Re: [Histonet] Re: Number of blocks
I would say also bad management in my opinion. Sent from my Verizon Wireless 4G LTE Smartphone - Reply message - From: "joelle weaver" To: , Subject: [Histonet] Re: Number of blocks Date: Fri, Oct 26, 2012 2:03 am It can definately be a sad situation. I know you are correct in your description in many cases. I wish I knew what I could personally do to impact this. Joelle Weaver MAOM, HTL (ASCP) QIHC > Date: Fri, 26 Oct 2012 00:00:46 -0400 > From: rsrichm...@gmail.com > To: histonet@lists.utsouthwestern.edu > Subject: [Histonet] Re: Number of blocks > > As I asked before, do your pathologists have any input into any of this? > > About embedding: I heard of a recently trained pathologist who, asked > about an embedding problem, replied, "What's embedding?" > > We spend thousands of dollars on a bronchoscopy or an EGD to get a > tiny bit of tissue that contains a life-changing diagnosis. The > specimen comes to the pathology lab and is grossed by a prosector who > isn't allowed an embedding sheet. The embedder has no idea how many > bits of tissue to look for. Then the microtomist is expected to cut 50 > blocks an hour. Then the pathologist has to make a diagnosis on a > venetian-blind section. > > Good Management I'm sure. Bad medicine. > > Bob Richmond > Samurai Pathologist > Maryville TN > > ___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Re: Number of blocks
Granted, I am in research, and my boss IS a pathologist and does know how to embed...if I got that reaction from a pathologist, I'd make him come in and embed, cut, etc. rank be damned. You need to know what is going on with the slides you're diagnosing. If a pathology resident/pathologist over at UMDNJ wanted to learn, I'd teach him/her, no questions asked. In fact, we have taught the Rutgers veterinarians here-invited them to sit in on our Toxicological Pathology class, both lecture and lab sections, slide reading, etc. and they made the time to do it. It's a necessity, the way I see it. Kathleen Roberts Principal Lab Technician Neurotoxicology Labs Molecular Pathology Facility Core Dept of Pharmacology & Toxicology Rutgers, the State University of NJ 41 B Gordon Road Piscataway, NJ 08854 (848) 445-1443 FAX (732) 445-6905 > As I asked before, do your pathologists have any input into any of this? > > About embedding: I heard of a recently trained pathologist who, asked > about an embedding problem, replied, "What's embedding?" > > We spend thousands of dollars on a bronchoscopy or an EGD to get a > tiny bit of tissue that contains a life-changing diagnosis. The > specimen comes to the pathology lab and is grossed by a prosector who > isn't allowed an embedding sheet. The embedder has no idea how many > bits of tissue to look for. Then the microtomist is expected to cut 50 > blocks an hour. Then the pathologist has to make a diagnosis on a > venetian-blind section. > > Good Management I'm sure. Bad medicine. > > Bob Richmond > Samurai Pathologist > Maryville TN > > ___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet > ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Re: Number of blocks
Yes, they would prefer quality cut sections over speed. They would rather wait for the slides than get junk. I do most of the final QA on the slides and will order any recuts for quality. It's a team approach to quality and when an issue does rise up, it's a group discussion on how to avoid it in the future instead of some of the finger pointing I have seen happen at other places. We are not perfect, but we are a good team. Tom Podawiltz HT (ASCP) Histology Section Head/Laboratory Safety Officer. LRGHealthcare -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond Sent: Friday, October 26, 2012 12:01 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Re: Number of blocks As I asked before, do your pathologists have any input into any of this? About embedding: I heard of a recently trained pathologist who, asked about an embedding problem, replied, "What's embedding?" We spend thousands of dollars on a bronchoscopy or an EGD to get a tiny bit of tissue that contains a life-changing diagnosis. The specimen comes to the pathology lab and is grossed by a prosector who isn't allowed an embedding sheet. The embedder has no idea how many bits of tissue to look for. Then the microtomist is expected to cut 50 blocks an hour. Then the pathologist has to make a diagnosis on a venetian-blind section. Good Management I'm sure. Bad medicine. Bob Richmond Samurai Pathologist Maryville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet THIS MESSAGE IS CONFIDENTIAL. This e-mail message and any attachments are proprietary and confidential information intended only for the use of the recipient(s) named above. If you are not the intended recipient, you may not print,distribute, or copy this message or any attachments. If you have received this communication in error, please notify the sender by return e-mail and delete this message and any attachments from your computer. Any views or opinions expressed are solely those of the author and do not necessarily represent those of LRGHealthcare. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Re: Number of blocks
It can definately be a sad situation. I know you are correct in your description in many cases. I wish I knew what I could personally do to impact this. Joelle Weaver MAOM, HTL (ASCP) QIHC > Date: Fri, 26 Oct 2012 00:00:46 -0400 > From: rsrichm...@gmail.com > To: histonet@lists.utsouthwestern.edu > Subject: [Histonet] Re: Number of blocks > > As I asked before, do your pathologists have any input into any of this? > > About embedding: I heard of a recently trained pathologist who, asked > about an embedding problem, replied, "What's embedding?" > > We spend thousands of dollars on a bronchoscopy or an EGD to get a > tiny bit of tissue that contains a life-changing diagnosis. The > specimen comes to the pathology lab and is grossed by a prosector who > isn't allowed an embedding sheet. The embedder has no idea how many > bits of tissue to look for. Then the microtomist is expected to cut 50 > blocks an hour. Then the pathologist has to make a diagnosis on a > venetian-blind section. > > Good Management I'm sure. Bad medicine. > > Bob Richmond > Samurai Pathologist > Maryville TN > > ___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Re: Number of blocks
Well said! From: Bob Richmond To: histonet@lists.utsouthwestern.edu Date: 10/25/2012 09:01 PM Subject:[Histonet] Re: Number of blocks Sent by:histonet-boun...@lists.utsouthwestern.edu As I asked before, do your pathologists have any input into any of this? About embedding: I heard of a recently trained pathologist who, asked about an embedding problem, replied, "What's embedding?" We spend thousands of dollars on a bronchoscopy or an EGD to get a tiny bit of tissue that contains a life-changing diagnosis. The specimen comes to the pathology lab and is grossed by a prosector who isn't allowed an embedding sheet. The embedder has no idea how many bits of tissue to look for. Then the microtomist is expected to cut 50 blocks an hour. Then the pathologist has to make a diagnosis on a venetian-blind section. Good Management I'm sure. Bad medicine. Bob Richmond Samurai Pathologist Maryville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] RE: Number of blocks (Contact HistoCare)
Does anyone want a tech cutting 40 blocks per hour? You can't have quality at that rate. Sent from my iPhone On Oct 25, 2012, at 2:39 PM, "Mayer,Toysha N" wrote: > Another thing to consider is, is this averaged out over several hours or not. > Sitting and cutting 50 blocks in one hour of time is a stretch, but if I > average it out over 2-3 hours I can cut almost that many (40). That would be > multiple types of tissues and varying number of sections, but not just time > myself and cut for one hour and stop. Also think of how long it takes to > trim those blocks. > While the 40-50 number is high, look at how many are cut over time, it should > average out as 30+ per hour. > > Toysha Mayer > > > > > Message: 1 > Date: Thu, 25 Oct 2012 11:23:07 -0500 > From: Contact HistoCare > Subject: [Histonet] Number of blocks > To: "histonet@lists.utsouthwestern.edu" > > Message-ID: > Content-Type: text/plain;charset=us-ascii > > Hi, > > To most folks that number does seem high but I've met many old school techs > who can do this easily. One of my first learning experiences was watching a > 57 year old woman crank out tons of slides with no errors and who regularly > got praises from the pathologists for producing the most beautiful slides. > > While I have never been required to produce a certain amount within a certain > window, I have built up the ability to cut a lot more than 50 per hour. I > have even doubled this number. Of course it depends on the tissue type, but > assuming properly decalcified bone, nothing popping out of the block, and a > cold block of ice, it's very easy for me to produce a high quality slide at > 3,4,5 microns. I get compliments all the time of my slides. > > My methods are quite different from most techs though. When facing, I don't > waste movements. I actually count the rotations and spend less than 8 seconds > facing each block. I also get the right section usually in about the third or > fourth crank and I only put at the most two sections in the water bath to > pick up. > > I don't cut unnecessary ribbons just to have them sit in the water bath and > eventually have to wipe away with the Kimwipe, which in my opinion is > wasteful of both materials and time. I also make sure I have enough ice to > keep the blocks very cold and adequately hydrated. > > I'm not sure if being in decent physical shape matters but I think it gives > me the arm stamina to do this. I use only my wrists and fingers and not my > whole arm in the rotational motion. > > Hope this helps, > > > M > > > www.HistoCare.com > > > From: Dorothy Ragland-Glass To: Histonet@lists.utsouthwestern.edu Sent: Wednesday, October 24, 2012 8:38 AM Subject: [Histonet] Number of blocks It was annouced by a histo lab manager that techs are expected to cut 40-50 blocks per hour. That seems to me to be rather high. I don't see quality slides being turned out. It is quantity and profit above patient care. I am old school, and I remember something about quality and patient first. Besides what kind of impact on morality of the techs, back problems and carpal tunnel syndrom is laying ahead for the cutter after cranking the microtome repeatedly that many blocks without a break. > > > > -- > > Message: 2 > Date: Thu, 25 Oct 2012 16:28:47 + > From: "Bartlett, Jeanine (CDC/OID/NCEZID)" > Subject: RE: [Histonet] Number of blocks > To: Contact HistoCare , >"histonet@lists.utsouthwestern.edu" > > Message-ID: > > Content-Type: text/plain; charset="us-ascii" > > You mention how many rotations you use for facing your blocks. That assumes > whoever did the embedding did a good job. And even with no unnecessary > ribbons.whether there are extra sections or not, you still have to keep > the water bath scrupulously clean which means wiping out with a Kimwipe after > each block...whether there are ribbons floating or not. > > Jeanine H. Bartlett > Centers for Disease Control and Prevention Infectious Diseases Pathology > Branch > 404-639-3590 > jeanine.bartl...@cdc.hhs.gov > > > > ___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
