Re: [Histonet] Incomplete cross sections of all tissue in blocks

2020-03-05 Thread Bob Richmond via Histonet
Steve A. McClain, MD at McClain Labs in Smithtown NY notes:

>>...to avoid incomplete sectioning...: ink the specimens well, using
acetic acid (vinegar) to fix the ink, thereby making the ink easier to see
in the block.<<

I don't like ink for this purpose, because it clutters up the microscopic
section and interferes with photography. Better to use safranin O for this
purpose (not fluorescent like eosin Y) - it isn't visible in the sections.
The safranin solution used as a counterstain in the microbiology
department's Gram stain works quite well.

When I requested recuts for any reason, I'd always fetch the paraffin block
myself and examine it. Saved many surprises.

Bob Richmond
Samurai Pathologist
Maryville TN
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Re: [Histonet] Incomplete cross sections of all tissue in blocks

2020-03-03 Thread John Garratt via Histonet
I suggest that each histotech is responsible for the blocks they cut and they 
cut the deepers on the their own blocks when they are requested. With feedback 
on the reason for the deeper from the pathologists they (the techs) will become 
more confident and learn how deep to cut.

John

On Tue, Mar 3, 2020 at 7:31 AM, Amy Self via Histonet 
 wrote:

> Good Morning HistoNetters,
>
> I am reaching out to the histonet in hopes to get some suggestions from you 
> on how to handle incomplete cross-sections of tissue in blocks. We are a 
> small lab so this has not been an issue in the past but now that we are 
> growing and our staff has increased I am getting feed-back from pathologist 
> that the sections of tissue are not complete. They are asking for too many 
> deepers that possibly could be avoided if it was cut deep enough to begin 
> with. I have been given some managerial type duties โ€“ which I donโ€™t like 
> cause I know nothing about managing people and I need to approach this but I 
> need to approach this issue correctly. Do you have the histotech compare 
> his/her cut slides to the block to make sure that a complete cross-section is 
> obtained and is this documented somehow? Any and all suggestions I need.
>
> Thanks in advance for your help and as always you all rock.. ๐Ÿ˜Š
>
> Amy Self
> Histology Lab Senior Tech
> Lab
> Tidelands Georgetown Memorial Hospital
> 606 Black River Road
> Georgetown, SC 29440
> (843) 520-8711
> as...@tidelandshealth.org
> Our mission: We help people live better lives through better health.
>
> NOTE:
> The information contained in this message may be privileged, confidential and 
> protected from disclosure. If the reader of this message is not the intended 
> recipient, or an employee or agent responsible for delivering this message to 
> the intended recipient, you are hereby notified that any dissemination, 
> distribution or copying of this communication is strictly prohibited. If you 
> have received this communication in error, please notify us immediately by 
> replying to this message and deleting it from your computer.
> Thank you.
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[Histonet] Incomplete cross sections of all tissue in blocks

2020-03-03 Thread Amy Self via Histonet
Good Morning HistoNetters,

I am reaching out to the histonet in hopes to get some suggestions from you on 
how to handle incomplete cross-sections of tissue in blocks. We are a small lab 
so this has not been an issue in the past but now that we are growing and our 
staff has increased I am getting feed-back from pathologist that the sections 
of tissue are not complete. They are asking for too many deepers that possibly 
could be avoided if it was cut deep enough to begin with. I have been given 
some managerial type duties โ€“ which I donโ€™t like cause I know nothing about 
managing people and I need to approach this but I need to approach this issue 
correctly.  Do you have the histotech compare his/her cut slides to the block 
to make sure that a complete cross-section is obtained and is this documented 
somehow?  Any and all suggestions I need.

Thanks in advance for your help and as always you all rock.. ๐Ÿ˜Š

Amy Self
Histology Lab Senior Tech
Lab
Tidelands Georgetown Memorial Hospital
606 Black River Road
Georgetown, SC 29440
(843) 520-8711
as...@tidelandshealth.org
Our mission:  We help people live better lives through better health.


NOTE:
The information contained in this message may be privileged, confidential and 
protected from disclosure. If the reader of this message is not the intended 
recipient, or an employee or agent responsible for delivering this message to 
the intended recipient, you are hereby notified that any dissemination, 
distribution or copying of this communication is strictly prohibited. If you 
have received this communication in error, please notify us immediately by 
replying to this message and deleting it from your computer.
Thank you.
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