Re: [Histonet] protocols to fix insect wings that are quite hirsute
Hi Jorge, I'd be happy to help you if I can. Please feel free to message me. Best, Damien L On Sun, Feb 2, 2014 at 10:45 AM, Jack Ratliff ratliffj...@hotmail.comwrote: This sounds like a question for the insect histology expert, Damien Laudier! He monitors this site so I am sure he will respond to you privately. :) Jack On Feb 1, 2014, at 5:00 PM, Jorge A. Santiago-Blay blayjo...@gmail.com wrote: Hello: Can someone point me on the direction of protocols to fix insect wings that are quite hirsute. I would like to increase the likelihood of the preservative actually going through the carpet of setae to actually fix the interior of the wing. Thanks for any help. Sincerely, Jorge Jorge A. Santiago-Blay, PhD blaypublishers.com http://blayjorge.wordpress.com/ http://paleobiology.si.edu/staff/individuals/santiagoblay.html ___ 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 -- Damien Laudier Laudier Histology www.LaudierHistology.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Ventana LEAN
They come in, give their opinions on how to make your workflow better. I didn't get much from it, we didn't make any changes, more of a selling tool in my opion. I guess if your workflow was terrible, they might be able to offer good advice. On a positive, they were all very nice. Thank, Tim H. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: Ventana LEAN
Another benefit of someone coming in from the outside (Leica did the same for us), is that since this is what these people do every day, management is more likely to listen to their suggestions. If it's the same as yours then that would reinforce your current plans. If it's different than what you had in mind, they will generally try to help with what you want to do. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tim Higgins Sent: Monday, February 03, 2014 8:59 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Ventana LEAN They come in, give their opinions on how to make your workflow better. I didn't get much from it, we didn't make any changes, more of a selling tool in my opion. I guess if your workflow was terrible, they might be able to offer good advice. On a positive, they were all very nice. Thank, Tim H. ___ 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] How to De-stain trichrome
Does anyone know how to destain Massons trichrome? Is it possible? Thank you Histologistics Hans B Snyder 508.308.7800 h...@histologistics.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Histotech position FT West Palm Beach
Posting for I/MD Path labs West Palm Beach, Florida Looking for full time Histotech. Dermpath lab. Please contact Dr. Morales. 1(561)653-8005 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] anyone need a glass cover slipper
We have on old Hacker glass cover slipper, I think it's a Hacker The name plate on the front says Meisei but I'm told it's a Hacker. Anyway, the model number: RCM-3660 if that's helpful. I'm not looking to make a bunch of money, so many people here have been helpful over the years from knowledge and advice to helping me out with control tissue. If someone needs one, I'd be willing to help out a bit, just need to cover the expense of shipping and packing. Let me know, I can snap a picture if desired. We recently had is serviced and it's said to be working fine by the technician. Curt ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] On-call position for Histology Assistant in Phoenix AZ
Hi Netters, We are looking for an on-call histology assistant to cover for vacations and sick leave, already have a few days in March/April. We are a small Dermatology lab in NW Peoria AZ, great working conditions and people. Very nice place to work. Hours are from 7:30-4:00PM when needed. Email me for more details. Thank you, Jill Arrowhead Dermatology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: Ventana LEAN
Depends on if your management is skeptical of vendors. Mine automatically assume that they are marketing to us. Robert A. Eytalis Laboratory Manager robert-eyta...@riversidehealthcare.net Phone: (815) 935-7256 ext. 5186 (815) 935-7535 Fax (815) 935-7068 Riverside Medical Center 350 N. Wall Street - Kankakee, IL 60901 http://mail.riversidehealthcare.net/owa/redir.aspx?C=qIzWpCGMNkq2SuiIt1v_2X7GmC1aOtAI7VlOiEQ974hhCQzwyDH6yJklmjoBIK92OWDFwivhIZs.URL=http%3a%2f%2fwww.riversidemc.net%2f | http://mail.riversidehealthcare.net/owa/redir.aspx?C=qIzWpCGMNkq2SuiIt1v_2X7GmC1aOtAI7VlOiEQ974hhCQzwyDH6yJklmjoBIK92OWDFwivhIZs.URL=http%3a%2f%2fwww.facebook.com%2fRiversideMC From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of Rathborne, Toni [trathbo...@somerset-healthcare.com] Sent: Monday, February 03, 2014 8:32 AM To: 'Tim Higgins'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] RE: Ventana LEAN Another benefit of someone coming in from the outside (Leica did the same for us), is that since this is what these people do every day, management is more likely to listen to their suggestions. If it's the same as yours then that would reinforce your current plans. If it's different than what you had in mind, they will generally try to help with what you want to do. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tim Higgins Sent: Monday, February 03, 2014 8:59 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Ventana LEAN They come in, give their opinions on how to make your workflow better. I didn't get much from it, we didn't make any changes, more of a selling tool in my opion. I guess if your workflow was terrible, they might be able to offer good advice. On a positive, they were all very nice. Thank, Tim H. ___ 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
[Histonet] Turn Around Time
Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Turn Around Time
Our benchmark is 24 hour TAT for 80% of cases. We provide same-day service for recuts and most in-house special stains. Tom McNemar, HT(ASCP) Histology Supervisor Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Turn Around Time
ditto. Only FISH is allowed to take longer Joelle Weaver MAOM, HTL (ASCP) QIHC From: tmcne...@lmhealth.org To: drbu...@gmail.com; histonet@lists.utsouthwestern.edu Date: Mon, 3 Feb 2014 12:49:14 -0500 Subject: RE: [Histonet] Turn Around Time CC: Our benchmark is 24 hour TAT for 80% of cases. We provide same-day service for recuts and most in-house special stains. Tom McNemar, HT(ASCP) Histology Supervisor Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. 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
[Histonet] Price for preparing IHC slides
Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Price for preparing IHC slides
A lab I used in Southern California charged $35 per stain for most antibodies. Sent from my iPhone On Feb 3, 2014, at 1:03 PM, Ann Specian thisis...@aol.com wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ 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] IHC cartilage
Does anyone have experience or a protocol for IHC staining on cartilage? ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Turn Around Time
Yesterday. Sincerely? Jay A. Lundgren, M.S., HTL (ASCP) On Mon, Feb 3, 2014 at 11:56 AM, joelle weaver joellewea...@hotmail.comwrote: ditto. Only FISH is allowed to take longer Joelle Weaver MAOM, HTL (ASCP) QIHC From: tmcne...@lmhealth.org To: drbu...@gmail.com; histonet@lists.utsouthwestern.edu Date: Mon, 3 Feb 2014 12:49:14 -0500 Subject: RE: [Histonet] Turn Around Time CC: Our benchmark is 24 hour TAT for 80% of cases. We provide same-day service for recuts and most in-house special stains. Tom McNemar, HT(ASCP) Histology Supervisor Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto: histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] dust-free coverslips - do they really exist?
What's your favorite? It gets frustrating when I need to capture low power images and there coverslips are dirty right out of the box. Fisherfinest Premium isn't bad, but I am wondering if there is something better??? Brett Brett M. Connolly, Ph.D. Principal Scientist, Imaging Dept. Merck Co., Inc. PO Box 4, WP-44K West Point, PA 19486 brett_conno...@merck.com T- 215-652-2501 F- 215-993-6803 Notice: This e-mail message, together with any attachments, contains information of Merck Co., Inc. (One Merck Drive, Whitehouse Station, New Jersey, USA 08889), and/or its affiliates Direct contact information for affiliates is available at http://www.merck.com/contact/contacts.html) that may be confidential, proprietary copyrighted and/or legally privileged. It is intended solely for the use of the individual or entity named on this message. If you are not the intended recipient, and have received this message in error, please notify us immediately by reply e-mail and then delete it from your system. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Turn Around Time
In the US the standard (or most frequent) TAT is 24 hours. In other countries the TAT varies greatly, in extreme cases up to 1 week for surgicals! René J. From: Tom McNemar tmcne...@lmhealth.org To: 'Dawn Bugge' drbu...@gmail.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, February 3, 2014 12:49 PM Subject: RE: [Histonet] Turn Around Time Our benchmark is 24 hour TAT for 80% of cases. We provide same-day service for recuts and most in-house special stains. Tom McNemar, HT(ASCP) Histology Supervisor Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. 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
RE: [Histonet] Price for preparing IHC slides
I believe that this would be highly dependent on the antibodies used, how often the antibodies are used, slide costs, tech costs, overhead, etc. What would be average for 1 institution might be above or below average for another. What are you trying to determine, Ann? Joe W. Walker, Jr. MS, SCT(ASCP)CM Manager of Anatomical Pathology, Microbiology and Reference Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Ann Specian Sent: Monday, February 03, 2014 1:03 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Price for preparing IHC slides Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This message (and any included attachments) is from Rutland Regional Health Services and is intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail. Thank You ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Price for preparing IHC slides
This is a fascinating question, Ann - I've been studying this topic for the last couple of years in five countries. While I do not yet understand this complex phenomenon as well as I would wish to, these are my impressions about life here in the US. It is a ridiculous tale, but I will tell it to you... The smartest shoppers who have the biggest contracts (you can guess who those might be) are paying $5-10 for their highest-volume slides - ER, PR, HER-2 and a few others - but more like $10-15 for most of their menus. The smallest IHC customers think they are paying 20-something per slide, but they are actually paying $30-$40 per slide - and more in many cases. How this discrepancy? Two reasons: first, because the suppliers (I can't quite remember their names right now, please pardon my senior moment) are highly-skilled at making their price lists and service contracts as eye-glazingly complicated as possible. And second, because immutable human nature compels many mere mortals to underestimate their costs, particularly while they are still trying to rationalize a bad investment they made some time ago I'm pretty sure that American labs (excluding Canada, mind you) spent $700-750m with the IHC companies in 2013. I think that between 28m and 32 million IHC slides were run last year in the US. If you want to slice those estimates down the middle you'll come up with maybe $24/slide, once every penny of waste, service, and sub-optimal operating procedures are truly accounted for. There you have one of the most useless averages you'll ever hear. There are plenty of contracts out there in vast middle America at every price point between $7 and $30 per slide. You pay what your volume earns you, unless of course you happen to be in the market for a tissue processor or primary stainer at the time you're haggling with the IHC companies. I'll remember their names if you give me another a minute. That's the way it was last year. WIth these new codes, lots of small labs will be priced out of the IHC business by summertime, and the big labs that remain will have negotiated prices within a narrower range. That'll be a fast-moving target. Since I didn't see you in the crowd at the funeral of 88342 last month, I am attaching below our chronicle of the event. I'm always happy to banter about this with anyone who thinks the topic is interesting. Sincerely, Michael Farmer McEvoy Farmer Pathology www.mcevoyandfarmer-pathology.com 415-994-8852 Those who seek the truth doubt those who find it - André Gide On Feb 3, 2014, at 1:03 PM, Ann Specian wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ 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] Turn Around Time
While I recognize the need for a quick result in some cases, I also subscribe to the theory that speed kills. I'm not sure that these quick TATs are always medically necessary, but rather more of a convenience.However that is another discussion altogether. That said, our institution shoots for the 80% in 24 hours as well. Martha Ward, MT (ASCP) QIHC Manager Molecular Diagnostics Lab Medical Center Boulevard \ Winston-Salem, NC 27157 p 336.716.2109 \ f 336.716.5890 mw...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ 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] Re: Turn Around Time
Dawn R. Bugge at Seattle WA Histology asks: I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Normally I'd receive the specimen on Monday and gross it, have it processed overnight, get the slides some time Tuesday morning, and sign the case out well before close of business on Tuesday. Exceptions are when the specimen needs to fix overnight before I gross it (bowel resection) or after I gross it (fatty breast tissue, amputation specimens, autopsies), or when a specimen of more than minimal size (or received after 1400) requires decalcification. What I say goes. Bob Richmond Samurai Pathologist Maryville TN ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Turn Around Time
I agree with you, Martha. That is why we look at it from an average of all cases for the month. We definitely encounter cases that are difficult and require more time with our pathologists. We track the TAT for statistical purposes only. The CAP (for those who are CAP accredited) has dropped this from their checklist for surgical cases. It seems to only really apply to autopsy cases now but these has a much different TAT target. Joe W. Walker, Jr. MS, SCT(ASCP)CM Manager of Anatomical Pathology, Microbiology and Reference Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.orgwww.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Martha Ward-Pathology Sent: Monday, February 03, 2014 2:06 PM To: Dawn Bugge; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Turn Around Time While I recognize the need for a quick result in some cases, I also subscribe to the theory that speed kills. I'm not sure that these quick TATs are always medically necessary, but rather more of a convenience.However that is another discussion altogether. That said, our institution shoots for the 80% in 24 hours as well. Martha Ward, MT (ASCP) QIHC Manager Molecular Diagnostics Lab Medical Center Boulevard \ Winston-Salem, NC 27157 p 336.716.2109 \ f 336.716.5890 mw...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ 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 This message (and any included attachments) is from Rutland Regional Health Services and is intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail. Thank You ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Turn Around Time
Martha: So, do you mean that you are not satisfied with the quality of your slides? If you are, I just do not understand your concerns about a 24 h TAT! The fundamental issue is to develop adequate protocols assuring quality as well as a convenient (24 h) TAT. Just my 3 cents (after inflation!) René J. From: Martha Ward-Pathology mw...@wakehealth.edu To: Dawn Bugge drbu...@gmail.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Sent: Monday, February 3, 2014 2:05 PM Subject: RE: [Histonet] Turn Around Time While I recognize the need for a quick result in some cases, I also subscribe to the theory that speed kills. I'm not sure that these quick TATs are always medically necessary, but rather more of a convenience. However that is another discussion altogether. That said, our institution shoots for the 80% in 24 hours as well. Martha Ward, MT (ASCP) QIHC Manager Molecular Diagnostics Lab Medical Center Boulevard \ Winston-Salem, NC 27157 p 336.716.2109 \ f 336.716.5890 mw...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology ___ 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] How to De-stain trichrome
Hi Hans, It is possible, though it will depend on what you want to do to the slides afterword. The problem arises from the use of phosphotungstic or phosphmolybdic acid which is used for differentiation and mordanting in the trichrome stains like Masson's. These are very difficult to reverse (anyone trying to restain PAP smears might know the problem). This may cause problems. Regards Tony Henwood JP, MSc, BAppSc, GradDipSysAnalys, CT(ASC), FFSc(RCPA) Laboratory Manager Senior Scientist, the Children's Hospital at Westmead Adjunct Fellow, School of Medicine, University of Western Sydney Tel: 612 9845 3306 Fax: 612 9845 3318 Pathology Department the children's hospital at westmead Cnr Hawkesbury Road and Hainsworth Street, Westmead Locked Bag 4001, Westmead NSW 2145, AUSTRALIA -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hans B Snyder Sent: Tuesday, 4 February 2014 1:54 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] How to De-stain trichrome Does anyone know how to destain Massons trichrome? Is it possible? Thank you Histologistics Hans B Snyder 508.308.7800 h...@histologistics.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet * This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, please delete it and notify the sender. Views expressed in this message and any attachments are those of the individual sender, and are not necessarily the views of The Sydney Children's Hospitals Network. This note also confirms that this email message has been virus scanned and although no computer viruses were detected, The Sydney Childrens Hospital's Network accepts no liability for any consequential damage resulting from email containing computer viruses. * ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Re: Histonet Digest, Vol 123, Issue 3
Dawn, Our TAT is 94% with 24 hours 98% within 48 hours (~ 6% complicated cases need more IPOX/Molecular Study/FACS etc.). Madeleine Superviser - Pathology (IPOX Histology) madelein...@elcaminohospital.org From: histonet-boun...@lists.utsouthwestern.edu [mailto: histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Dawn Bugge Sent: Monday, February 03, 2014 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Turn Around Time Hello Histonet I am just curious what the standard for Turn Around Time is for most labs. I think a two day turn around time from the time the biopsy gets to the lab to the time the pathologist signs out a case is pretty fast. Thanks for your input. -- Dawn R Bugge Seattle Histology On Mon, Feb 3, 2014 at 10:00 AM, histonet-requ...@lists.utsouthwestern.eduwrote: Send Histonet mailing list submissions to histonet@lists.utsouthwestern.edu To subscribe or unsubscribe via the World Wide Web, visit http://lists.utsouthwestern.edu/mailman/listinfo/histonet or, via email, send a message with subject or body 'help' to histonet-requ...@lists.utsouthwestern.edu You can reach the person managing the list at histonet-ow...@lists.utsouthwestern.edu When replying, please edit your Subject line so it is more specific than Re: Contents of Histonet digest... Today's Topics: 1. Re: Gross lab seniors (WILLIAM DESALVO) 2. Re: protocols to fix insect wings that are quite hirsute (Damien) 3. RE: Ventana LEAN (Tim Higgins) 4. RE: RE: Ventana LEAN (Rathborne, Toni) 5. How to De-stain trichrome (Hans B Snyder) 6. Histotech position FT West Palm Beach (nic...@dlcjax.com) 7. anyone need a glass cover slipper (Curt) 8. On-call position for Histology Assistant in Phoenix AZ (Jill Cox) 9. RE: RE: Ventana LEAN (Eytalis, Robert A) 10. Turn Around Time (Dawn Bugge) 11. RE: Turn Around Time (Tom McNemar) 12. RE: Turn Around Time (joelle weaver) -- Message: 1 Date: Sun, 2 Feb 2014 18:34:15 + From: WILLIAM DESALVO wdesalvo@outlook.com Subject: Re: [Histonet] Gross lab seniors To: E. Wayne Johnson ??? e...@pigsqq.org Cc: histonet histonet@lists.utsouthwestern.edu, Vickroy, Jim vickroy@mhsil.com Message-ID: col402-eas211fa5b8b1d0fd82edf444a82...@phx.gbl Content-Type: text/plain; charset=utf-8 Absolutely the Face velocity changes with the work area set-up. This is why I like to make sure the air flow away is maintained at a minimum. Most grossing stations have large working area and often the flow away from the grosser is not checked, just the vent opening draw. Most important is to set up a process and then regularly check. Sent from Windows Mail From: E. Wayne Johnson 朱稳森 Sent: Saturday, February 1, 2014 3:12 PM To: WILLIAM DESALVO Cc: Vickroy, Jim, histonet Face velocity is simply the airflow rate in CFM divided by the area of the hood opening in square feet. A smaller opening at the same flow rate gives a higher face velocity. Titanium tetrachloride in a small plastic squeeze bottle can be used to generate smoke. On 3:59 AM, WILLIAM DESALVO wrote: We use a company called C-Scan Technologies, Phoenix, AZ. The way they test all our gross dissection stations is by testing for directional or smoke containment and face velocity. We also check th they external pathway is clear and if the unit has a filtering system, the filters are changed regularly. The air flow measurement is Feet per minute (FPM) for face velocity and includes width, height, depth and total square ft for the working area. They exhaust flow in CFM. Face velocity minimum requirement is 100 fpm, exhaust flow requirement is500 cfm. Face velocity fluctuates depending on the room and the air exchange rate for the area. I have always felt the face velocity is most important to gross dissection personnel. There needs to be adequate draw away from the employee, no matter the physical conditions of the room. William DeSalvo, BS HTL(ASCP) Production Manager-Anatomic Pathology Chair, NSH Quality Management Committee Owner/Consultant, Collaborative Advantage Consulting From: vickroy@mhsil.com To: histonet@lists.utsouthwestern.edu Date: Fri, 31 Jan 2014 12:46:08 -0600 Subject: [Histonet] Gross lab seniors We have several gross lab senior grossing stations that are vented outside. Our engineering asked today whether the airflow should be checked yearly like other exhaust hoods. Problem is there is not a door like other hoods of course and how would you measure the airflow? Recommended airflow is 500cfm however clearly the airflow at the working surface is not anything close to that. I wondered how anybody else monitors the gross lab seniors or do they at all. CAP used to ask about documentation for checking hoods however I
Re: [Histonet] Price for preparing IHC slides
Read our motto below. I've worked for the big IHC companies. Now we will place everything at $10/slide w antibody. Instrument included. Michael O. Thompson Director of Sales Diagnostic BioSystems Phone: 1-888-896-3350 Mobile: 412-860-1288 Office Fax: 412-727-6080 IHC Made Affordable www.dbiosys.com Michael Farmer mich...@mcevoyandfarmer.com wrote: This is a fascinating question, Ann - I've been studying this topic for the last couple of years in five countries. While I do not yet understand this complex phenomenon as well as I would wish to, these are my impressions about life here in the US. It is a ridiculous tale, but I will tell it to you... The smartest shoppers who have the biggest contracts (you can guess who those might be) are paying $5-10 for their highest-volume slides - ER, PR, HER-2 and a few others - but more like $10-15 for most of their menus. The smallest IHC customers think they are paying 20-something per slide, but they are actually paying $30-$40 per slide - and more in many cases. How this discrepancy? Two reasons: first, because the suppliers (I can't quite remember their names right now, please pardon my senior moment) are highly-skilled at making their price lists and service contracts as eye-glazingly complicated as possible. And second, because immutable human nature compels many mere mortals to underestimate their costs, particularly while they are still trying to rationalize a bad investment they made some time ago I'm pretty sure that American labs (excluding Canada, mind you) spent $700-750m with the IHC companies in 2013. I think that between 28m and 32 million IHC slides were run last year in the US. If you want to slice those estimates down the middle you'll come up with maybe $24/slide, once every penny of waste, service, and sub-optimal operating procedures are truly accounted for. There you have one of the most useless averages you'll ever hear. There are plenty of contracts out there in vast middle America at every price point between $7 and $30 per slide. You pay what your volume earns you, unless of course you happen to be in the market for a tissue processor or primary stainer at the time you're haggling with the IHC companies. I'll remember their names if you give me another a minute. That's the way it was last year. WIth these new codes, lots of small labs will be priced out of the IHC business by summertime, and the big labs that remain will have negotiated prices within a narrower range. That'll be a fast-moving target. Since I didn't see you in the crowd at the funeral of 88342 last month, I am attaching below our chronicle of the event. I'm always happy to banter about this with anyone who thinks the topic is interesting. Sincerely, Michael Farmer McEvoy Farmer Pathology www.mcevoyandfarmer-pathology.com 415-994-8852 Those who seek the truth doubt those who find it - André Gide On Feb 3, 2014, at 1:03 PM, Ann Specian wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ 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] Price for preparing IHC slides
Along the same times - anyone having success with getting discounts from IHC vendors? Dako was kind enough to offer us a 2% decrease on the 5% increase they gave us on Jan 1st. Creative accounting. Lisa Braggs, MBA, FACMPE Chief Executive Officer P. (575) 622-5600 C. (575) 626-6957 F. (575) 622-3720 TF. (800) 753-7284 pcnm.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mike Thompson Sent: Monday, February 03, 2014 3:28 PM To: Michael Farmer Cc: histonet@lists.utsouthwestern.edu; Ann Specian Subject: Re: [Histonet] Price for preparing IHC slides Read our motto below. I've worked for the big IHC companies. Now we will place everything at $10/slide w antibody. Instrument included. Michael O. Thompson Director of Sales Diagnostic BioSystems Phone: 1-888-896-3350 Mobile: 412-860-1288 Office Fax: 412-727-6080 IHC Made Affordable www.dbiosys.com Michael Farmer mich...@mcevoyandfarmer.com wrote: This is a fascinating question, Ann - I've been studying this topic for the last couple of years in five countries. While I do not yet understand this complex phenomenon as well as I would wish to, these are my impressions about life here in the US. It is a ridiculous tale, but I will tell it to you... The smartest shoppers who have the biggest contracts (you can guess who those might be) are paying $5-10 for their highest-volume slides - ER, PR, HER-2 and a few others - but more like $10-15 for most of their menus. The smallest IHC customers think they are paying 20-something per slide, but they are actually paying $30-$40 per slide - and more in many cases. How this discrepancy? Two reasons: first, because the suppliers (I can't quite remember their names right now, please pardon my senior moment) are highly-skilled at making their price lists and service contracts as eye-glazingly complicated as possible. And second, because immutable human nature compels many mere mortals to underestimate their costs, particularly while they are still trying to rationalize a bad investment they made some time ago I'm pretty sure that American labs (excluding Canada, mind you) spent $700-750m with the IHC companies in 2013. I think that between 28m and 32 million IHC slides were run last year in the US. If you want to slice those estimates down the middle you'll come up with maybe $24/slide, once every penny of waste, service, and sub-optimal operating procedures are truly accounted for. There you have one of the most useless averages you'll ever hear. There are plenty of contracts out there in vast middle America at every price point between $7 and $30 per slide. You pay what your volume earns you, unless of course you happen to be in the market for a tissue processor or primary stainer at the time you're haggling with the IHC companies. I'll remember their names if you give me another a minute. That's the way it was last year. WIth these new codes, lots of small labs will be priced out of the IHC business by summertime, and the big labs that remain will have negotiated prices within a narrower range. That'll be a fast-moving target. Since I didn't see you in the crowd at the funeral of 88342 last month, I am attaching below our chronicle of the event. I'm always happy to banter about this with anyone who thinks the topic is interesting. Sincerely, Michael Farmer McEvoy Farmer Pathology www.mcevoyandfarmer-pathology.com 415-994-8852 Those who seek the truth doubt those who find it - André Gide On Feb 3, 2014, at 1:03 PM, Ann Specian wrote: Can anyone tell me the average cost for preparing an IHC slide? thanks, Ann ___ 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 Disclaimer: This electronic message may contain information that is proprietary, confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains.___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
