Richard... as if you need registering. LOL

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Friday, August 08, 2014 10:33 AM
To: Douglas Porter; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] On the lighter side...

36 years; however, not registered.   Hopefully, I can take the QIHC someday 
and pass.

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) 972-1596 Office
(860) 545-2204 Fax
richard.car...@hhchealth.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Douglas Porter
Sent: Thursday, August 07, 2014 2:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] On the lighter side...

How long have you been a registered histotech?  36 years here.  You???



Douglas A. Porter, HT (ASCP)
Grossing Technician
IT Coordinator

Cancer Registrar


CAP-Lab, PLC
2508 South Cedar Street
Lansing, MI 48910-3138

517-372-5520 (phone)
517-372-5540 (fax)

 mailto:doug.por...@caplab.org doug.por...@caplab.org

 http://www.caplab.org/ www.caplab.org



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[Histonet] RE: Please remove me from the list

[Weems, Joyce K.]

Hi there,

You will need to remove yourself at 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Best, j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pauwels, Siegrid
Sent: Friday, August 08, 2014 10:33 AM
To: 'Histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Please remove me from the list



Pauwels Siegrid
Hoofdlaborante/kwaliteitsfunctionaris
Labo Pathologische anatomie
U.Z.Antwerpen
03/8215593
siegrid.pauw...@uza.be

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RE: [Histonet] On the lighter side...

[Weems, Joyce K.]

46 - but I was 2 when I took the sat for the exam

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Douglas Porter
Sent: Thursday, August 07, 2014 2:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] On the lighter side...

How long have you been a registered histotech?  36 years here.  You???



Douglas A. Porter, HT (ASCP)
Grossing Technician
IT Coordinator

Cancer Registrar


CAP-Lab, PLC
2508 South Cedar Street
Lansing, MI 48910-3138

517-372-5520 (phone)
517-372-5540 (fax)

 mailto:doug.por...@caplab.org doug.por...@caplab.org

 http://www.caplab.org/ www.caplab.org



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[Histonet] RE: p16

[Weems, Joyce K.]

It is an exclusive Ventana product - sold through MTM Laboratories I believe it 
is.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burnett, Brandy
Sent: Wednesday, August 06, 2014 3:14 PM
To: sarah.dys...@stdavids.com; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: p16

I am looking for one as well, I wasn't sure if they owned the patent. Let me 
know if you find one.
Thanks!

Brandy Burnett, HTL (ASCP)
Cape Cod Hospital


From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of 
sarah.dys...@stdavids.com [sarah.dys...@stdavids.com]
Sent: Wednesday, August 06, 2014 10:51 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] p16

Does anyone know of a comparable clone to the Ventana p16 clone E6H4?  I would 
prefer it to be undiluted (concentrate) so that we can titrate out the antibody 
ourselves.  We need it to have publications that would back this up and/or 
stained slide pictures I can show our pathologist.
Thanks

Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's 
North Austin Medical Center
12221 North Mopac Expressway
Austin, Texas  78758
(512)901-1220

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RE: [Histonet] RE: p16

[Weems, Joyce K.]

They bought the company!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ronda Mire
Sent: Wednesday, August 06, 2014 3:37 PM
To: Burnett, Brandy
Cc: histonet@lists.utsouthwestern.edu; sarah.dys...@stdavids.com
Subject: Re: [Histonet] RE: p16

Before Ventana had p16, it was only available from MTM labs, if I recall 
correctly the name. I am not sure if Ventana is the exclusive vendor now or 
not.  Good luck.
On Aug 6, 2014, at 3:13 PM, Burnett, Brandy bburn...@capecodhealth.org 
wrote:

 I am looking for one as well, I wasn't sure if they owned the patent. Let me 
 know if you find one.
 Thanks!

 Brandy Burnett, HTL (ASCP)
 Cape Cod Hospital

 
 From: histonet-boun...@lists.utsouthwestern.edu
 [histonet-boun...@lists.utsouthwestern.edu] on behalf of
 sarah.dys...@stdavids.com [sarah.dys...@stdavids.com]
 Sent: Wednesday, August 06, 2014 10:51 AM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] p16

 Does anyone know of a comparable clone to the Ventana p16 clone E6H4?  I 
 would prefer it to be undiluted (concentrate) so that we can titrate out the 
 antibody ourselves.  We need it to have publications that would back this up 
 and/or stained slide pictures I can show our pathologist.
 Thanks

 Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St.
 David's North Austin Medical Center
 12221 North Mopac Expressway
 Austin, Texas  78758
 (512)901-1220

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 Healthcare.

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RE: [Histonet] Microtome calibration

[Weems, Joyce K.]

Could they have meant an aligner -  something like this?

http://www.newcomersupply.com/products/microtome-cryostat-aligners?page=M#1130


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Long, Denise
Sent: Tuesday, July 15, 2014 3:02 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Microtome calibration

Hi Everyone,
During a recent inspection we were asked by the inspection team to start 
calibrating our microtomes.  Anyone know of a service vendor that will do this? 
Referrals, including self-referrals would be greatly appreciated.
Thank,

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] please remove me

[Weems, Joyce K.]

Hi Carolyn,

You must go to this website 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet  and do this yourself.

Best,

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carolyn Thompson
Sent: Saturday, July 12, 2014 5:14 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] please remove me

Carol Thompson

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RE: [Histonet] Safety shower

[Weems, Joyce K.]

Same here

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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regarding the error in a separate email. 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V
Sent: Friday, July 11, 2014 1:52 PM
To: 'Alicia Lange'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Safety shower

Our Maintenance department tests our showers each month.  We test our eyewash 
stations each week.

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






-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Alicia Lange
Sent: Friday, July 11, 2014 12:30 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Safety shower

I test our shower and eye wash weekly. We had a consulting company prepare us 
for an OSHA inspection and we were told then the testing needed to be done 
weekly for both. The temperate, flow, and clarity aren't necessarily tested 
just function. I use a 35 gallon trash bin to collect the water from the 
shower. I only run the shower enough to flush about 5 gallons out.
Hope this helps!

Alicia Lange HTL (ASCP)

 On Jul 11, 2014, at 10:00 AM, histonet-requ...@lists.utsouthwestern.edu wrote:

 Send Histonet mailing list submissions to
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 than Re: Contents of Histonet digest...


 Today's Topics:

   1. RE: safety shower (Amber McKenzie)
   2. Job Opportunity (Baldwin, Kathy)
   3. RE: Cytokeratin AE1/AE3 (Cartun, Richard)
   4. formalin/xylene monitoring (Ronda Mire)
   5. RE: formalin/xylene monitoring (Vincent Rivera)
   6. Re: formalin/xylene monitoring (Ronda Mire)


 --

 Message: 1
 Date: Fri, 11 Jul 2014 14:36:14 +
 From: Amber McKenzie amber.mcken...@gastrodocs.net
 Subject: [Histonet] RE: safety shower
 To: John Shelley jshel...@sanfordburnham.org, Nancy Schmitt
nancy_schm...@pa-ucl.com, histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu
 Message-ID: 5a33c952bb67f4468af1f36d739212bc011250e...@jerry.gia.com
 Content-Type: text/plain; charset=iso-8859-1

 What should the water volume be? Temperature and clarity?  How do you test 
 these things?

 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of John 
 Shelley
 Sent: Wednesday, July 09, 2014 12:39 PM
 To: Nancy Schmitt; histonet@lists.utsouthwestern.edu
 Subject: [Histonet] RE: safety shower

 Our safety group here had built a neat little contraption using flexible PVC 
 piping and making it circular, slightly larger than the shower head and 
 placed a shower curtain and rings on it. When they pull the lever and use 
 their system the water falls into a garbage can for collection. They come 
 around once a month to check it out.

 Kind Regards!

 John J Shelley
 Research Specialist, Histology Core Facility

 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy 
 Schmitt
 Sent: Wednesday, July 09, 2014 1:29 PM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] safety shower

 How often are you testing your safety shower ?  Are you always checking for 
 water volume,  temperature and clarity?

 I appreciate your thoughts.,

 Nancy Schmitt MLT, HT(ASCP)
 Dubuque, IA



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[Histonet] RE: PA's

[Weems, Joyce K.]

Our group hired their PA.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Riesen, Rebecca
Sent: Friday, July 11, 2014 2:08 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] PA's

I would like to get an idea of how many hospitals that contract in the 
Pathologist group to read slides produced by hospital employed Histotechs, have 
that Pathologist group paying the salary of their PA's.  I have heard that many 
facilities are no longer employing the PA's that actually are performing the 
Pathologist's job of gross dissection (hence the name Pathologist Assistant, 
huh).  In these tough financial times we all are looking for ways to lessen our 
costs.  You can reply to me directly rather than clog up the histonet.  THANKS!!
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[Histonet] RE: Ideas for a Retiring Pathologist

[Weems, Joyce K.]

Create a photo album, including drawings, of all the folks he's worked with and 
all the funny things that have happened through the years - and make fun of 
him/her unmercifully...

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
lori.dis...@hcahealthcare.com
Sent: Tuesday, July 01, 2014 11:25 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Ideas for a Retiring Pathologist

I'm looking for creative ideas to celebrate a retiring pathologist sometime 
this year.  What have you all done in the past?

Lori Disher


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[Histonet] RE: Recycled or not? NO PHI

[Weems, Joyce K.]

I have used recycled xylene since the mid-80s and the only problem is that it 
is purer than new xylene and can make biopsies crispy. (The isomers get 
distilled out.) We use new xylene on the biopsy processor. The recycler is in 
our lab and there are no fumes at all.

Surely does save money.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of McAnn, Sherrian
Sent: Thursday, June 26, 2014 11:20 AM
To: Blazek, Linda; Podawiltz, Thomas; histonet@lists.utsouthwestern.edu
Subject: RE: [EXTERNAL] [Histonet] RE: Recycled or not? NO PHI

We routinely recycle both our alcohols and xylenes. They are checked for purity 
and with the alcohol the extra step of ensuring that we are getting the correct 
percentage (95%) recovered. We have never had any issues in any of our 
processors or stainers since using recycled reagents. We also have not had an 
issue with fumes. The recyclers nowadays are much better than their older 
versions and I think that sometimes prejudices come into play with the older 
techs like me who were around for the older models.  P. S. We used to have to 
do ours on a hotplate with a large round glass ball and would have to clean the 
ball out.  Those were not the good ole days. :)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blazek, Linda
Sent: Thursday, June 26, 2014 9:43 AM
To: Podawiltz, Thomas; histonet@lists.utsouthwestern.edu
Subject: [EXTERNAL] [Histonet] RE: Recycled or not? NO PHI

I agree with Tom.  With the exception of self-inflicted issues we also have not 
had any issues with recycling our reagents.  We check each batch as it is 
recycled.
We also don't have a problem with fumes.  (And our pathologists are
fussy)


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, 
Thomas
Sent: Thursday, June 26, 2014 10:34 AM
To: Barbara Tibbs; Sanders, Jeanine (CDC/OID/NCEZID); 
histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Recycled or not? NO PHI

We have never had an issue with either our recycled xylene or alcohol that was 
not self inflicted. When our system is running there are no fumes.


Tom Podawiltz HT (ASCP)
Histology Section Head
LRGHealthcare
Laconia, NH 03246
603-524-3211 ext: 3220



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Barbara
Tibbs
Sent: Thursday, June 26, 2014 9:06 AM
To: Sanders, Jeanine (CDC/OID/NCEZID); histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Recycled or not?

While I can agree that recycling alcohol and xylene is both
environmentally and economically advantageous, technically it's awful.
There's no way to make used alcohol and xylene as pure as it was
originally.  There's also the issue of fumes from recycling a solvent.
The company I had used years ago swore that there were no fumes when
using their machine but the personnel working in the laboratory would
vigorously disagree.

Barbara S. Tibbs
Histology Supervisor
Accurate Diagnostic Labs
South Plainfield, NJ
barbara.ti...@accuratediagnosticlabs.com
732-839-3374
Cell: 610-809-6508



From: histonet-boun...@lists.utsouthwestern.edu
histonet-boun...@lists.utsouthwestern.edu on behalf of Sanders,
Jeanine (CDC/OID/NCEZID) j...@cdc.gov
Sent: Thursday, June 26, 2014 9:45 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Recycled or not?

Morning All!

I have heard for years the general problems with using recycled alcohols
on HE stainers, but do the same problems occur when using recycled
xylene?

Thanks!

Jeanine H. Sanders
Centers for Disease Control and Prevention Infectious Diseases Pathology
Branch
404-639-3590
j...@cdc.gov


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information intended only for 

RE: [Histonet] RE: Recycle or not?

[Weems, Joyce K.]

Haven't heard this one till now!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mass Histology
Sent: Thursday, June 26, 2014 12:29 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Recycle or not?

This might be a little off the topic:  We recently had the enjoyment of 
undergoing a day-long EPA inspection and we were issued a warning of 
practicing waste management without proper permits when they saw our 
recycler.  Has anyone else ever been hassled by the EPA regarding this?

Jim

___
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 www.masshistology.com
   www.nehorselabs.com





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[Histonet] RE: Recycled or not? NO PHI

[Weems, Joyce K.]

Gotta go with what works!! 

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email. 


-Original Message-
From: Barbara Tibbs [mailto:barbara.ti...@accuratediagnosticlabs.com] 
Sent: Thursday, June 26, 2014 11:49 AM
To: Weems, Joyce K.; histonet@lists.utsouthwestern.edu
Subject: RE: Recycled or not? NO PHI

Hmm.  Maybe the company who manufactured our recycler went out of business or 
we got a lemon.  As soon as we abandoned recycling and went back to new 
reagents, the stains and processing were perfect.
Go figure.

Barbara S. Tibbs
Histology Supervisor
Accurate Diagnostic Labs
South Plainfield, NJ
barbara.ti...@accuratediagnosticlabs.com
732-839-3374
Cell: 610-809-6508



From: histonet-boun...@lists.utsouthwestern.edu 
histonet-boun...@lists.utsouthwestern.edu on behalf of Weems, Joyce K. 
joyce.we...@emoryhealthcare.org
Sent: Thursday, June 26, 2014 2:33 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Recycled or not?  NO PHI

I have used recycled xylene since the mid-80s and the only problem is that it 
is purer than new xylene and can make biopsies crispy. (The isomers get 
distilled out.) We use new xylene on the biopsy processor. The recycler is in 
our lab and there are no fumes at all.

Surely does save money.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of McAnn, Sherrian
Sent: Thursday, June 26, 2014 11:20 AM
To: Blazek, Linda; Podawiltz, Thomas; histonet@lists.utsouthwestern.edu
Subject: RE: [EXTERNAL] [Histonet] RE: Recycled or not? NO PHI

We routinely recycle both our alcohols and xylenes. They are checked for purity 
and with the alcohol the extra step of ensuring that we are getting the correct 
percentage (95%) recovered. We have never had any issues in any of our 
processors or stainers since using recycled reagents. We also have not had an 
issue with fumes. The recyclers nowadays are much better than their older 
versions and I think that sometimes prejudices come into play with the older 
techs like me who were around for the older models.  P. S. We used to have to 
do ours on a hotplate with a large round glass ball and would have to clean the 
ball out.  Those were not the good ole days. :)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blazek, Linda
Sent: Thursday, June 26, 2014 9:43 AM
To: Podawiltz, Thomas; histonet@lists.utsouthwestern.edu
Subject: [EXTERNAL] [Histonet] RE: Recycled or not? NO PHI

I agree with Tom.  With the exception of self-inflicted issues we also have not 
had any issues with recycling our reagents.  We check each batch as it is 
recycled.
We also don't have a problem with fumes.  (And our pathologists are
fussy)


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Podawiltz, 
Thomas
Sent: Thursday, June 26, 2014 10:34 AM
To: Barbara Tibbs; Sanders, Jeanine (CDC/OID/NCEZID); 
histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Recycled or not? NO PHI

We have never had an issue with either our recycled xylene or alcohol that was 
not self inflicted. When our system is running there are no fumes.


Tom Podawiltz HT (ASCP)
Histology Section Head
LRGHealthcare
Laconia, NH 03246
603-524-3211 ext: 3220



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Barbara Tibbs
Sent: Thursday, June 26, 2014 9:06 AM
To: Sanders, Jeanine (CDC/OID/NCEZID); histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Recycled or not?

While I can agree that recycling alcohol and xylene is both environmentally and 
economically

RE: [Histonet] Finding a good histology supplies company

[Weems, Joyce K.]

Hologic will work with you to provide good pricing if you are talking about 
ThinPrep methodology.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
loveyadam...@yahoo.com
Sent: Tuesday, June 17, 2014 8:01 AM
To: Histonet
Subject: [Histonet] Finding a good histology supplies company

Good morning Histonetters,

I need help finding a reasonable price cytology processor and reagents for the 
machine as well . Who's the best in our field?

Thank you in advance
Marie Adams

Sent from Yahoo Mail on Android

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RE: [Histonet] remove name

[Weems, Joyce K.]

Hi Del,

You must do that yourself at 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Best wishes!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Del Phillips
Sent: Friday, June 13, 2014 8:17 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] remove name

Please remove my name for the histonet list.



Del Phillips

dphill...@vetmed.lsu.edu

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RE: [Histonet] Please remove me

[Weems, Joyce K.]

Hi Don,

You must do that yourself at 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Thanks and best wishes!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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Hospital and is intended for the sole use of the intended recipient(s).  It may 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Del Phillips
Sent: Thursday, June 12, 2014 12:08 PM
To: histonet@lists.utsouthwestern.edu; 
histonet-requ...@lists.utsouthwestern.edu; J Hawke
Subject: [Histonet] Please remove me

Please remove me

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RE: [Histonet] (no subject)

[Weems, Joyce K.]

Hello,

You will need to do that yourself at 
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Best wishes!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
awill.imdpath...@yahoo.com
Sent: Thursday, June 12, 2014 1:55 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] (no subject)

Please remove me

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RE: [Histonet] Leica special/he stainer

[Weems, Joyce K.]

Same here -  we love them both..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
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regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sanders, 
Jeanine (CDC/OID/NCEZID)
Sent: Monday, June 09, 2014 6:24 PM
To: 'Barbara Tibbs'; 'Deloris Carter'; 'histonet@lists.utsouthwestern.edu'
Subject: RE: [Histonet] Leica special/he stainer

We have one as well but the special stains function for us was just something 
we thought we might use...we did purchase the bucket inserts just in case. But 
it was incompatible with simultaneously ding HE's so we bought a Dako Artisan 
just for specials and love it.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Barbara Tibbs
Sent: Monday, June 09, 2014 3:07 PM
To: Deloris Carter; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Leica special/he stainer

I have the Leica Multistainer.  It was purchased before I got here.  The only 
thing I don't like is that the programs have to be compatible or else the 
machine alarms when you load a special stain onto the machine when it already 
has an HE going.  There's a rather complicated way to get the programs to be 
compatible which was explained to me when I went for training.  You have to use 
an excel spreadsheet and figure out what rinse is where during all the 
programs.  Yes, it's something Leica's engineers have to work on.

Barbara S. Tibbs
Histology Supervisor
Accurate Diagnostic Labs
South Plainfield, NJ
barbara.ti...@accuratediagnosticlabs.com
732-839-3374
Cell: 610-809-6508



From: histonet-boun...@lists.utsouthwestern.edu 
histonet-boun...@lists.utsouthwestern.edu on behalf of Deloris Carter 
dels...@gmail.com
Sent: Monday, June 09, 2014 5:48 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Leica special/he stainer

Does anyone have any feedback on the Leica Multistainer? It stains HE as well 
as special stains.

Thanks,
Deloris Carter, HT(ASCP)
Shawnee Mission Medical Center
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[Histonet] RE: please remove me

[Weems, Joyce K.]

Hi Janice,

You must do that yourself at Histonet@lists.utsouthwestern.edu

Thanks!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Babus, Janice
Sent: Tuesday, June 10, 2014 8:54 AM
To: 'Histonet@lists.utsouthwestern.edu'
Subject: [Histonet] please remove me


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RE: [Histonet] Remove from histonet

[Weems, Joyce K.]

Hi George,

You must do that yourself at Histonet@lists.utsouthwestern.edu

Thanks!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of George
Sent: Tuesday, June 10, 2014 10:18 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Remove from histonet



Sent from my iPhone

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[Histonet] RE: remove from listserv

[Weems, Joyce K.]

Hi Claire,

You must do that yourself at Histonet@lists.utsouthwestern.edu

Thanks!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Llamas, Claire B
Sent: Tuesday, June 10, 2014 12:31 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] remove from listserv

hi, please remove me from the listserv.


thank you,

claire. llamas


Claire Llamas
Tulane University - Center for Stem Cell Research and Regenerative Medicine 
Health Sciences Center J. Bennett Johnston Building, Rm. 671
1324 Tulane Avenue, SL-99
New Orleans, LA 70112-2699

Phone:  504-988-7071
FAX:  504-988-7710
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RE: [Histonet] HER2 by IHC- Fixation

[Weems, Joyce K.]

That is true.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Adesupo, 
Adesuyi (Banjo)
Sent: Wednesday, June 04, 2014 12:21 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] HER2 by IHC- Fixation


 Hi Histonetters,
 I hope you guys are doing great. Please I wanted to 
confirm whether it is true that the CAP has changed the HER2 Fixation time from 
6 - 48 hours to 6 - 72 hours.


  Thanks,

  Banjo Adesuyi, BSMT, HT (ASCP) HTL, QIHC, QLS
  Histology Supervisor
  Norman Regional Health System,
  Norman, OK 73071.
  Tel: 405- 307- 1145

==
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RE: [Histonet] Is there a Pathology billing hotline?

[Weems, Joyce K.]

This would be one specimen, since the nodes were not separately identified.  
You would charge an 88331 for the first block and 88332 for the second block.

(To the best of my knowledge!!)

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer Johnson
Sent: Friday, May 30, 2014 11:17 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Is there a Pathology billing hotline?

Today we received one container labelled 'sentinel nodes' for frozen section. 
There were five nodes and they were placed in two chucks. How in the heck are 
we to know how to code for charges for this?  Is it per container, per node, or 
per frozen?  Plus, is there a person or agency that you can call to ask these 
questions?
Thanks, Jennifer Johnson

Sent from Jenny's iPhone
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[Histonet] RE: unsubscribe

[Weems, Joyce K.]

You must do that yourself at this web site..

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


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of ROGER HEYNA
Sent: Wednesday, May 21, 2014 6:41 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] unsubscribe

Please unsubscribe
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RE: [Histonet] HTL

[Weems, Joyce K.]

Also the booklets from NSH ..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
mad...@verizon.net
Sent: Wednesday, May 21, 2014 6:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] HTL


   nb=;WHen  I  took  mine  i did both parts. for the written carson
   cover  to cover=d the thick bancroft and stevens(sp?) 2 times cover
   to cover.



   Nick(Rocky) Madar= HT/HTL(ASCP)QIHC
   Joni Madary, PhD(in life)

   =v style=border-top:1px solid #bcbcbc;margin:5px 0px;

   On 05/20/14, hist=et-requ...@lists.utsouthwestern.edu wrote:




   Send Histonet =iling list submissions to
[1]histonet@lists.utsout=estern.edu
   To subscribe or unsubscribe via the World Wide =b, visit
[2]http://lists.utsouthwe=ern.edu/mailman/listinfo/histonet
   or, via email, send a message =th subject or body 'help' to
[3]histonet-r=u...@lists.utsouthwestern.edu
   You can reach the person man=ing the list at
[4]histonet-ow...@lists.utso=hwestern.edu
   When replying, please edit your Subject line = it is more specific
   than Re: Contents of Histonet digest...q=t;
   Today's Topics:
   1. HTL certification (C�y Stan)
   2. RE: HTL certification (Esther C Peters)
   3. pos=ive control indoleamine 2-3 dioxygenase
   (Pathology-Histology S= Supervisor)
   4.  immunohistochemisty  coding (Michael LaFriniere) 5. antibody vials
   (Clare Thornton)
   6. RE: antibody vials (Mu=hy, Valerie)
   7. HELP- Cryosectioning FAT! (Balasubbramanian, Daks=apriya)
   8. new processor (anita)
   9. RE: antibody vials (A=e Murvosh)
   10. Re: HELP- Cryosectioning FAT! (Balasubbramanian, Da=hnapriya)
   11. Re: HELP- Cryosectioning FAT! (Balasubbramanian, Dak=napriya)
   ---   ---
   Message: 1
   Date: Mon, 19 May 2014 1=32:36 -0500
   From: Cecy Stan [5]cecysta...@gmail.com
   Subject: [Histonet] HTL certification
   To: [6]histone=lists.utsouthwestern.edu
   Message-ID:
CACh=0wgaaEfV   
DFmsuB-Jw8OKo=LKUP[7]apgujjkoeagjazasx...@mail.gmail.com=
   Content-Type: text/plain; charset=UTF-8
   Hello ev=yone,
   I'm starting to prepare for my HTL certification (I am v=y nervous
   and anxious but also very excited about this decision to g=or it).
   I  was  just  curious  to know how you guys prepared for =, and how
   long it
   took  for  you  to  prepare  before  taking  the test. Wi= 6 months
   preparation
   be enough? (I know that may depend on the indi=dual; it's just that
   I
   had  my  Masters  over  10 years ago and I haven'=tudied this much
   since
   then).
   I  have  Freida  L.  Carson's  =d Edition book -- quite daunting to
   memorize --
   but  the  outline ASCP=s provided for study seems to be helpful. Do
   you
   have any other bo=/study aid suggestions?
   Thank you in advance for your input an�dvice!
   C.A.
   --
   Message: 2
   Date: Mon, 19 May 2014 17:46:47 +
   From: Esther=eters [8]epete...@gmu.edu
   Subject: RE: [Histonet] HTL ce=ification
   To: Cecy Stan [9]cecysta...@gmail.com,
   =9[10]histonet@lists.utsouthwestern.edu
[11]histonet@lists.utsouthwestern.edu
   Me=age-ID: [12]1400521609188.54...@gmu.edu
   Content-=pe: text/plain; charset=iso-8859-1
   Hi C.A.,
   I  don't have the HT or HTL, but from my college teaching experiencein  
histology  and  histotechniques, I just wanted to caution you that
   memoriz=g  is not what you should be doing. You need to understand
   concepts, so th= when you need to troubleshoot problems you will be
   able to think through=ings, rule some things out, and make sense of
   the situation. I see this =l the time with my students, they forget
   things  they  memorize,  but then t=y finally understand things and
   can  figure  things  out.  One  of  the new tea=ing tools is having
   students  prepare  concept maps, to see the=lationships of topics
   and  terms,  and  these  linkages  will help you in the=ng run. For
   histology examples, see:
   [13]http://www.biologycorner.com/anatomy/tissues/tissue_conce   
pt_map_samples.html
   I don't know of any concept maps for his=technology on the web, but
   I am going to add this to my course next year!   Esther
   Esther C. Peters, Ph.D.
   Assistant Profes=r
   Environmental Science  Policy
   

RE: [Histonet] HTL

[Weems, Joyce K.]

My story - I finished my degree late in my career and just wanted to take the 
registry to see how it was -  then I was going to know how to study. I didn't 
spend much time studying - just brushing up as I took it soon after I graduated 
and had been doing thesis type reports, etc. I got to the exam - I had to go 
100 mi to Knoxville from Kingsport, TN  - and they had scheduled me for the 
wrong day and had all the nursing students there taking their Boards. They told 
me I could stay and wait till a computer was available - I did. I had taken  
those books with me, and reviewed as I sat there -  learned all kinds of things 
I used on the test! I passed and didn't have to take it again. It was a 
miracle!! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
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regarding the error in a separate email. 


-Original Message-
From: Campbell, Tasha M. [mailto:tmcampb...@fmh.org] 
Sent: Wednesday, May 21, 2014 9:48 AM
To: Weems, Joyce K.; mad...@verizon.net; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] HTL

Definitely the booklets from NSH.  Probably the most important, I think.

 
 
 
Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144 (w)
304-685-9307 (c)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K.
Sent: Wednesday, May 21, 2014 8:26 AM
To: 'mad...@verizon.net'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] HTL

Also the booklets from NSH ..

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph’s 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
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intended recipient, please delete this message, and reply to the sender 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
mad...@verizon.net
Sent: Wednesday, May 21, 2014 6:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] HTL


   nb=;WHen  I  took  mine  i did both parts. for the written carson
   cover  to cover=d the thick bancroft and stevens(sp?) 2 times cover
   to cover.



   Nick(Rocky) Madar= HT/HTL(ASCP)QIHC
   Joni Madary, PhD(in life)

   =v style=border-top:1px solid #bcbcbc;margin:5px 0px;

   On 05/20/14, hist=et-requ...@lists.utsouthwestern.edu wrote:




   Send Histonet =iling list submissions to
[1]histonet@lists.utsout=estern.edu
   To subscribe or unsubscribe via the World Wide =b, visit
[2]http://lists.utsouthwe=ern.edu/mailman/listinfo/histonet
   or, via email, send a message =th subject or body 'help' to
[3]histonet-r=u...@lists.utsouthwestern.edu
   You can reach the person man=ing the list at
[4]histonet-ow...@lists.utso=hwestern.edu
   When replying, please edit your Subject line = it is more specific
   than Re: Contents of Histonet digest...q=t;
   Today's Topics:
   1. HTL certification (C y Stan)
   2. RE: HTL certification (Esther C Peters)
   3. pos=ive control indoleamine 2-3 dioxygenase
   (Pathology-Histology S= Supervisor)
   4.  immunohistochemisty  coding (Michael LaFriniere) 5. antibody vials
   (Clare Thornton)
   6. RE: antibody vials (Mu=hy, Valerie)
   7. HELP- Cryosectioning FAT! (Balasubbramanian, Daks=apriya)
   8. new processor (anita)
   9. RE: antibody vials (A=e Murvosh)
   10. Re: HELP- Cryosectioning FAT! (Balasubbramanian, Da=hnapriya)
   11. Re: HELP- Cryosectioning FAT! (Balasubbramanian, Dak=napriya)
   ---   ---
   Message: 1
   Date: Mon, 19 May 2014 1=32:36 -0500
   From: Cecy Stan [5]cecysta...@gmail.com
   Subject: [Histonet] HTL certification
   To: [6]histone=lists.utsouthwestern.edu
   Message-ID:
CACh=0wgaaEfV   
DFmsuB-Jw8OKo=LKUP[7]apgujjkoeagjazasx...@mail.gmail.com=
   Content-Type: text/plain; charset=UTF-8
   Hello ev=yone,
   I'm starting to prepare for my HTL certification (I am v=y nervous
   and anxious but also very excited about this decision to g

[Histonet] RE: Billing

[Weems, Joyce K.]

No - one G0461.

If you had AE1/AE3, Melan A, S100 you would charge G0461 x 1 and G0462 x 2. j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
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intended recipient, please delete this message, and reply to the sender 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
sarah.dys...@stdavids.com
Sent: Monday, May 19, 2014 12:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Billing

When it comes to the medicare codes...question...

So you have one specimen that has 10 blocks.
AE1/AE3 is ordered on all 10 blocks.
Can you bill AE1/AE3 1st Antibody once (G0461), then AE1/AE3 Additional (G0462) 
nine times?

Thanks,

Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's 
North Austin Medical Center
12221 North Mopac Expressway
Austin, Texas  78758
(512)901-1220

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[Histonet] RE: ihc billing

[Weems, Joyce K.]

The G codes are for Medicare/Medicaid. G0461 -  the first and G0462 - each 
additional per SPECIMEN.

88342 is per BLOCK. And you understand 88343...

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hutton, Allison
Sent: Thursday, May 08, 2014 2:21 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] ihc billing

Would anybody be able to shed some light on the 2014 updated IHC billing.  I 
understand the 88342 and 88343 codes but am looking for some clarification on 
the G0461 and G0462 codes.  Do these pertain to multiple antibodies on one 
slide as the 88343 does or is the G0461 for the 1st antibody and G0462 for all 
remaining antibodies performed for one specimen site?
Thank you in advance
Allison

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[Histonet] ISH

[Weems, Joyce K.]

We are having sporadic issues with kappa and lambda ISH on our bone marrows. 
What effect does EDTA have on ISH? The same as decal?

Thanks for your help! j


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.orgmailto:joyce.we...@emoryhealthcare.org


www.saintjosephsatlanta.orghttp://www.saintjosephsatlanta.org/
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.




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RE: [Histonet] Re: Negative Controls

[Weems, Joyce K.]

So do we

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A
Sent: Wednesday, April 30, 2014 8:35 AM
To: 'Campbell, Tasha M.'; Terri Braud; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Negative Controls

Tasha,

We use the negative elements within our patient sample as our negative tissue 
control.

Linda A. Sebree
University of Wisconsin Hospital  Clinics IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Campbell, Tasha 
M.
Sent: Wednesday, April 30, 2014 6:48 AM
To: Terri Braud; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Negative Controls

So this has confused me more. So before you would run a negative control for 
each block you were testing and you would use the negative mouse or rabbit 
reagent.  Now you don't have to do that but you still need a negative tissue 
control.  So what exactly does this mean?  Does it mean for every antibody that 
you are running you need to have a negative tissue control for it?  So instead 
of using the negative mouse serum you would run a known negative tissue control 
with the antibody, say CD3 or whatever it is?  So are most people doing a 
control slide with a negative tissue and a positive tissue on it?



Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144 (w)
304-685-9307 (c)
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Terri Braud
Sent: Tuesday, April 29, 2014 1:30 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Negative Controls

On Message 7 - Negative Controls
While it is true that if you run polymers, you no longer have to run a negative 
reagent control, HOWEVER, you still must have a negative tissue control, which 
to quote CAP: must  show no staining of tissues known to lack the antigen
Any of the following can serve as a negative tissue control:
1. Multi tissue blocks.  These can provide simultaneous positive and negative 
tissue controls and are considered best practice...
The type of negative tissue control used (i.e. separate sections, internal 
controls, or multitissue blocks) must be specified in the laboratory manual.
Thus sayeth CAP, the almighty.  Please see ANP.22570 Our lab has defined our 
negative controls as a piece of Uterus as the negative tissue in a multitissue 
block as a negative tissue control for most of our antibodies, though for a few 
that might be too reactive in uterus, we use a piece of skin.
I hope this helps.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Holy Redeemer Hospital Laboratory
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3676
Fax: 215-938-3874

Message: 7
From: Beth Brinegar bbrinegar...@gmail.com
Subject: [Histonet] Negative controls
Hello fellow histonetters,

What is are other labs doing to satisfy the ANP.22570 QC - Antibodies 
Appropriate negative controls are used.



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RE: [Histonet] Negative controls

[Weems, Joyce K.]

This is what I put in my procedure shortly after Richard sent his email. There 
wasn't a problem at inspection.

Following his announcement at NSH/ISH Forum in Windsor, CT, Dr. Richard 
Carten sent an email to Histonet on July 17, 2102, regarding CAP guidelines for 
negative controls. The checklist will be changed to reflect that
negative controls will no longer be required for polymer based procedures. The 
new wording contains the following statement:
“Immunohistochemical tests using polymer-based systems (biotin-free) 
are sufficiently free of background reactivity to obviate the need for a 
negative reagent control and such controls may be omitted at the  discretion of 
the laboratory director”. Dr. Stargel has approved the discontinuation of 
negative controls as of July 20, 2012.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Brinegar
Sent: Monday, April 28, 2014 5:56 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Negative controls

Hello fellow histonetters,

What is are other labs doing to satisfy the ANP.22570 QC - Antibodies 
Appropriate negative controls are used.

I apologize, I know this question has been asked before.  I'm trying to satisfy 
these requirements in one procedure.

Thank you all for your assistance!!

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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[Histonet] PAM4 Antibody

[Weems, Joyce K.]

Hello Everybody,

Does anyone do this ab? If so, where do you get it?

TIA  - have a great weekend! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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intended recipient, please delete this message, and reply to the sender 
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RE: [Histonet] GI Biopsies

[Weems, Joyce K.]

We do 3 levels on one slide.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
imhype...@aol.com
Sent: Thursday, March 13, 2014 2:30 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] GI Biopsies


Good afternoon all,
 I was just curious about how your institutions handle GI biopsies, 
specifically how many slides you cut off the bat.  We presently cut 2 levels on 
each GI biopsy block, but I'm hearing that more and more places only cut 1 
slide per GI biopsy block.  Please share what you are doing at your 
establishment.
Thank you
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[Histonet] RE: 88342 - again

[Weems, Joyce K.]

Our pathologists have learned that on the professional side some private 
carriers are billing for only one even if there are multiples on the same 
specimen. (United specifically)

They have also learned that Medicare will not pay for multiples unless they are 
on separate lines.
e.g. if 10 IHC on one specimen and you bill
G0461 x 1
G0462 x 9
Medicare will reimburse for 2 immunos.
You must have G0462 on 9 separate lines.

I have not been able to find out how the hospital is being reimbursed yet.



Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Blazek, Linda
Sent: Tuesday, March 04, 2014 7:51 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] 88342 - again

Good morning,

Has anyone seen or know anything yet as to how insurances are paying for 
multiple 88342's on a case for non-Medicare patients?  It seems as though no 
one yet is sure what is going on.
Thanks,
Linda

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[Histonet] RE: End time for fixation of breast tissue

[Weems, Joyce K.]

We have the nurses put the time the breast is placed in formalin on the 
requisition as well as the time it is removed from the body. Cold ischemic time 
must be documented as well. This is important when the tissue goes for xray and 
is not immediately placed in formalin. Also, the limit for time in formalin is 
72 hours, so you need to document  - even if more than 72 hours.

Happy Monday!! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Friday, February 14, 2014 3:40 PM
To: 'Glenn Hauck'
Cc: Histonet
Subject: [Histonet] RE: End time for fixation of breast tissue

Glenn, You do need to show it was in formalin for at least 6 hours. we work 
backwards from the time on the processor that the tissue leaves the formalin. 
For us 3pm is the cutoff for breast tissue to get 6 hours fixation.

Tim Morken
Supervisor, Electron Microscopy and Neuromuscular Special Studies UC San 
Francisco Medical Center San Francisco, CA


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Glenn Hauck
Sent: Friday, February 14, 2014 12:18 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] End time for fixation of breast tissue

Is there someone out there that can help me find out if there is any value in 
recording the end time for fixation of breast tissue in 10% formalin?

We at present record the devitalization time, the time tissue is put into 
fixative and the time the tissue is cut into and exposed to 10% formalin as 
well as the time the processor is started

Thanks


Glenn Hauck
Charge Tecnologist
Pathology
QueenElizabeth II Hospital
Grande Prairie, AB T8V 2E8

780-538-7429 Work Main
780-538-7184 Work Office
glenn.ha...@albertahealthservices.ca




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[Histonet] RE: TAT for Transplant Biopsies

[Weems, Joyce K.]

11:30 for our hearts

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Thursday, January 09, 2014 7:47 PM
To: Histonet
Subject: [Histonet] TAT for Transplant Biopsies

For those of you seeing biopsies of transplant kidney, liver, and heart, what 
is your cut-off time for accepting a specimen for same-day processing?  Do any 
of you handle specimens at night, weekends, or holidays?  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) 972-1596 Office

(860) 545-2204 Fax

richard.car...@hhchealth.orgmailto:richard.car...@hhchealth.org

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RE: [Histonet] Histology and hip replacement

[Weems, Joyce K.]

I would suggest that if you have a table (or can open a drawer and put a tray 
or board on it), put your water bath beside you. Then you wouldn't need to 
push off. Maybe that would be a solution?

Best wishes for a speedy and complete recovery! j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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5665 Peachtree Dunwoody Road
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
fredandlaura...@sbcglobal.net
Sent: Friday, January 10, 2014 11:53 AM
To: Sherwood, Margaret
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Histology and hip replacement

Thanks Peggy,

  I've heard many positive accounts and they help me maintain a positive 
attitude.  My main restrictions, for a few months are; no crossing of legs, no 
turning of feet or knees inward, and no bending at the hip past 90 degrees.  
Also, items need to be located between my legs before lifting.  One of my 
concerns is the ability to move between microtome and water bath, while 
sitting, without violating those restrictions.  I may need to get creative in 
the layout of the lab.
 On a positive note, the Leica RM2255 we purchased earlier in the year, 
helped alleviate my repetitive motion problems.  Thank you Histonetters for 
helping me with that selection.  I apologize for being so long winded.  I guess 
spending the days locked inside, interacting only with a couple snoring 
dachshunds, might be taking it's toll.

Fred

Sent from my iPad

 On Jan 9, 2014, at 3:36 PM, Sherwood, Margaret msherw...@mgh.harvard.edu 
 wrote:

 I've had 2 hip replacements; facing having the cup replaced on the first one 
 (20 years since replaced).  I have had no issues, ergonomically or otherwise. 
  It made a world of difference in the quality of my life.

 Good luck!




 Peggy Sherwood
 Research Specialist, Photopathology
 Wellman Center for Photomedicine (EDR 214) Massachusetts General
 Hospital
 50 Blossom Street
 Boston, MA 02114-2696
 617-724-4839 (voice mail)
 617-726-6983 (lab)
 617-726-1206 (fax)
 msherw...@partners.org

 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
 fredandlaura...@sbcglobal.net
 Sent: Thursday, January 09, 2014 2:51 PM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] Histology and hip replacement

 Happy New Year out there in Histoland,

 Here in Dayton Ohio, we're coming out of the deep freezer back into the 
 refrigerator.  I just had hip replacement surgery.  Beats some ball dropping 
 on Times Square, right?  I'm a one person lab, and am looking for some input 
 on issues I'll be dealing with when I get back to work.  Ergonomics, etc.

 Thanks in advance,
 Fred

 Sent from my iPad
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RE: [Histonet] New code 88343

[Weems, Joyce K.]

Does everyone charge non-Medicare per block or per specimen?

Thanks, j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
rmweber...@comcast.net
Sent: Tuesday, January 07, 2014 1:56 PM
To: histonet
Subject: Fwd: [Histonet] New code 88343



- Forwarded Message -
From: Joe W. Walker, Jr. joewal...@rrmc.org
To: Paula Lucas plu...@biopath.org, histonet@lists.utsouthwestern.edu
Sent: Wednesday, December 18, 2013 4:15:39 PM
Subject: RE: [Histonet] New code 88343

Yes, this appears to be correct.  Excerpted from Dennis Padget:

AMA prescribes codes 88342 and 88343 for qualitative IHC:
The AMA's CPT-2014 codebook offers two codes for reporting with qualitative 
immunohistochemistry (IHC) testing. The codes and official parenthetical 
instructions for their use starting Jan. 1 are as follows:
88342  Immunohistochemistry or immunocytochemistry, each separately 
identifiable antibody per block, cytologic preparation, or hematologic smear; 
first separately identifiable antibody per slide
(Do not report 88342 in conjunction with 88360 or 88361 for the 
same antibody)
(For quantitative or semi-quantitative immunohistochemistry, see 
88360, 88361)
88343 each additional separately identifiable antibody per slide (List 
separately in addition to code for primary procedure)
  (Use 88343 in conjunction with 88342)
  (When multiple antibodies are applied to the same slide, use one unit of 
88342 for the first separately identifiable antibody and one unit of 88343 for 
each additional identifiable antibody)

CMS prescribes codes G0461 and G0462 for qualitative IHC:
CMS will not accept CPT code 88342 or 88343 on a claim effective with dates of 
service on and after Jan. 1, 2014: Those two codes are not valid for Medicare 
purposes and will be summarily denied if billed. To report a professional, 
technical or global charge for qualitative immunohistochemistry (IHC) testing 
for a Medicare beneficiary on and after Jan. 1, 2014, you must use the 
applicable HCPCS Level II code as follows:
G0461 Immunohistochemistry or immunocytochemistry, per specimen; first single 
or multiplex antibody stain
G0462   each additional single or multiplex antibody stain (List separately 
in addition to code for primary procedure) Codes G0461 and G0462 have 26 and TC 
modifier lines in the 2014 physician fee schedule, so you'll bill them using 
the modifier (or no modifier, if entitled to bill the global service) that 
applies to your practice and any given Medicare beneficiary claim.
CMS prescribes that you continue to bill for qualitative IHC testing 'per 
specimen' as you have since Jan. 1, 2012. Furthermore, you'll continue to bill 
for quantitative IHC testing 'per specimen' using CPT codes 88360 and 88361 
just as you do today and have done since Jan. 1, 2012.

Hope this helps.  We are still working through how we are going to accomplish 
this in our LIS,

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

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

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


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Lucas
Sent: Tuesday, December 17, 2013 2:46 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New code 88343

Hello,



Can someone shed some light for me on this new code for IHC?  I think the code 
refers to double stain antibodies?

Thanks in advance

: )
Paula Lucas

Lab Manager

Bio-Path Medical Group

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RE: [Histonet] Hot Topic Medicare Code

[Weems, Joyce K.]

And is the issues with double/triple stains resolved? Are the double codes for 
these only or for multiple blocks on the same specimen?



Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mary Ann 
Deathridge
Sent: Thursday, January 02, 2014 5:34 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Hot Topic Medicare Code



HAPPY NEW YEAR HISTONETTERS!

Ok, so here is a question for 2014 coders.How do you code ( or should I
say get to code) a doublestain for Medicare and for non-medicare?

G0461 and G0462 (Medicare) and 88342 and 88343 for non-medicare. Can you charge 
for both antibodies in the doublestain or do you only charge one code and eat 
the second antibody on the same slide.



Thanks for replies in advance.

Maryann Deathridge, BS, HT (ASCP)

Lab Manager

Pathology Assoc.. of St. Thomas

615-298-4100, Fax: 615-298-4141



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[Histonet] RE: Histology program/school?

[Weems, Joyce K.]

Darton College in Albany has an online associates program. I would start there.

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Michelle 
Lamphere
Sent: Tuesday, December 31, 2013 8:50 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Histology program/school?

Are there any histology programs or school in the Atlanta, GA area?  If not, 
what would be a good place to start (in Atlanta) for somebody who wants to 
become a histotech?



Michelle Lamphere, HT(ASCP)
Lead Tech, Histology
Department of Anatomic Pathology
1935 Medical District Dr.
Dallas, TX  75235
214.456.2318

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[Histonet] Annexin A1

[Weems, Joyce K.]

Does anyone do this IHC stain?


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.orgmailto:joyce.we...@emoryhealthcare.org

www.saintjosephsatlanta.orghttp://www.saintjosephsatlanta.org/
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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[Histonet] RE: Annexin A1

[Weems, Joyce K.]

Have an answer, folks.. thanks!

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K.
Sent: Monday, December 30, 2013 12:53 PM
To: Histonet
Subject: [Histonet] Annexin A1

Does anyone do this IHC stain?


Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.orgmailto:joyce.we...@emoryhealthcare.org

www.saintjosephsatlanta.orghttp://www.saintjosephsatlanta.org/
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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