RE: [Histonet] Telepathology

2014-04-10 Thread WILLIAM DESALVO
In the US, FDA has designated the WSI instruments as Class I and, to date, no 
company has received approval/clearance for use. Until the FDA issue is 
resolved, the use of WSI for primary diagnosis is prohibited. Outside the US, 
WSI can be used in all facets of pathology, including primary diagnosis, and is 
used extensively.
 
That said, in the US, using WSI for pathology processes such as frozen section 
diagnosis, case consultation, special stain and IHC review, can occur because 
these processes do not produce a primary diagnosis. There are many other uses 
for WSI in pathology lab that make the consideration for use and implementation 
cost effective.
 
CAP has released guidelines for validating WSI in the lab and there is the 
option to expand the use of WSI by using the laboratory developed test route.
 
The best resource for WSI, in my mind, is the Digital Pathology Association 
(DPA) web site. I am a member and this group is dedicated to the advancement 
and education of WSI. Check out the web site  


William DeSalvo, BS HTL(ASCP)
 
 To: histonet@lists.utsouthwestern.edu
 From: mtitf...@aol.com
 Date: Thu, 10 Apr 2014 08:14:23 -0400
 Subject: [Histonet] Telepathology
 
 
 Victor Tobias asks about telepathology-
 
 I seem to remember there is a rule somewhere that primary diagnosis can only 
 be made using a glass slide. As to chapter and verse, I don't know.
 
 However there are reports in the literarature that it has been tried out for 
 F/S in Alaska and Finland.
 
 Michael Titford
 USA Pathology
 Mobile AL USA 
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RE: [Histonet] Telepathology

2014-04-10 Thread Elizabeth Chlipala
Here is my two cents and a bit of a rant, Bill you got me going.

I agree with Bill - just want to add my thoughts -  it's a Class III Medical 
Device (meaning that they have classified this type of equipment as 
highly-regulated and high-risk) requiring a pre-market approval process.   I 
personally think that prohibited is too strong of a word.  Like Bill says the 
CAP has guidelines on how to utilized this technology for other processes such 
as primary diagnosis through the laboratory developed test route.I'm not 
sure what that FDA would do if they found out a lab was utilizing this 
technology for primary diagnosis or how that would affect billing capabilities, 
there is probably  some risk associated with this approach.   If you look at 
some of the FDA published guidelines many of them recommend the use of digital 
pathology. 

There are many instruments currently on the market that have various 510K 
clearances for algorithms, digital reads, etc.  The DPA website has all of this 
information on it and much more regarding WSI -  
www.digitalpathologyassociation.org.  

My impression of what CAP is saying - they are saying move forward with this 
technology and they have provided us with guidelines on how to do so.  Bottom 
line this is technology that can improve patient care and we in the US are so 
far behind in implementing this technology to its fullest potential, like Bill 
says outside the US its used extensively for primary diagnosis.   If you are 
afraid of the risk of primary diagnosis, use this technology for one of the 
many processes that Bill has listed below.  It also can be a valuable resource 
to the histology lab in general, you can use it in QC, tracking control 
staining, in IHC protocol development, consistency of staining, etc.  It's a 
great tool. 

Liz

Elizabeth A. Chlipala, BS, HTL(ASCP)QIHC
Premier Laboratory, LLC
PO Box 18592
Boulder, CO 80308
(303) 682-3949 office
(303) 682-9060 fax
(303) 881-0763 cell
l...@premierlab.com
www.premierlab.com

March 10, 2014 is Histotechnology Professionals Day

Ship to Address:

Premier Laboratory, LLC
1567 Skyway Drive, Unit E
Longmont, CO 80504

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of WILLIAM DESALVO
Sent: Thursday, April 10, 2014 9:56 AM
To: mtitf...@aol.com; histonet
Subject: RE: [Histonet] Telepathology

In the US, FDA has designated the WSI instruments as Class I and, to date, no 
company has received approval/clearance for use. Until the FDA issue is 
resolved, the use of WSI for primary diagnosis is prohibited. Outside the US, 
WSI can be used in all facets of pathology, including primary diagnosis, and is 
used extensively.
 
That said, in the US, using WSI for pathology processes such as frozen section 
diagnosis, case consultation, special stain and IHC review, can occur because 
these processes do not produce a primary diagnosis. There are many other uses 
for WSI in pathology lab that make the consideration for use and implementation 
cost effective.
 
CAP has released guidelines for validating WSI in the lab and there is the 
option to expand the use of WSI by using the laboratory developed test route.
 
The best resource for WSI, in my mind, is the Digital Pathology Association 
(DPA) web site. I am a member and this group is dedicated to the advancement 
and education of WSI. Check out the web site  


William DeSalvo, BS HTL(ASCP)
 
 To: histonet@lists.utsouthwestern.edu
 From: mtitf...@aol.com
 Date: Thu, 10 Apr 2014 08:14:23 -0400
 Subject: [Histonet] Telepathology
 
 
 Victor Tobias asks about telepathology-
 
 I seem to remember there is a rule somewhere that primary diagnosis can only 
 be made using a glass slide. As to chapter and verse, I don't know.
 
 However there are reports in the literarature that it has been tried out for 
 F/S in Alaska and Finland.
 
 Michael Titford
 USA Pathology
 Mobile AL USA 
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 Histonet@lists.utsouthwestern.edu
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RE: [Histonet] Telepathology

2014-04-10 Thread joelle weaver
There is a nice publication on validation of WSI on their site, similar to  
LDT.  




Joelle Weaver MAOM, HTL (ASCP) QIHC
 
 From: wdesalvo@outlook.com
 To: mtitf...@aol.com; histonet@lists.utsouthwestern.edu
 Date: Thu, 10 Apr 2014 08:55:39 -0700
 Subject: RE: [Histonet] Telepathology
 CC: 
 
 In the US, FDA has designated the WSI instruments as Class I and, to date, no 
 company has received approval/clearance for use. Until the FDA issue is 
 resolved, the use of WSI for primary diagnosis is prohibited. Outside the US, 
 WSI can be used in all facets of pathology, including primary diagnosis, and 
 is used extensively.
  
 That said, in the US, using WSI for pathology processes such as frozen 
 section diagnosis, case consultation, special stain and IHC review, can occur 
 because these processes do not produce a primary diagnosis. There are many 
 other uses for WSI in pathology lab that make the consideration for use and 
 implementation cost effective.
  
 CAP has released guidelines for validating WSI in the lab and there is the 
 option to expand the use of WSI by using the laboratory developed test 
 route.
  
 The best resource for WSI, in my mind, is the Digital Pathology Association 
 (DPA) web site. I am a member and this group is dedicated to the advancement 
 and education of WSI. Check out the web site  
 
 
 William DeSalvo, BS HTL(ASCP)
  
  To: histonet@lists.utsouthwestern.edu
  From: mtitf...@aol.com
  Date: Thu, 10 Apr 2014 08:14:23 -0400
  Subject: [Histonet] Telepathology
  
  
  Victor Tobias asks about telepathology-
  
  I seem to remember there is a rule somewhere that primary diagnosis can 
  only be made using a glass slide. As to chapter and verse, I don't know.
  
  However there are reports in the literarature that it has been tried out 
  for F/S in Alaska and Finland.
  
  Michael Titford
  USA Pathology
  Mobile AL USA 
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RE: [Histonet] Telepathology

2014-04-09 Thread Sheila Haas
We are looking into Sakura's slide scanner for frozen sections.
We looked at several a few months back and liked the Sakura model
best but put it on the backburner. Now we're ready to purchase.
Hope this helps.
 
Sheila Haas
MicroPath Laboratories, Inc.
Lakeland, FL 
 
 From: ll...@aipathology.com
 To: histonet@lists.utsouthwestern.edu
 Date: Wed, 9 Apr 2014 19:07:13 +
 Subject: [Histonet] Telepathology
 
 This question may have already been asked, so sorry for redundancy.
 
 Are any of your labs using telepathology for frozen sections?  If so, what 
 company are you working with?
 
 **
 LeAnn Lang
 Associates in Pathology
 Practice Administrator
 Phone:  715-847-0075 (ext 50259)
 ll...@aipathology.commailto:ll...@aipathology.com
 
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RE: [Histonet] Telepathology

2014-04-09 Thread Douglas Porter
We have used a WebEx session before.  The remote site projects the
microscopic image onto their desktop then shares the desktop.  We also have
one account that has an IP addressable microscope.  This costs more but is
more efficient.

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) 

doug.por...@caplab.org 

www.caplab.org  
 
 
The information contained in this message may be privileged and/or
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not the intended recipient, you are hereby notified that any dissemination,
distribution, copying, forwarding or capture of this communication is
strictly prohibited. If you have received this communication in error,
please notify me immediately by return e-mail and delete this and all
copies. Thank-you.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang
Sent: Wednesday, April 09, 2014 3:07 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Telepathology

This question may have already been asked, so sorry for redundancy.

Are any of your labs using telepathology for frozen sections?  If so, what
company are you working with?

**
LeAnn Lang
Associates in Pathology
Practice Administrator
Phone:  715-847-0075 (ext 50259)
ll...@aipathology.commailto:ll...@aipathology.com

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RE: [Histonet] Telepathology

2014-04-09 Thread LeAnn Lang
Here is the scenario..we are located in one state and the hospital we want 
to provide frozen section coverage for is in another state. Can they have a 
histotech on site that can prepare the frozen and then send the image to my 
pathologist to read it?  Does that person onsite have to be a pathologist 
assistant, or can the Pathologist use technology to guide the histotech on what 
sections to take?

We are getting mixed answers on this.  Some say yes, we can and others are 
saying because it is not FDA approved, we cannot use this as primary screening. 
 

Appreciate any input.

Like the idea of the WebEx too, thanks Douglas.  And thank you Sheila for the 
info on Sakura.  Has anyone used Remove Meeting Technologists (RMT) Software?

Thank you,
LeAnn

-Original Message-
From: Douglas Porter [mailto:doug.por...@caplab.org] 
Sent: Wednesday, April 09, 2014 2:27 PM
To: LeAnn Lang; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Telepathology

We have used a WebEx session before.  The remote site projects the microscopic 
image onto their desktop then shares the desktop.  We also have one account 
that has an IP addressable microscope.  This costs more but is more efficient.

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) 

doug.por...@caplab.org 

www.caplab.org  
 
 
The information contained in this message may be privileged and/or confidential 
and protected from disclosure. If the reader of this message is not the 
intended recipient, you are hereby notified that any dissemination, 
distribution, copying, forwarding or capture of this communication is strictly 
prohibited. If you have received this communication in error, please notify me 
immediately by return e-mail and delete this and all copies. Thank-you.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang
Sent: Wednesday, April 09, 2014 3:07 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Telepathology

This question may have already been asked, so sorry for redundancy.

Are any of your labs using telepathology for frozen sections?  If so, what 
company are you working with?

**
LeAnn Lang
Associates in Pathology
Practice Administrator
Phone:  715-847-0075 (ext 50259)
ll...@aipathology.commailto:ll...@aipathology.com

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RE: [Histonet] Telepathology

2014-04-09 Thread Victor A. Tobias
We just installed the VisionTek from Sakura. It is my understanding that the 
primary diagnosis cannot be made by telepathology at this time.

Victor

Victor Tobias HT(ASCP)
Clinical Applications Analyst
Harborview Medical Center
Dept of Pathology Room NJB244
Seattle, WA 98104
vtob...@u.washington.edu
206-744-2735
206-744-8240 Fax
=
Privileged, confidential or patient identifiable information may be contained 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang
Sent: Wednesday, April 09, 2014 1:22 PM
To: 'Douglas Porter'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Telepathology

Here is the scenario..we are located in one state and the hospital we want 
to provide frozen section coverage for is in another state. Can they have a 
histotech on site that can prepare the frozen and then send the image to my 
pathologist to read it?  Does that person onsite have to be a pathologist 
assistant, or can the Pathologist use technology to guide the histotech on what 
sections to take?

We are getting mixed answers on this.  Some say yes, we can and others are 
saying because it is not FDA approved, we cannot use this as primary screening. 
 

Appreciate any input.

Like the idea of the WebEx too, thanks Douglas.  And thank you Sheila for the 
info on Sakura.  Has anyone used Remove Meeting Technologists (RMT) Software?

Thank you,
LeAnn

-Original Message-
From: Douglas Porter [mailto:doug.por...@caplab.org] 
Sent: Wednesday, April 09, 2014 2:27 PM
To: LeAnn Lang; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Telepathology

We have used a WebEx session before.  The remote site projects the microscopic 
image onto their desktop then shares the desktop.  We also have one account 
that has an IP addressable microscope.  This costs more but is more efficient.

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) 

doug.por...@caplab.org 

www.caplab.org  
 
 
The information contained in this message may be privileged and/or confidential 
and protected from disclosure. If the reader of this message is not the 
intended recipient, you are hereby notified that any dissemination, 
distribution, copying, forwarding or capture of this communication is strictly 
prohibited. If you have received this communication in error, please notify me 
immediately by return e-mail and delete this and all copies. Thank-you.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang
Sent: Wednesday, April 09, 2014 3:07 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Telepathology

This question may have already been asked, so sorry for redundancy.

Are any of your labs using telepathology for frozen sections?  If so, what 
company are you working with?

**
LeAnn Lang
Associates in Pathology
Practice Administrator
Phone:  715-847-0075 (ext 50259)
ll...@aipathology.commailto:ll...@aipathology.com

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RE: [Histonet] Telepathology

2014-04-09 Thread Douglas Porter
Regarding sectioning of the specimen for frozen section, we had a video
camera set up so the pathologist could view the specimen and direct the
person on the other end how and what to section.  We ended up not using
this scenario, but had planned to see if it was an approved method.  I
suspect you'd have to have a PA or equivalent person on the specimen end for
it to be approved.  We used WebEx for this also. 

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) 

doug.por...@caplab.org 

www.caplab.org  
 
 
The information contained in this message may be privileged and/or
confidential and protected from disclosure. If the reader of this message is
not the intended recipient, you are hereby notified that any dissemination,
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please notify me immediately by return e-mail and delete this and all
copies. Thank-you.


-Original Message-
From: LeAnn Lang [mailto:ll...@aipathology.com] 
Sent: Wednesday, April 09, 2014 4:22 PM
To: 'Douglas Porter'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Telepathology

Here is the scenario..we are located in one state and the hospital we
want to provide frozen section coverage for is in another state. Can they
have a histotech on site that can prepare the frozen and then send the image
to my pathologist to read it?  Does that person onsite have to be a
pathologist assistant, or can the Pathologist use technology to guide the
histotech on what sections to take?

We are getting mixed answers on this.  Some say yes, we can and others are
saying because it is not FDA approved, we cannot use this as primary
screening.  

Appreciate any input.

Like the idea of the WebEx too, thanks Douglas.  And thank you Sheila for
the info on Sakura.  Has anyone used Remove Meeting Technologists (RMT)
Software?

Thank you,
LeAnn

-Original Message-
From: Douglas Porter [mailto:doug.por...@caplab.org] 
Sent: Wednesday, April 09, 2014 2:27 PM
To: LeAnn Lang; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Telepathology

We have used a WebEx session before.  The remote site projects the
microscopic image onto their desktop then shares the desktop.  We also have
one account that has an IP addressable microscope.  This costs more but is
more efficient.

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) 

doug.por...@caplab.org 

www.caplab.org  
 
 
The information contained in this message may be privileged and/or
confidential and protected from disclosure. If the reader of this message is
not the intended recipient, you are hereby notified that any dissemination,
distribution, copying, forwarding or capture of this communication is
strictly prohibited. If you have received this communication in error,
please notify me immediately by return e-mail and delete this and all
copies. Thank-you.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of LeAnn Lang
Sent: Wednesday, April 09, 2014 3:07 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Telepathology

This question may have already been asked, so sorry for redundancy.

Are any of your labs using telepathology for frozen sections?  If so, what
company are you working with?

**
LeAnn Lang
Associates in Pathology
Practice Administrator
Phone:  715-847-0075 (ext 50259)
ll...@aipathology.commailto:ll...@aipathology.com

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Re: [Histonet] Telepathology

2014-04-09 Thread Sue


Dissection for frozen sections is a high complexity task, there may be an issue 
with the 

histologist.  I am not so sure about usnig telepathology for the pathologist to 
ID where to 

take the section.  This is touchy and I would hate to put the tech in the 
position if there 

was an error. 



S. Paturzo TJUH 




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RE: [Histonet] Telepathology

2013-06-12 Thread Ian R Bernard
We are  a test site for the Aperio System.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gloria Tharp
Sent: Tuesday, June 11, 2013 9:09 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Telepathology

Does anyone have any recommendations for scanning equipment  to have slides 
read off site from main lab.  Thanks.

 

 

Gloria Tharp, BA, HTL(ASCP)

Director of Operations

PCA Southeast

gth...@pcasoutheast.com

931-490-1005

800-388-1294

 

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Re: [Histonet] Telepathology

2011-02-25 Thread Emily Sours
Okay, it's Friday so I have to write that my first thought was
telepathology? Is that like telekinesis? Like processing slides and
coverslipping with your mind? Would this extend to sectioning to? How about
pouring your much needed cup of coffee, or even making the coffee?

Emily

It has become almost a cliche to remark that nobody boasts of ignorance of
literature, but it is socially acceptable to boast ignorance of science and
proudly claim incompetence in mathematics.
-Richard Dawkins



On Fri, Feb 25, 2011 at 10:24 AM, Andrew Byrnes a.byr...@accelpath.comwrote:

 Dear Histonet,

 Thank you for your responses to my email this past week!  If you have any
 additional thoughts about telepathology or digital pathology, please email
 me or call me directly.

 Have a nice weekend!

 Andrew

 Andrew Byrnes
 VP Sales and Marketing
 AccelPath, LLC
 M: 732-312-8008
 www.AccelPath.com


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RE: [Histonet] Telepathology

2011-02-25 Thread sgoebel
It's not nice to make fun of people's typing boo-boo's, but thanks for the 
Friday chuckle!!

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


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Emily Sours
Sent: Friday, February 25, 2011 9:40 AM
To: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Telepathology

Okay, it's Friday so I have to write that my first thought was
telepathology? Is that like telekinesis? Like processing slides and
coverslipping with your mind? Would this extend to sectioning to? How about
pouring your much needed cup of coffee, or even making the coffee?

Emily

It has become almost a cliche to remark that nobody boasts of ignorance of
literature, but it is socially acceptable to boast ignorance of science and
proudly claim incompetence in mathematics.
-Richard Dawkins



On Fri, Feb 25, 2011 at 10:24 AM, Andrew Byrnes a.byr...@accelpath.comwrote:

 Dear Histonet,

 Thank you for your responses to my email this past week!  If you have any
 additional thoughts about telepathology or digital pathology, please email
 me or call me directly.

 Have a nice weekend!

 Andrew

 Andrew Byrnes
 VP Sales and Marketing
 AccelPath, LLC
 M: 732-312-8008
 www.AccelPath.com


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Re: [Histonet] Telepathology

2011-02-25 Thread Patrick Laurie
I believe that Telepathology should be the name of what one of our
pathologists wanted us to do.  Cut to the small focus of tumor and
stop.

On Fri, Feb 25, 2011 at 8:12 AM,  sgoe...@mirnarx.com wrote:
 It's not nice to make fun of people's typing boo-boo's, but thanks for the 
 Friday chuckle!!

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


 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Emily Sours
 Sent: Friday, February 25, 2011 9:40 AM
 To: histonet@lists.utsouthwestern.edu
 Subject: Re: [Histonet] Telepathology

 Okay, it's Friday so I have to write that my first thought was
 telepathology? Is that like telekinesis? Like processing slides and
 coverslipping with your mind? Would this extend to sectioning to? How about
 pouring your much needed cup of coffee, or even making the coffee?

 Emily

 It has become almost a cliche to remark that nobody boasts of ignorance of
 literature, but it is socially acceptable to boast ignorance of science and
 proudly claim incompetence in mathematics.
 -Richard Dawkins



 On Fri, Feb 25, 2011 at 10:24 AM, Andrew Byrnes a.byr...@accelpath.comwrote:

 Dear Histonet,

 Thank you for your responses to my email this past week!  If you have any
 additional thoughts about telepathology or digital pathology, please email
 me or call me directly.

 Have a nice weekend!

 Andrew

 Andrew Byrnes
 VP Sales and Marketing
 AccelPath, LLC
 M: 732-312-8008
 www.AccelPath.com


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

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