[Histonet] hirsch-peiffer cresyl violet method?

2017-04-14 Thread Morken, Timothy via Histonet
Hi all, Does anyone have the method for Hirsch-peiffer cresyl violet used for metachromatic leukodystrophy? On frozen sections. We are trying to find out if it is different than the usual cresyl violet with acetic acid method for Nissl bodies. I've found many references to it, but none that

Re: [Histonet] help!!

2017-04-13 Thread Morken, Timothy via Histonet
Blanca, immunofluorescence (IF) is a subset of immunochemistry. Immunohistochemistry is also a subset of immunochemistry. There is some overlap between the two. Immunohistochemistry denotes immunochemistry done on tissue sections ("-histo-" =" tissue"). But we can also use other enzymes to

Re: [Histonet] Tissue Fixation

2017-03-31 Thread Morken, Timothy via Histonet
Tim, I have to agree with Rene that the formalin or time in formalin is obviously not the problem - it has plenty of time in formalin (and who would dilute it anyway?). Handling before formalin must always be determined when problems arise. If the sample sits on a paper towel, gauze etc it does

[Histonet] Congo red and LED illumination problem?

2017-03-14 Thread Morken, Timothy via Histonet
Something new to me... A pathologist said he is getting reports that LED illumination on newer microscopes is leading to faint or even false negatives for congo red amyloid birefringence due to the difference in spectrum between LED and tungsten filament lamps. Has anyone else noticed this?

Re: [Histonet] square footage for formalin

2017-02-27 Thread Morken, Timothy via Histonet
Allison, I've never heard of any such requirement. The only requirements have to do with vapor exposure. If the levels are below the OSHA standards it is ok. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC

Re: [Histonet] High/Low thermometed

2016-12-15 Thread Morken, Timothy via Histonet
Amanda, we use the Fisher Scientific traceable (NISH certificated) for general hi/lo recording. It just records Hi and Lo over whatever time period until it is reset. It does not tell you when the hi/lo occurred. You can get a model that has a 30 day memory and records the time of the hi and lo

Re: [Histonet] CLIA classifications

2016-12-14 Thread Morken, Timothy via Histonet
Cassandra, for CLIA, CAP and Joint Commission, microtomy and H staining (as well as embedding and special stains) are classified as "specimen processing" and do not come under the complexity designation. The reason is that the histotechs are not doing any "testing" which is defined as

Re: [Histonet] RTU antibodies with 1+ year expiration date

2016-12-05 Thread Morken, Timothy via Histonet
To the specific question of if lab-made predilutes will last longer than two weeks. Yes they can. But be sure you are using reasonably sterile technique so they don't become contaminated. Then validate how long they last. I know of one lab in the "old" days of manual staining that kept their

Re: [Histonet] Personel

2016-11-28 Thread Morken, Timothy via Histonet
anager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -Original Message- From: Jesus Ellin [mailto:jel...@yumaregional.org] Sent: Monday, November 28, 2016 7:47 AM To: Willis, Donna G.; Morken, Timothy; Jennifer

Re: [Histonet] Personel

2016-11-23 Thread Morken, Timothy via Histonet
Medical Center -Original Message- From: Jennifer Valentine-Williams [mailto:jennifer.valentine-willi...@neogenomics.com] Sent: Wednesday, November 23, 2016 2:02 PM To: Morken, Timothy; Jesus Ellin Cc: Histonet Subject: RE: [Histonet] Personel I would like to branch off from this top

Re: [Histonet] Personel

2016-11-23 Thread Morken, Timothy via Histonet
extensive interpretation and judgment. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -Original Message- From: Jennifer Valentine-Williams [mailto:jennifer.valentine-wi

Re: [Histonet] Personel

2016-11-22 Thread Morken, Timothy via Histonet
nd they do not consider histology "processing" to be a "test" and they consider any slide staining as "processing." So they do not require competency testing for histology personnel (We do it anyway because it is a good thing to do). Tim -Original Message

Re: [Histonet] Personel

2016-11-22 Thread Morken, Timothy via Histonet
swer, most of which are contradictory from one inspector to another. Tim -Original Message- From: Curt [mailto:c.ta...@pathologyarts.com] Sent: Tuesday, November 22, 2016 10:43 AM To: Morken, Timothy; Jesus Ellin Cc: histonet@lists.utsouthwestern.edu Subject: RE: Personel I recently had

Re: [Histonet] Personel

2016-11-22 Thread Morken, Timothy via Histonet
Jesus, that is very interesting information. Does anyone know of any CAP accreditation documents that state explicitly that IHC slide staining is high complexity? I have not seen any. If anyone has those documents I'd like to see them. The only reference from CAP about that classification I

Re: [Histonet] Transporting wet tissues

2016-11-04 Thread Morken, Timothy via Histonet
Helen, we use Coleman 50-qt wheeled coolers (with wheels and handles). The containers and buckets are parafilmed and put in plastic bags. The coolers have formalin absorbing pads at the bottom for any leaks. The coolers are liquid proof, easy to roll around. Occasionally a handle will break on

Re: [Histonet] Bone saw

2016-10-27 Thread Morken, Timothy via Histonet
I agree, we use the IMEB bone saw as well. All human bones though... -Original Message- From: Terri Braud via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Thursday, October 27, 2016 10:34 AM To: 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] Bone saw We use an

[Histonet] JC requirement for stain QC question

2016-10-19 Thread Morken, Timothy via Histonet
Hi all, for those under Joint Commission, can you give your interpretation of this standard having to do with QC of stains? _ QSA 13.06.01 The equipment, methods and stains used in producing microscopic slides provides tissue sections that facilitate a diagnosis Elements

Re: [Histonet] Laboratory Developed Test LDT process example for antibodies, specifically P16

2016-10-14 Thread Morken, Timothy via Histonet
Do you mean the list required by COM.40200, or a validation procedure? The list is just a list of those test you have modified from manufacturer's instructions, or developed in-house from ASR's (any IHC test you do in which you modify dilutions, detection, AR etc). For validation, The FDA LDT

[Histonet] Histotech competency evaluation RE: (no subject)

2016-09-01 Thread Morken, Timothy via Histonet
Nirmala, Histotechs are not required to have competency assessment under CLIA regulations because, as you note, they do not interpret any tests or report any results. However, if they do grossing then they do require high complexity competency assessment. Having said that, if there is some

Re: [Histonet] (no subject)

2016-09-01 Thread Morken, Timothy via Histonet
Nirmala, Histotechs are not required to have competency assessment under CLIA regulations because, as you note, they do not interpret any tests or report any results. However, if they do grossing then they do require high complexity competency assessment. Having said that, if there is some

[Histonet] Kaiser Sunnyside, Clackamas OR contact?

2016-08-31 Thread Morken, Timothy via Histonet
All knowing histonet. Does anyone have a lab contact at Kaiser Sunnyside, Clackamas, OR? Their bureaucracy is impenetrable!! Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center

Re: [Histonet] Disposal of Processor

2016-08-11 Thread Morken, Timothy via Histonet
Fawn, equipment we dispose of (ie, surplus for sale) we just have to clean it. For a tissue processor we would run a cleaning cycle, clean up the outside of crud and it is good to go. There is no infectious contamination issue. We signoff on a form that it has been decontaminated. It is

Re: [Histonet] Freezing biopsies

2016-08-11 Thread Morken, Timothy via Histonet
Judi, what is the purpose of freezing it? For sectioning, biochemistry, histochemistry, or shipping it? It makes a difference. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center

Re: [Histonet] productivity standards/slide

2016-08-09 Thread Morken, Timothy via Histonet
That's a good question, but tough to answer because every lab has different ways of mounting sections. I think you will have to define that for your own workflow. I've seen labs that require 30 serial sections on a slide for certain specimens, so what is that?! You could start with the one

Re: [Histonet] Pathology Ladder System

2016-08-09 Thread Morken, Timothy via Histonet
Our career ladder at UCSF HLT 1 thru 4 (Hospital Laboratory Technician) for non-histology positions. HLT-1 is entry level, could be out of high school. To move up requires more education. HLT-2 AA to BA/BA, HLT-3, -4, BA/BS used as accessioners, basic lab techs in grossing and cytology,

[Histonet] Question about prelim report for autopsy with neuropathology

2016-07-29 Thread Morken, Timothy via Histonet
How do you handle counting days to preliminary autopsy dx (PAD) when doing cases in which the brain autopsy results are the main component of disease? If we accession at the time of autopsy and then let the brain fix for several days before cutting in, then the PAD is many days past the 3-day

Re: [Histonet] It's getting cold in here....

2016-07-28 Thread Morken, Timothy via Histonet
Seems like nurses would have enough to do already! I wonder if this is aimed at physician labs where they may have a nurse but no lab tech... California requirement for RN BS degree require only one quarter of microbiology with lab, and one quarter of basic chemistry with lab. And 3

Re: [Histonet] Distilled Water vs DI water for IHC and H staining

2016-07-28 Thread Morken, Timothy via Histonet
Charles, for most histology applications water from laboratory-grade DI and distilled systems are fairly interchangeable because modern systems bring them pretty close to the same purity. But some stains can be affected if they are susceptible to chemical interactions with something left in the

Re: [Histonet] block scrapers

2016-07-22 Thread Morken, Timothy via Histonet
Sakura has purpose-made scrapes. Otherwise you can use plastic scrapers from a hardware store. However, we moved away from scrapers and now use a heating block trimmer made for the purpose. Several vendors offer these. http://www.newcomersupply.com/product/paraffin-wax-trimmer We do all

Re: [Histonet] HT Certification

2016-06-21 Thread Morken, Timothy via Histonet
I guess one question is, how did they get the impression they would get the 5%? That is not something that is normally written into the job description, but should be documented in a job offer, or it is made clear in some policy that as they gain competency, and the lab organization

Re: [Histonet] embedding and microtomy "medical waste"

2016-05-11 Thread Morken, Timothy via Histonet
Curt, we went through the same thing, but for the embedding we keep a plastic bucket on the bench and lined with a biohazard bag, and put all the lids and papers in that. We keep those for a week in case some tissue ends up missing. Then it goes into the red cans. At the microtome we do use

Re: [Histonet] plastic to paraffin

2016-05-11 Thread Morken, Timothy via Histonet
Tamara, Yes, it is possible, and some do immuno on plastic sections with this method, but it's a lot of work and the issue arises of whether you have validated your stains to work when this method is used. And do you have controls treated the same way? In the clinical diagnostic environment, in

Re: [Histonet] Plastic to Paraffin

2016-05-11 Thread Morken, Timothy via Histonet
Kenneth, Sorry but no, it does not work to go the other way. We do this occasionally but normally only a take a small portion of the tissue in the block. Did they embed all of it in plastic? Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special

Re: [Histonet] picric acid

2016-05-06 Thread Morken, Timothy via Histonet
Here's another good document on how to handle picric acid powder www.ehs.wisc.edu/chem/SafeHandlingOfPicricAcid.pdf -Original Message- From: Morken, Timothy via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Friday, May 06, 2016 8:28 AM To: Julio Benavides Cc: Histonet

Re: [Histonet] picric acid

2016-05-06 Thread Morken, Timothy via Histonet
Julio, you can just pour water into the container. We always oversaturated so that a layer of water was on top of the powder. Look at this explanation http://oag.ca.gov/sites/all/files/agweb/pdfs/cci/safety/picric.pdf or read the text below if you cannot open this. This contains instructions

Re: [Histonet] IHC positive controls

2016-05-02 Thread Morken, Timothy via Histonet
Cynthia, best practice is to keep in the block and cut as needed. Second is to cut and dry at room temp and not melt, then store. Don't cut, melt and store. The issue is oxidation. Keeping in paraffin prevents oxidation. You'll protect the antigens better if they are fully isolated from air,

Re: [Histonet] viral contamination during frozen sections

2016-04-20 Thread Morken, Timothy via Histonet
Travis, check out the CDC website http://www.cdc.gov/hicpac/Disinfection_Sterilization/6_0disinfection.html Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center -Original

Re: [Histonet] GLOMERULI ADEQUACY

2016-04-13 Thread Morken, Timothy via Histonet
Melissa, our PA's look at them when received in the grossing lab, and if they aren't sure they bring them down the hall to the EM lab and we confirm. Our clinicians seem to be pretty good at getting a good bx without examining them in radiology so this works for us. Tim Morken Pathology Site

Re: [Histonet] Plastic coverslip Loosening

2016-03-22 Thread Morken, Timothy via Histonet
A warning on the Mount-Quick... We have used this for years for our histochemistry slides but we stopped using Quickmount recently when we got a batch that failed - it seemed a bit more viscous than usual while coverslipping and then a couple months later all the coverslips were found to be

[Histonet] Leica Bond and IF staining

2016-03-10 Thread Morken, Timothy via Histonet
We've been adapting the Leica Bond to do immunofluorescence staining and finding it a hard road. Leica does not support IF staining within the standard clinical software so we need to buy a FISH kit (just one vial of formamide) in order to get a "kit" barcode to run the system. We dump the

Re: [Histonet] (CLRW) - Clinical Laboratory Reagent Water

2016-02-16 Thread Morken, Timothy via Histonet
Deanne, If you just need it for a few critical reagents You can get type 1 water by the pint or the gallon from Fisher (NERL Type 1 water). It's probably overkill for most histology procedures, but convenient if you need it. Note that the expiry clock of 30 days starts when you open the

Re: [Histonet] Fwd: Natalia's Credentials

2016-02-12 Thread Morken, Timothy via Histonet
Charles, Foreign course work is useless for CLIA until it is vetted by a transcript service that can evaluate the validity of the school and how that course work matches with the required typical US courses. ASCP requires such vetting for foreign applications for ASCP certification (I've been

[Histonet] Al Floyd, a great loss to NSH

2016-01-19 Thread Morken, Timothy via Histonet
For those that knew him or took courses from him, Al was a consummate professional. I was fortunate enough to work with him on some projects and found his knowledge and insight invaluable. He was also a good friend. He will be missed, especially as a fixture at NSH meetings. Tim Morken

Re: [Histonet] Help with causes or theory behind failure of nuclear counterstaining after IHC!

2016-01-04 Thread Morken, Timothy via Histonet
Maria, If the counterstain is good when done before IHC stain and poor after it sounds like proteins are being extracted during the IHC processing and staining. Have you tried staining sections after each step of the IHC process to isolate the point the stain becomes weak? Tim Morken

Re: [Histonet] Expiration dates of ammonium sulphide

2015-12-17 Thread Morken, Timothy via Histonet
Hi Karen, We get ours from Sigma-aldrich: Ammonium Sulfide, 25ml A1952-25Sigma-Aldrich $34.12 EA 25 ml This is a 20% solution We just got some so I know they have it. We use a 10% solution of this, so it comes out to 2% final concentration: we use 4ml of the ammonium

[Histonet] Cork-covered beakers

2015-12-09 Thread Morken, Timothy via Histonet
Hi all, we have some old beakers that we use for hot solutions that have cork covering over the vertical portion of the beaker The cork insulates for easy handling. I have not been able to find replacements for these. Does anyone have a source for these beakers? Or a method to cover them with

[Histonet] DIF on paraffin embedded tissue

2015-12-04 Thread Morken, Timothy via Histonet
The response to a problem like this is that your lab has not validated such a procedure for diagnostic use so the results are completely unreliable with your current protocols. Sure, you can "try it" but a negative result would mean nothing at all. Or you might get massive background that also

[Histonet] CAP and Special Stains Question

2015-12-04 Thread Morken, Timothy via Histonet
Diana, Obviously there are no negative controls for some special stains because they just stain tissue elements (ie, trichrome) that are often in all tissues and we are just looking at the morphology changes in a disease state. A negative would have you apply the stain to tissue that could not

Re: [Histonet] Tissue Sample Quality - ANP.10038

2015-10-07 Thread Morken, Timothy via Histonet
Banjo, We use a form to inform pathologists/residents of tissue problems. Our SOP is that anything that is noticed at embedding or sectioning that either compromises quality or prevents proceeding is noted on the form and sent along to the pathologist/resident. If we cannot proceed due to

Re: [Histonet] TC labs

2015-10-05 Thread Morken, Timothy via Histonet
What I believe happens is that the referring lab must do an audit/inspection of the technical-only lab to be sure they are CLIA compliant. For instance, check validation procedures for stains, equipment, quality control. It's true CLIA itself does not inspect the Tech-only lab, but the

[Histonet] FW: GMS and Gram stains

2015-10-05 Thread Morken, Timothy via Histonet
From: Histology [hi...@pathlab.us] Sent: Monday, October 05, 2015 5:18 AM To: Morken, Timothy Subject: RE: GMS and Gram stains 1. Gram: Sigma-Aldrich Accustain 2. Gram: Hard to see gram negative 1. GMS: Grocott's Methenmmine Silver modified 2. GMS

[Histonet] Dako computer?

2015-09-29 Thread Morken, Timothy via Histonet
Does anyone have a left-over computer for the Dako Autostainer Plus you want to sell? Ours died and the service vendor is having a hard time finding a replacement. Any help is appreciated! Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special

Re: [Histonet] Webinar presentation hand-outs

2015-09-22 Thread Morken, Timothy via Histonet
Elaine you can download the powerpoint and all the handouts from the Advance for Laboratories website under Webinars, QA/QC, " Basic Principles of Validation in Histology" Link is below:

[Histonet] Cryostat vacuum

2015-09-11 Thread Morken, Timothy via Histonet
I just bought one from IMEB : http://www.imebinc.com/ Hello Histonet, Does anyone know where I can find a cryostat vacuum? I've used them in the past but can't seem to find a manufacturer. Thanks! Michael J. Dessoye, M.S. | Histology/Toxicology/RIA Supervisor | Wilkes-Barre General

Re: [Histonet] Using randomly generated anonymizing numbers for internal tracting of specimens

2015-08-25 Thread Morken, Timothy via Histonet
Interesting. I can see the point if they want total opacity as to person ID. Is only the number supposed to appear on the label? How about a second identifier? It would not cause mistakes in labeling (because the labels come from the system) as long as you are following one-piece workflow. But

Re: [Histonet] Labeling Slides

2015-08-25 Thread Morken, Timothy via Histonet
Laura, We don't hand-write anything on case slides before applying a printed label, if that is what you mean. Hand-written labels are the most error-prone method of labeling. We use a TBS slide etcher to batch-print on-slide labels for our on-slide control TMA's and single-tissue control

[Histonet] FW: HTL Career Path

2015-08-18 Thread Morken, Timothy via Histonet
Anna, This is a great topic and you pretty much nailed it as far as getting into it accidently. The fact is, most of us did. However, you can approach it a couple ways. The big question is, how do you want to advance. Do you want to stay in the lab and be the overall lab expert, or do you

[Histonet] NFPA laser printer labels?

2015-07-30 Thread Morken, Timothy via Histonet
Does anyone have a source for NFPA laser printer labels. Especially in the 1 x 3 size? Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center

Re: [Histonet] understanding reagents in decalcifier; making it in-house

2015-07-22 Thread Morken, Timothy via Histonet
Merissa, Water 77-80 solvent Formic acid 21-23 active ingredient Fluorad 1surfactant - a wetting agent to make the solution wet the bone more easily Sodium citrate 1emulsifier , buffer

Re: [Histonet] Source for ultra low temperature immersion thermometer

2015-07-13 Thread Morken, Timothy
Paula, we use an Oakton Temp10K with a Type-K thermocouple probe (goes to -250C) . We got it from Fisher scientific https://www.fishersci.com/shop/products/oakton-digi-sense-dual-input-j-k-t-thermocouple-thermometer/p-203772 Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron

Re: [Histonet] Sakura SmartSection

2015-07-10 Thread Morken, Timothy
, Christopher [mailto:sim...@upmc.edu] Sent: Friday, July 10, 2015 12:44 PM To: Morken, Timothy Cc: Histonet Subject: Re: [Histonet] Sakura SmartSection Have it smart section undecalcified bone or teeth in plastic then I might give it a look But only a look You can never take the art away from

[Histonet] Sakura SmartSection

2015-07-10 Thread Morken, Timothy
Has anyone done any work with the Sakura SmartSection robot? We've had some blocks cut on it and have had good initial results. This could be a game-changer for histology staffing. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies

Re: [Histonet] Sakura SmartSection

2015-07-10 Thread Morken, Timothy
it. Sakura demoed it at NSH last year to select customers, and not at the general trade show. Tim -Original Message- From: Willis, Donna G. [mailto:donna.wil...@baylorhealth.edu] Sent: Friday, July 10, 2015 1:47 PM To: 'Cooper, Brian'; Morken, Timothy; histonet@lists.utsouthwestern.edu Subject

Re: [Histonet] AFB contaminant

2015-07-09 Thread Morken, Timothy
We had some a few years ago and thought it was contaminating bacteria, but turned out to be dirty water from the di tap. We had our plumbers take it apart and clean everything. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies

[Histonet] Preventing Bubbles in Alkaline Phosphatase

2015-07-06 Thread Morken, Timothy
All knowing Histonet We started doing alkaline phosphatase on muscle frozen a little while ago and have had an issue with apparent air bubbles forming over the tissue. Not trapped air from coverslipping, but forming from apparent reaction in the tissue. Does anyone have experience with

[Histonet] IHC turnaround time

2015-06-26 Thread Morken, Timothy
Dawn, I'd say 12-5 is a good TAT for any lab. Same day TAT is excellent. Maybe they don't want to stay late to ready the slides? We do 250 - 300/day, 5-6,000/month but we have extended working hours. We cut recuts from 11pm thru to 3pm and start loading the Bond and Ventana at 4am. Then they

[Histonet] Lab furniture

2015-06-26 Thread Morken, Timothy
Jill, I ordered custom made tables from OnePointe solutions. Pricing is very reasonable http://lab.onepointesolutions.com/custom-lab-tables/ [Histonet] LAB

[Histonet] Leica Cerebro

2015-06-26 Thread Morken, Timothy
Pam, we considered Cerebro a couple years ago but it was not really ready for prime time yet. It did not have the capability to link with our Cerner Copath Plus at that time. However, we did go see it live in some stand-alone labs and it looked very nice and well thought out The two major

[Histonet] Patti Loykasek - k/L staining

2015-06-01 Thread Morken, Timothy
Patti, do remember any details of the following procedure We have a heart pathologist interested Thanks to you or anyone else that can help with this. ++ From 2005... Kappa and lambda are certainly difficult to interpret. They both can be present circulating in the serum,

[Histonet] Lead Histotechnologist opening at UC San Francisco Medical Center

2015-05-27 Thread Morken, Timothy
A position is open for a lead technologist at UCSF Medical Center, San Francisco The hours will be early morning to mid-morning. Website: http://jobs.ucsfmedicalcenter.org/ Search Histotechnologist Or Job ID 8737 Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron

Re: [Histonet] Buying service contracts

2015-05-22 Thread Morken, Timothy
Carole, I determine that by how critical it is to have it working, how long you can go without, whether I have backup units and how long it takes to get non-priority one-off repair service if something goes down. We do have contracts on most of our equipment. If it is a common item that a

[Histonet] Pathologist' assistant, two openings, UCSF

2015-05-22 Thread Morken, Timothy
UC San Francisco has two Pathologist Assistant openings due to expansion of the service. Certified, experienced preferred, but recent graduates are encouraged to apply One opening is for the Parnassus Campus at Moffitt Hospital (near Golden Gate Park). The other is for the new Mission Bay

Re: [Histonet] Co-path users logging Slides in

2015-05-19 Thread Morken, Timothy
Same as Joyce, we accession as consult case (as a separate specimen class) and do the whole barcoding routine on outside blocks and slides. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco

Re: [Histonet] OJT Histotechs/Training

2015-05-14 Thread Morken, Timothy
Mike, yes, the vast majority of histotechs have been, are, and will be OJT (me included). The people who take on training these people have a responsibility to do the best they can. Most techs end up learning whatever their lab does and so have limited knowledge. I studied a full year for the

Re: [Histonet] OJT Histotechs/Training

2015-05-14 Thread Morken, Timothy
I think there is some actor from the CSI series that has done some of this work promoting lab techs... Tim Morken -Original Message- From: Pam Marcum [mailto:mucra...@comcast.net] Sent: Thursday, May 14, 2015 9:18 AM To: Lisa Roy Cc: Histonet; Michael Dessoye Subject: Re: [Histonet]

[Histonet] scanning with tape RE: In Defense of Tape

2015-05-13 Thread Morken, Timothy
FYI, We are manually coverslipping frozen slides with tape, due to the fact it dries very fast, and then scanning immediately for remote review. It is working very well. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of

Re: [Histonet] Friday Trivia Question: Most specimen on a single case

2015-05-08 Thread Morken, Timothy
Blocks, yes. Parts of a case (specimens), no. -Original Message- From: Michael Mihalik [mailto:m...@pathview.com] Sent: Friday, May 08, 2015 9:41 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Friday Trivia Question: Most specimen on a single case Please excuse the trivia

[Histonet] RE: Question

2015-04-30 Thread Morken, Timothy
Bernice, You have to buy the 10N solution. You can only dilute a given normal solution, you cannot concentrate them. Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San Francisco Medical Center

[Histonet] RE: Recycling of alcohol

2015-04-29 Thread Morken, Timothy
Jim, yes, in my experience you are going to use this for 70 to 95% alcohol steps, not 100, unless you get a water absorber (BR has one, at least used to). Tim Morken Pathology Site Manager, Parnassus Supervisor, Electron Microscopy/Neuromuscular Special Studies Department of Pathology UC San

[Histonet] RE: Nuclear Artifact

2015-04-22 Thread Morken, Timothy
One pathologist said it looks like the tissue has been cooked. Which could also be drying artifact after bx, before formalin. The only issue is we can have two biopsies right next to one another in the basket one looks good and one looks bad. My director also thinks it is the processors.

[Histonet] RE: IHC and oven temperature

2015-04-20 Thread Morken, Timothy
The95 for HIER is in liquid, The 82in the oven is dry slides. While wet high temps enhance HIER, It seems the high dry temp does harm epitopes (there is a paper somewhere on this but I don't have access to it right now). Tim Morken Supervisor, Histology, Electron Microscopy and Neuromuscular

[Histonet] Cilia embedding for EM

2015-04-08 Thread Morken, Timothy
Anyone doing cilia brush bx embedding for EM - do you have a proven method for using agar/gel for the pellet to avoid manual processing? We tried Histogel but it falls apart too easily so will move to trying agar. But if anyone has a proven method it would be helpful to try it. Thanks! Tim

[Histonet] for free...Numbered, lettered beads for embedding ID

2015-03-26 Thread Morken, Timothy
Free for anyone: I have tons of left over white numbered beads that we used for embedding ID before we went to barcoding. Numbered/lettered 0-9, A-E, various quantities but generally many hundred of each. Any takers? I'll ship. We got these from Cancer Diagnostics:

RE: [Histonet] BS in Histotechnology

2015-03-25 Thread Morken, Timothy
in a profession they love. Tim -Original Message- From: Podawiltz, Thomas [mailto:tpodawi...@lrgh.org] Sent: Wednesday, March 25, 2015 3:19 AM To: Morken, Timothy; Jennifer MacDonald; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] BS in Histotechnology Tim for a Pathology

RE: [Histonet] BS in Histotechnology

2015-03-25 Thread Morken, Timothy
look at the situation in the US and say it is ok after seeing what goes on elsewhere. Tim -Original Message- From: Podawiltz, Thomas [mailto:tpodawi...@lrgh.org] Sent: Wednesday, March 25, 2015 3:19 AM To: Morken, Timothy; Jennifer MacDonald; histonet@lists.utsouthwestern.edu Subject: RE

RE: [Histonet] BS in Histotechnology

2015-03-24 Thread Morken, Timothy
Jennifer, we require a BA/BS degree for all Histotechnologist positions. However, in our 4 step categories Level 1 does not require certification, just the degree and the requirement that they get the certification within a year. Advancement to level 2 to 4 requires an HT or HTL certification

RE: [Histonet] BS in Histotechnology

2015-03-24 Thread Morken, Timothy
...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Pam Marcum Sent: Tuesday, March 24, 2015 10:13 AM To: Sue Cc: Histonet; Morken, Timothy; Jennifer MacDonald Subject: Re: [Histonet] BS in Histotechnology It is the only truth I deal with here.  We are, like TJH

RE: [Histonet] BS in Histotechnology

2015-03-24 Thread Morken, Timothy
the requirements for certification so does not need to be a specialty degree. Tim -Original Message- From: Podawiltz, Thomas [mailto:tpodawi...@lrgh.org] Sent: Tuesday, March 24, 2015 9:06 AM To: Morken, Timothy; Jennifer MacDonald; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] BS

RE: [Histonet] Embedding Question

2015-03-12 Thread Morken, Timothy
Paula, How many times per day? Is the embedding close to the cutting area? Of course any extra walking is a problem, especially in busy areas. Is this a non-patient area (hopefully!)? Any restructuring should be to move things closer together, not further away! Having said that, If it comes

[Histonet] RE: Mushrooms for GMS fungus control

2015-03-09 Thread Morken, Timothy
Try this article... Acta Cytol. 2003 Nov-Dec;47(6):1043-4. Alternative, cost-effective fungus-staining method for control slides in cytology and histopathology. da Silva VD1. Author information Abstract OBJECTIVE: To develop a cost-effective, reliable and safe method of providing fungal control

RE: [Histonet] Controls

2015-03-05 Thread Morken, Timothy
I agree it sounds bad, But the reality is that all food products have loads of dead or low count living bacteria. For example, milk is pasteurized to kill them, but they are still in the milk. Tim Morken -Original Message- From: histonet-boun...@lists.utsouthwestern.edu

[Histonet] RE: cilia for EM

2015-02-26 Thread Morken, Timothy
Our clinicians use a brush of some sort. Unfortunately I don't know the brand. But the bristles do not come off; they are pretty stout, are in a spiral pattern and each bristle has a knob at the end. We just gently scrape the cells off the brush into fixative in a petri dish and then pipet up

RE: [Histonet] How dark is dark enough?

2015-02-24 Thread Morken, Timothy
If you are using an automated stainer the plexiglas cover that they all have will block UV light. For instance we run all our IF in a Dako stainer with the slightly tinted Plexiglas and have not had any problems. If staining manually in a tray, covering with something to block light is ok. On

[Histonet] RE: slide folders for double wide slides

2015-02-24 Thread Morken, Timothy
Hi Bonnie, we use some from Brain Research laboratories. They are cardboard flats without the dividers that are in the 20-slide types . They have 2x3 slide mailers as well. http://brainresearchlab.com/product-category/slide-storage/slide-folders/ Tim Morken Supervisor, Histology, Electron

RE: [Histonet] Looking for an article

2015-02-18 Thread Morken, Timothy
If you are a member of NSH you can get a pdf for free just by contacting the staff at the NSH office. A great reason to join, if you have not already! Tim Morken Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC San Francisco Medical Center San Francisco, CA

[Histonet] RE: Receipt of specimens

2015-02-09 Thread Morken, Timothy
Tanya, in our Copath system we have field for Date Taken (ie,service Date) and Date Received (in Pathology). So we account for items received during off hours. Or puts holds fresh specimens in a fridge for pickup, or takes to a Cyto fridge in some locations. Cyto specimens delivered after

[Histonet] RE: Leica ASP basket transport

2015-02-05 Thread Morken, Timothy
Glad to know I'm not the only one who haunts the plasticware sections of stores looking for the ideal container for the lab! We use some Rubbermaid containers for the Peloris and VIP baskets, but they are not fully 3 high. I suggest looking at Bed Bath and Beyond, Container Store, all

RE: [Histonet] Her2:

2015-01-27 Thread Morken, Timothy
Craig, CLIA licensure gives your lab the authority to validate and use ASR's for diagnostics. For something like her2 you will need to compare it to an existing FDA approved antibody, run the statistically significant number of cases (range of positive, and negatives) and show high

RE: [Histonet] Re: Embedding

2015-01-21 Thread Morken, Timothy
I agree. We got one of these a couple years ago and the techs love it. It is a heated block on which you rub the cassette. The paraffin melts away. It is especially good for preserving barcodes (but don't press the printed surface on the heat block too long - you can soften the print and cause

[Histonet] RE: Electronic monitoring systems

2015-01-20 Thread Morken, Timothy
We use Sensaphone for our older VIP5 tissue processors, Leica online system for the Peloris processors and Awarepoint for refrigerators/freezers. Tim Morken Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC San Francisco Medical Center San Francisco, CA

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