RE: [Histonet] Pa Leeeze

2012-11-20 Thread Weems, Joyce K.
There are cuts coming to IHC in 2014 - just be prepared for that as well. j 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

RE: [Histonet] Pa Leeeze

2012-11-20 Thread joelle weaver
There could be some positives- thanks for reminding us! This has been "coming down the pike" for awhile. I think that those who have been watching the "horizon" and looking ahead saw this change and many more to come. If you have been working on yourself, building your skills and knowledge, an

[Histonet] Tissue Processors

2012-11-20 Thread Gregoire, Rhonda (MAFRI)
Does anyone have the Thermo Shandon Excelsior or the Leica ASP300 S tissue processors? What do you like or not like about the one you have? Thanks Rhonda Gregoire, R.T. Charge Technologist Clinical Pathology/TSE Section Veterinary Diagnostic Services Manitoba Agriculture, Food and Rural Initiat

RE: [Histonet] Pa Leeeze

2012-11-20 Thread Morken, Timothy
True, things will change and despite all the angst probably for the better for medical care overall. Listen to these two podcasts from the Commonwealth Club of California for some REAL insight into the current state of medicine (or get the book of the first speaker) 1) http://www.commonw

Re: [Histonet] Pa Leeeze

2012-11-20 Thread Davide Costanzo
Well put. I do think too many are panic stricken over losing a job. The work will still be there, but it might be at a different location. Physicians are not going to stop doing biopsies because the pay has been cut to the lab. The only thing that may cost a few jobs is if over-utilization is curbe

RE: [Histonet] Pa Leeeze

2012-11-20 Thread O'Donnell, Bill
Like it or not, politics played a part in the cut of 88305. So did POLs, CAP and a host of other factors. Finger pointing in time of uncertainty somehow makes us all feel better, but it doesn't give us concrete ways of addressing the problem. Histology has enjoyed a fairly long period of great rei

[Histonet] RE: Help needed with mouse brain

2012-11-20 Thread D'Andreas Williams
Greetings, We are currently trying to optimize our processing protocols for mouse tissue on a VIP 6 processor. Of particular concern to us is mouse brain processing. For the mouse brain we have noticed "fraying" of the edge of the brain. The "fraying" looks a lot like what we see when tissue

[Histonet] RE: Histonet Digest, Vol 108, Issue 26

2012-11-20 Thread Davis, Cassie
Hi Christina, try post fixing the FS slides in ice cold acetone (in a freezer) for 30 minutes. That is what was reccommend to me when I was trying to do IHC on ThinPrep slides. Cassandra Davis cda...@che-east.org 302-575-8095 Saint Francis Hospital Saintfrancishealthcare.org Saint Francis

[Histonet] 88305

2012-11-20 Thread Steve McClain
Looks like rough seas ahead. Raising my research fees 33%. Investing to start a new patient center to do more procedures. After that we may have to get creative. Steve Steve A. McClain, MD McClain Labs, LLC 45 Manor Road, Smithtown, NY 11787 631 361 4000

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Bitting, Angela K.
Are we a bunch of catty 13 year olds or can we stick to Healthcare? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davide Costanzo Sent: Tuesday, November 20, 2012 10:31 AM To: Rene J Buesa Cc: Fellow His

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Bartlett, Jeanine (CDC/OID/NCEZID)
Pardon me? What do you mean by that? 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.utsouthwest

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Davide Costanzo
Nicely stated! Sent from my iPhone On Nov 20, 2012, at 6:49 AM, "Weems, Joyce K." wrote: > There are caps on what folks must pay, folks... please read the law. There > are many good things about the new law. > > Also realize that all of the changes we're facing are not part of Obamacare. > Th

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Davide Costanzo
This is not a political forum. Keep your anti-President talk off this site. Sent from my iPhone On Nov 19, 2012, at 6:49 PM, David Kemler wrote: > Hmmm...I think more people should have paid attention to Obamacare two years > ago when it was being shoved down eveyones throat. Oh well.. as old

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Davide Costanzo
Tell them Rene! Too many Fox News listeners here I suspect. Sent from my iPhone On Nov 20, 2012, at 6:05 AM, Rene J Buesa wrote: > The law provides economic assistance to those with low income who cannot > afford insurance. > It would be nice if we all read the law instead of paying attention

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Craven Peter (NHS HIGHLAND)
Me too!! Mind you I am not in the states and not in a private health care service job. Peter Peter L Craven FIBMS Pathology Department Raigmore Hospital Old Perth Road Inverness IV2 3UJ Tel 01463 704269 email peter.cra...@nhs.net From: histonet-boun...@li

[Histonet] Pa Leeeze

2012-11-20 Thread Bruce Gapinski
Wow, How disappointing. Looking for constructive ways to keep my lab open and I get political stuff. Did you all go crazy in the 80's with Ronald Ray-gun and the DRG's? Too young? Bruce Gapinsk HT (ASCP) Chief Histologist Marin Medical Laboratories PathGroup SF ___

[Histonet] remve from the list

2012-11-20 Thread Kharzai, Sadeq
Would you please remove my name and e -address from the histonet list/ Thank you, Sadeq Kharzai - Confidentiality Notice: The following mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential

[Histonet] Re: Question on frozen section IHC and tissue adhesion

2012-11-20 Thread Teri Johnson
Hi Christina, I agree with Rene Buesa that ideally you should have added a cryoprotection step prior to freezing. If you snap freeze quickly enough though, you might have gotten away with no freezing artifact. An H&E will tell you that. If it looks like a sponge, or like frost patterns, you mig

[Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Webster, Thomas S.
I won't disagree that family practice is low paying relative to some specialists. But, pathologists and laboratories already do enough to help the income of family practice physicians. Think about how much money they make from client billing the lab work. And now we have to put up with these hu

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Bitting, Angela K.
"Histonet should stay free of those entanglements(political opinions)" Funny, when I wrote that here 2 weeks before the election no one wanted to hear it. What has changed?? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Weems, Joyce K.
CAP has a webinar on the web site that explains all this pretty well. Seems like the reimbursement was increased for 88307 and 88309, so that the overall decrease is 6% if I understood correctly. I need to meditate on it a bit. The problem with the 88305 code is that clinicians have taken it aw

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Stanicar, Jennifer
Thank you for that Glen. I agree! Jen -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of ihcman2...@hotmail.com Sent: Tuesday, November 20, 2012 8:40 AM To: David Kemler; Fellow HistoNetters Subject: Re: [Hi

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread ihcman2010
We can all see sour grapes about the election by simply turning on any news channel. Histonet should stay free of those entanglements and remain focused on discussion and problem solving. My opinion. Glen Dawson Janesville, WI Sent from my U.S. Cellular Android device - Reply message --

Re: [Histonet] Question on frozen section IHC and tissue adhesion

2012-11-20 Thread Rene J Buesa
Formalin fixed tissue is not adequate for frozen sectioning unless you place it in sucrose first before going into OCT and frozen sectioning. Spleen is particularly difficult for its high blood contents. Ideally you should try to obtain unfixed tissue. René J.

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Joe W. Walker, Jr.
Let's be a little factual. The discussion to cut 88305 has been going on for years, even before the Accountable Care Act was passed. Lab fees (TC) and professional fees (PC) in general have been under the gun for cuts year after year. Health care is changing due to the unsustainable costs ass

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Paula Pierce
Liverpool Care Pathway. Google it.   Paula K. Pierce, HTL(ASCP)HT President Excalibur Pathology, Inc. 8901 S. Santa Fe, Suite G Oklahoma City, OK 73139 405-759-3953 Lab 405-759-7513 Fax www.excaliburpathology.com From: Bernice Frederick To: Rene J Buesa ;

[Histonet] Question on frozen section IHC and tissue adhesion

2012-11-20 Thread Thurby, Christina
Hi all, I am performing IHC on tissue that was formalin fixed for 48 hours and then embedded in OCT. I have been using Gold Plus slides from Thermo Fisher.I am staining rat spleen and mandibular lymph nodes. With a peroxidase method, the tissue completely digests off the slides as soon as

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Marsh, Nannette
Very well said Joyce. Thank you. Happy Thanksgiving to you. Best regards. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K. Sent: Tuesday, November 20, 2012 8:49 AM To: 'Rene J Buesa'; Ber

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Weems, Joyce K.
There are caps on what folks must pay, folks... please read the law. There are many good things about the new law. Also realize that all of the changes we're facing are not part of Obamacare. The Grandfather clause has been ending for years. Congress finally let it this year. Something had to

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Dmborel
If any of the histotechs who read these posts are in a situation where their local pathology lab may be closed because of Medicare cuts, let me know your contact info. Perhaps I could do something to keep that lab closure from happening. David M. Borel, MD Pathology Services, P.A./Dermatopat

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Sullivan, Beatrice
And what about NO INCOMEan issue that many are currently facing. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 9:04 AM To: Bernice Frederick

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Burton, Lynn
Amen. I never voted for him -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of David Kemler Sent: Monday, November 19, 2012 8:49 PM To: Fellow HistoNetters Subject: Re: [Histonet] 88305TC starting to hit the

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Pratt, Caroline
Agreed! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Tuesday, November 20, 2012 8:55 AM To: Davide Costanzo; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Hist

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Hermina Borgerink
Thank you René. Couldn't agree more. As a Stage 3C ovarian cancer patient, I would be bankrupt right now if not for insurance. I've been on/off chemotherapy for the past five years, and at nearly $4,000.00 a treatment, not to mention nearly $200,000.00 in surgery costs ... The monthly cost

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Rene J Buesa
The law provides economic assistance to those with low income who cannot afford insurance. It would be nice if we all read the law instead of paying attention to those who try to scare people. René J. From: Bernice Frederick To: Rene J Buesa ; David Kemler ;

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Bernice Frederick
But can they afford to buy it Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- Fr

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Rene J Buesa
Tell that to all those who have pre-existing medical conditions that can now buy health insurance. René J. From: David Kemler To: Fellow HistoNetters Sent: Monday, November 19, 2012 9:49 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... Hmmm...I t

Re: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Rene J Buesa
Very well said! René J. From: Davide Costanzo To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Monday, November 19, 2012 6:46 PM Subject: Re: [Histonet] 88305TC starting to hit the fan... While this stinks on many levels, I have to tak

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread Pratt, Caroline
This statement is ridiculous and not worth responding to further than to say, clearly you don't understand the CMS process. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of David Kemler Sent: Monday, Novemb

RE: [Histonet] 88305TC starting to hit the fan...

2012-11-20 Thread joelle weaver
Wow, I guess I should have considered radiology when I was going to college! Joelle Weaver MAOM, HTL (ASCP) QIHC > Date: Mon, 19 Nov 2012 15:56:26 -0600 > From: jaylundg...@gmail.com > To: twebs...@crh.org > Subject: Re: [Histonet] 88305TC starting to hit the fan... > CC: histonet@lists.utsou