[Histonet] RE: Wrinkles in whole bone mouse tibias

2012-04-14 Thread Machin, Leisha E
Dear Nancy,

Just wanted to add that you should face into the block before the soak in the 
water bath and transfer to ice-water.  This method gave me about 15 good 
sections before needing to repeat the process.  Again, best of luck!

Leisha Machin
Aab Cardiovascular Research Institute
University of Rochester


"The capacity to blunder slightly is the real marvel of DNA.  Without this 
special attribute, we would still be anaerobic bacteria and there would be no 
music."  ~Lewis Thomas

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
histonet-requ...@lists.utsouthwestern.edu 
[histonet-requ...@lists.utsouthwestern.edu]
Sent: Saturday, April 14, 2012 1:01 PM
To: histonet@lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 101, Issue 19

Send Histonet mailing list submissions to
histonet@lists.utsouthwestern.edu

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
or, via email, send a message with subject or body 'help' to
histonet-requ...@lists.utsouthwestern.edu

You can reach the person managing the list at
histonet-ow...@lists.utsouthwestern.edu

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Histonet digest..."


Today's Topics:

   1. Re: Wrinkles in whole bone mouse tibias (Machin, Leisha E)
   2. RE: New Reagent Lot Verification (Rathborne, Toni)
   3. RE: Wrinkles in whole bone mouse tibias (Meghana Bapardekar)
   4. "know error system" prostate biopsies (Robert Jann)
   5. RE: "know error system" - prostate biopsies (Cynthia Pyse)
   6. Unsubscribtion. (Kaz)
   7. Diane Tokugawa/CA/KAIPERM is out of the office.
  (diane.tokug...@kp.org)
   8. RE: New Reagent Lot Verification (tahs...@brain.net.pk)


--

Message: 1
Date: Fri, 13 Apr 2012 14:24:46 -0400
From: "Machin, Leisha E" 
Subject: [Histonet] Re: Wrinkles in whole bone mouse tibias
To: "histonet@lists.utsouthwestern.edu"

Message-ID:
<7c06700a9c2da240a61046b23f5e84d2303e7...@urmcms3.urmc-sh.rochester.edu>

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

Dear Nancy,

I had your mouse tibia problem last year; the marrow consistently folded up 
accordion-style.  I believe the problem was solved by placing the block in the 
water bath (for less than a minute) then into an ice-water slurry for about 3 
minutes.

Hope this help - best of luck!

Leisha Machin



"The capacity to blunder slightly is the real marvel of DNA.  Without this 
special attribute, we would still be anaerobic bacteria and there would be no 
music."  ~Lewis Thomas

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
histonet-requ...@lists.utsouthwestern.edu 
[histonet-requ...@lists.utsouthwestern.edu]
Sent: Friday, April 13, 2012 1:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 101, Issue 18

Send Histonet mailing list submissions to
histonet@lists.utsouthwestern.edu

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
or, via email, send a message with subject or body 'help' to
histonet-requ...@lists.utsouthwestern.edu

You can reach the person managing the list at
histonet-ow...@lists.utsouthwestern.edu

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Histonet digest..."


Today's Topics:

   1. ACMS  perspective on Aetna's new requirments. (Nicole Tatum)
   2. Prepared STD slides? (Jon Krupp)
   3. HistoTALK at the Region III Meeting (David Kemler)
   4. Competency assesment forms for Pathologists (Sheila Adey)
   5. Re: Prepared STD slides? (Kim Donadio)
   6. Re: Prepared STD slides? (Lee & Peggy Wenk)
   7. "know error system" - prostate biopsies (Richard Cartun)
   8. RE: "know error system" - prostate biopsies (Lester Raff MD)
   9. Formalin asfety question (O'Donnell, Bill)
  10. Wrinkles in whole bone mouse tibias (nancy lowen)
  11. RE: "know error system" - prostate biopsies (Heath, Nancy L.)
  12. RE: Formalin asfety question (O'Donnell, Bill)
  13. RE: New Reagent Lot Verification (Settembre, Dana)
  14. Re: Wrinkles in whole bone mouse tibias (Louise Renton)


--

Message: 1
Date: Thu, 12 Apr 2012 13:32:30 -0400 (EDT)
From: "Nicole Tatum" 
Subject: [Histonet] ACMS  perspective on Aetna's new requirments.
To: histonet@lists.utsouthwestern.edu
Message-ID:
<2628.208.62.167.196.1334251950.squir...@webmail.realpages.com>
C

[Histonet] RE: Wrinkles in whole bone mouse tibias

2012-04-13 Thread Meghana Bapardekar
Yes it should work, placing the block in the water bath (for less than a 
minute) then into an ice-water slurry for about 3 minutes as we experienced 
with similar samples. Hope this helps! 

Meghana V. Bapardekar, Ph. D.,
Dept. of Histopathology,
Cleveland Biolabs, 73 High Street,
Buffalo, NY - 14203.
Phone: 716-849-6810, ext.: 357
Fax: 716-849-6817

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Machin, Leisha E
Sent: Friday, April 13, 2012 2:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Wrinkles in whole bone mouse tibias

Dear Nancy,

I had your mouse tibia problem last year; the marrow consistently folded up 
accordion-style.  I believe the problem was solved by placing the block in the 
water bath (for less than a minute) then into an ice-water slurry for about 3 
minutes.

Hope this help - best of luck!

Leisha Machin


 


This communication may contain privileged information.  It is intended solely 
for the use of the addressee.  If you are not the intended recipient, you are 
strictly prohibited from disclosing, copying, distributing or using any of this 
information.  If you received this communication in error, please contact the 
sender immediately and destroy the material in its entirety, whether electronic 
or hard copy.  This communication may contain nonpublic information about 
individuals and businesses subject to the restrictions of the 
Gramm-Leach-Bliley Act.  You may not directly or indirectly reuse or redisclose 
such information for any purpose other than to provide the services for which 
you are receiving the information.

___
Histonet mailing list
Histonet@lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet


[Histonet] Re: Wrinkles in whole bone mouse tibias

2012-04-13 Thread Machin, Leisha E
Dear Nancy,

I had your mouse tibia problem last year; the marrow consistently folded up 
accordion-style.  I believe the problem was solved by placing the block in the 
water bath (for less than a minute) then into an ice-water slurry for about 3 
minutes.

Hope this help - best of luck!

Leisha Machin



"The capacity to blunder slightly is the real marvel of DNA.  Without this 
special attribute, we would still be anaerobic bacteria and there would be no 
music."  ~Lewis Thomas

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
histonet-requ...@lists.utsouthwestern.edu 
[histonet-requ...@lists.utsouthwestern.edu]
Sent: Friday, April 13, 2012 1:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 101, Issue 18

Send Histonet mailing list submissions to
histonet@lists.utsouthwestern.edu

To subscribe or unsubscribe via the World Wide Web, visit
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
or, via email, send a message with subject or body 'help' to
histonet-requ...@lists.utsouthwestern.edu

You can reach the person managing the list at
histonet-ow...@lists.utsouthwestern.edu

When replying, please edit your Subject line so it is more specific
than "Re: Contents of Histonet digest..."


Today's Topics:

   1. ACMS  perspective on Aetna's new requirments. (Nicole Tatum)
   2. Prepared STD slides? (Jon Krupp)
   3. HistoTALK at the Region III Meeting (David Kemler)
   4. Competency assesment forms for Pathologists (Sheila Adey)
   5. Re: Prepared STD slides? (Kim Donadio)
   6. Re: Prepared STD slides? (Lee & Peggy Wenk)
   7. "know error system" - prostate biopsies (Richard Cartun)
   8. RE: "know error system" - prostate biopsies (Lester Raff MD)
   9. Formalin asfety question (O'Donnell, Bill)
  10. Wrinkles in whole bone mouse tibias (nancy lowen)
  11. RE: "know error system" - prostate biopsies (Heath, Nancy L.)
  12. RE: Formalin asfety question (O'Donnell, Bill)
  13. RE: New Reagent Lot Verification (Settembre, Dana)
  14. Re: Wrinkles in whole bone mouse tibias (Louise Renton)


--

Message: 1
Date: Thu, 12 Apr 2012 13:32:30 -0400 (EDT)
From: "Nicole Tatum" 
Subject: [Histonet] ACMS  perspective on Aetna's new requirments.
To: histonet@lists.utsouthwestern.edu
Message-ID:
<2628.208.62.167.196.1334251950.squir...@webmail.realpages.com>
Content-Type: text/plain;charset=iso-8859-1

This is a letter From the American College of Mohs Surgery in reguards to
Aetna letter for CAP requiremnet.


April 5, 2012

I read your letter of March 23, 2012, outlining Aetna?s new requirement
for CLIA and CAP certification for certain pathology services with dismay.
I am very concerned these requirements could lead to lower cure rates,
increased tissue loss and scarring, and even unnecessary deaths in your
patients with problem skin cancer with Aetna insurance.

CAP certification will be almost impossible to achieve for small Mohs
Micrographic surgery frozen section laboratories. These labs can only be
CAP certified if directed by an anatomic pathologist or
dermatopathologist. Mohs surgeons, who have extensive additional training
in pathology, and training to run their laboratories, do not fit into
either niche. Mohs surgeons deal with the most difficult and recurrent
skin cancers.

Please find attached a copy of the CPT coding assistant from 2008
describing Mohs surgery, and detailing what services are included in it.
With your new restrictions, immunohistochemistry (CPT code 88342) cannot be
billed with Mohs surgery for malignant melanoma and spindle cell tumors.

This will restrict the use of Mart 1 immuno stains and other special
cytokeratin stains. This will result in lower cure rates and an increased
number of deaths. These stains on additional frozen sections are not part
of Mohs surgery, and are appropriately billed for separately.
In addition, Mohs surgeons will not be able to bill for the occasional
special stains on frozen sections (CPT code 8814) such as oil red O on a
sebaceous carcinoma, or toluidine blue (in addition to the hematoxylin and
Eosin stained frozen sections) to clarify an area of inflammation.
Performing these special stains on ambiguous frozen sections often saves
the patient additional surgery and tissue loss, and saves
Aetna money, because another stage of Mohs surgery is avoided. These
additional stains are not part of the Mohs surgery and are appropriately
billed for separately.

Denial of these CPT codes may result in more tissue being removed
unnecessarily, lower cure rates, higher recurrence rates, and potentially
deaths.

Quality control of the frozen section laboratory is crucial, and mandatory
for CAP lab approval. This quality control involves processing of
?confirming? formalin sections off the frozen blocks of tissue is commonly
performed in Mo