I would bet there are quite a few pathologists on this mailing list (like me)
who are here because we respect histo techs and know you have valuable
information to offer!
I agree, cautery artifact is pretty easy to tell from poor fixation, so it
should be easy to determine if that is the problem. Sometimes, specimens that
are submitted smashed in a cassette may have poor fixation of the tissue in
contact with the cassette. Or if they are submitted sponged and floating, some
tissue may not be fully immersed in formalin. Also, crush artifact may
resemble poor fixation, so maybe the clinical team is not handling the tissue
gently enough?
I read veterinary specimens; we don't do LEEPs so I don't know if any of these
scenarios are possible, but they are things I see frequently.
-Nancy Stedman
-Original Message-
From: Mayer,Toysha N via Histonet [mailto:histonet@lists.utsouthwestern.edu]
Sent: Friday, March 31, 2017 2:15 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [EXTERNAL] Re: [Histonet] Tissue fixation
I agree with Rene. To discredit the pathologist theory show if all of the
specimens from the run are not fixed properly. Then show if it is just the
LEEPs. Then show if it is that particular clients specimens? Then onto that
client's LEEPs.
That should prove your problem lies with the client handling and not the
fixation on your end. Cauterization can cause burning of the specimen, but not
look unfixed. If it was left out of formalin, autolysis can set in.
The situation shows the god-complex some physicians have and the lack of
respect they have for their techs.
This is why we should all be certified and keep up with continuing education,
so that these pathologists will respect us.
Ok, I'm going to get off my soapbox now, before I say something ugly.
Toysha Mayer
--
Message: 3
Date: Fri, 31 Mar 2017 12:50:37 +
From: T H
To: "histonet@lists.utsouthwestern.edu"
Subject: [Histonet] Tissue Fixation
Message-ID:
Content-Type: text/plain; charset="iso-8859-1"
Good Morning,
I have a pathologist that is not happy with the fixation on some of our LEEP
specimens. She swears its histology doing something to the specimen to cause
the tissue to look unfixed on only "part" of the LEEP specimens (all the same
client specimens). She claims we must be diluting our formalin to cause this
issue or "something". We mentioned maybe it was on the clients end not placing
them in 10% formalin right away, she wouldn't hear of it.
Let me give you some back ground on how our process works. Our clients send us
all our specimens to us via Overnight FedEx or UPS in 10% formalin they will
then they sit in 10% formalin in-house until the processors are started around
3pm and sits an additional 5 hours in 10% formalin on the processor before the
processor actually starts. That being said the fixation process has had a
pretty good start before we ever even touch it.
My question is, and I thought I had read this in the past is, when a specimen
is left out prior to fixation and lying on a absorbent surface such as a paper
towel, won't the area of the tissue touching the absorbent surface begin the
disintegration processes faster in that exact area then the rest of the
specimen? Or if you have any other suggestion on what might be happening to
only "certain" specimens would be great as well.
Thanks for your help!
Tim
--
Message: 4
Date: Fri, 31 Mar 2017 13:32:35 + (UTC)
From: Rene J Buesa
To: T H , "histonet@lists.utsouthwestern.edu"
Subject: Re: [Histonet] Tissue Fixation
Message-ID: <1730848134.8065268.1490967155...@mail.yahoo.com>
Content-Type: text/plain; charset=UTF-8
What you describe as a possible scenario is absolutely possible.If your PT does
not "want to hear" about it, suggest she gets a "hearing aid" or to study
something about histotechnology or even better yet, pay attention to what a
professional on the subject (you) has to say about it. You would never dare to
question her diagnosis, why would she question yours on this subject?Ren?
On Friday, March 31, 2017 9:11 AM, T H via Histonet
wrote:
Good Morning,
I have a pathologist that is not happy with the fixation on some of our LEEP
specimens.? She swears its histology doing something to the specimen to cause
the tissue to look unfixed on only "part" of the LEEP specimens (all the same
client specimens).? She claims we must be diluting our formalin to cause this
issue or "something".? We mentioned maybe it was on the clients end not placing
them in 10% formalin right away, she wouldn't hear of it.
Let me give you some