Re: [Histonet] grossing tools
At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] grossing tools
I have found squeezing the tissue (for the block sections) between two cassettes held back to back gives the firmness needed to trim good thin sections. 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 Bill B. Sent: Wednesday, February 13, 2013 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] grossing tools At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] grossing tools
How much squeezing? Tissues have certain elasticity and after the squeezing they will bounce back as a thicker slice. Free hand sectioning I think is always better. René J. From: Weems, Joyce K. joyce.we...@emoryhealthcare.org To: 'Bill B.' bill...@mindspring.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Wednesday, February 13, 2013 11:09 AM Subject: RE: [Histonet] grossing tools I have found squeezing the tissue (for the block sections) between two cassettes held back to back gives the firmness needed to trim good thin sections. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org http://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 Bill B. Sent: Wednesday, February 13, 2013 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] grossing tools At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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] grossing tools
Hi Joyce, I will try that thanks. It would keep them from slipping around too. This has come up since we have gone from 2-3 breast biopsies a month to 5 to 10 a week, and me being a solo pathologist, I've been imagining devices to speed things up and be more accurate. Regards, Bill Blank At 4:09 PM + 2/13/13, Weems, Joyce K. wrote: I have found squeezing the tissue (for the block sections) between two cassettes held back to back gives the firmness needed to trim good thin sections. 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 Bill B. Sent: Wednesday, February 13, 2013 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] grossing tools At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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: Re: [Histonet] grossing tools
I intend to make us some of these tools. It's a great idea. On 3:59, Rene J Buesa wrote: How much squeezing? Tissues have certain elasticity and after the squeezing they will bounce back as a thicker slice. Free hand sectioning I think is always better. René J. From: Weems, Joyce K.joyce.we...@emoryhealthcare.org To: 'Bill B.'bill...@mindspring.com; histonet@lists.utsouthwestern.eduhistonet@lists.utsouthwestern.edu Sent: Wednesday, February 13, 2013 11:09 AM Subject: RE: [Histonet] grossing tools I have found squeezing the tissue (for the block sections) between two cassettes held back to back gives the firmness needed to trim good thin sections. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org http://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 Bill B. Sent: Wednesday, February 13, 2013 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] grossing tools At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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: Re: [Histonet] grossing tools
I may be incorrect but I BEKLEIVE Dr. Azorides Morales at the Univ. of Miami designed the tools that Sakura manufactures. His is a huge teaching facility and I think they (pathologists, residents, etc.) all use them. (Could be wrong, but I seem to remember this a while back) http://uhealthsystem.com/doctors/profile/1109 Jeanine H. Bartlett Centers for Disease Control and Prevention Infectious Diseases Pathology Branch 404-639-3590 jeanine.bartl...@cdc.hhs.gov -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of E. Wayne Johnson ??? Sent: Wednesday, February 13, 2013 1:05 PM To: Rene J Buesa Cc: histonet@lists.utsouthwestern.edu; 'Bill B.' Subject: Re: Re: [Histonet] grossing tools I intend to make us some of these tools. It's a great idea. On 3:59, Rene J Buesa wrote: How much squeezing? Tissues have certain elasticity and after the squeezing they will bounce back as a thicker slice. Free hand sectioning I think is always better. René J. From: Weems, Joyce K.joyce.we...@emoryhealthcare.org To: 'Bill B.'bill...@mindspring.com; histonet@lists.utsouthwestern.eduhistonet@lists.utsouthwestern.edu Sent: Wednesday, February 13, 2013 11:09 AM Subject: RE: [Histonet] grossing tools I have found squeezing the tissue (for the block sections) between two cassettes held back to back gives the firmness needed to trim good thin sections. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org http://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 Bill B. Sent: Wednesday, February 13, 2013 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] grossing tools At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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: Re: [Histonet] grossing tools
I have no idea how spell-check missed this but of course I meant to state, I BELIEVE Dr. -Original Message- From: Bartlett, Jeanine (CDC/OID/NCEZID) Sent: Wednesday, February 13, 2013 1:10 PM To: E. Wayne Johnson 朱稳森; Rene J Buesa Cc: histonet@lists.utsouthwestern.edu; 'Bill B.' Subject: RE: Re: [Histonet] grossing tools I may be incorrect but I BEKLEIVE Dr. Azorides Morales at the Univ. of Miami designed the tools that Sakura manufactures. His is a huge teaching facility and I think they (pathologists, residents, etc.) all use them. (Could be wrong, but I seem to remember this a while back) http://uhealthsystem.com/doctors/profile/1109 Jeanine H. Bartlett Centers for Disease Control and Prevention Infectious Diseases Pathology Branch 404-639-3590 jeanine.bartl...@cdc.hhs.gov -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of E. Wayne Johnson ??? Sent: Wednesday, February 13, 2013 1:05 PM To: Rene J Buesa Cc: histonet@lists.utsouthwestern.edu; 'Bill B.' Subject: Re: Re: [Histonet] grossing tools I intend to make us some of these tools. It's a great idea. On 3:59, Rene J Buesa wrote: How much squeezing? Tissues have certain elasticity and after the squeezing they will bounce back as a thicker slice. Free hand sectioning I think is always better. René J. From: Weems, Joyce K.joyce.we...@emoryhealthcare.org To: 'Bill B.'bill...@mindspring.com; histonet@lists.utsouthwestern.eduhistonet@lists.utsouthwestern.edu Sent: Wednesday, February 13, 2013 11:09 AM Subject: RE: [Histonet] grossing tools I have found squeezing the tissue (for the block sections) between two cassettes held back to back gives the firmness needed to trim good thin sections. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org http://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 Bill B. Sent: Wednesday, February 13, 2013 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] grossing tools At 5:38 PM + 2/12/13, Bruce Gapinski wrote: I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. A bane indeed, not only for histotechs, but for those doing the grossing. Our big problem is breast biopsies. The combination of fat and fibrous tissue makes it hard (impossible) to get consistent thicknesses manually. I have been trying to find some kind 'jig' that would hold inked breast biopsies of widely varying sizes that could guide the knife as the biopsy is bread-loafed to get consistent thicknesses. I'm not sure what words to look for or search for. OTOH, given our difficulty in getting paid for the tech component (we are an independent lab, long used to global billing), I dont want to spend a fortune for something. All advice is super-greatly appreciated. Bill -- __ Bill Blank, MD Heartland Lab ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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] grossing tools
Milestone has a very impressive (and good) array of dissection tools. René J. From: Bruce Gapinski bgapin...@pathgroup.com To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Tuesday, February 12, 2013 12:38 PM Subject: [Histonet] grossing tools Histonians, I'm sure we are not the only histology lab that deals with thick grossed specimens. Has anyone tried the new gross tools by Sakura? Or anything else that can cut ONE nickel thick. Tired of reprocessing. Bruce Gapinsk HT (ASCP) Chief Histologist Marin Medical Laboratories PathGroup SF Important Notice: This e-mail is intended for the use of the person to whom it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you have received this e-mail in error, please destroy this message and contact the Security Officer at PathGroup, Inc immediately at 615-562-9255. Thank you ___ 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
