[Histonet] RE: Histonet Digest, Vol 88, Issue 39
Martin, Gary
gmartin <@t> marshallmedical.org
Wed Mar 30 13:18:16 CDT 2011
Thank to everyone who responded to my request for information concerning
peripheral smear review. It seems that most respondents are doing this
the way we presently do. I have to say that I agree totally with Dr.
Richmond's method. I will be presenting the idea that these slides are
"consults" not just a tehc issue.
Many thanks
Gary (in California)
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
histonet-request <@t> lists.utsouthwestern.edu
Sent: Wednesday, March 30, 2011 10:01 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: Histonet Digest, Vol 88, Issue 39
Send Histonet mailing list submissions to
histonet <@t> 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-request <@t> lists.utsouthwestern.edu
You can reach the person managing the list at
histonet-owner <@t> 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: Peripheral smear (Wanda.Smith <@t> HCAhealthcare.com)
2. Laura Miller is Out of the Office.
(Laura.Miller <@t> leica-microsystems.com)
3. Breast Processing (daystar0622 <@t> aol.com)
4. Whiteplains, NY: Histology Tech, IHC Techs, Leads & Manager
Positions (Alyssa Peterson)
5. RE: Ventana's Basal Cell Cocktail (Sebree Linda A)
6. Re: Peripheral smear (Robert Richmond)
----------------------------------------------------------------------
Message: 1
Date: Wed, 30 Mar 2011 09:45:29 -0500
From: <Wanda.Smith <@t> HCAhealthcare.com>
Subject: [Histonet] RE: Peripheral smear
To: <gmartin <@t> marshallmedical.org>, <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<9E2D36CE2D7CBA4A94D9B22E8328A3BA13A275FF0C <@t> NADCWPMSGCMS03.hca.corpad.ne
t>
Content-Type: text/plain; charset="us-ascii"
We also transport smears from the clinical lab to our Pathologist and
transport them back. The Hematology techs put the Pathologist's
comments into our computer system for review by the clinicians.
Wanda
WANDA G. SMITH, HTL(ASCP)HT
Pathology Supervisor
TRIDENT MEDICAL CENTER
9330 Medical Plaza Drive
Charleston, SC 29406
843-847-4586
843-847-4296 fax
This email and any files transmitted with it may contain PRIVILEGED or
CONFIDENTIAL information and may be read or used only by the intended
recipient. If you are not the intended recipient of the email or any of
its attachments, please be advised that you have received this email in
error and that any use, dissemination, distribution, forwarding,
printing, or copying of this email or any attached files is strictly
prohibited. If you have received this email in error, please immediately
purge it and all attachments and notify the sender by reply email or
contact the sender at the number listed.
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Martin,
Gary
Sent: Tuesday, March 29, 2011 4:36 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Peripheral smear
Our pathologist review peripheral smears for the clinical lab, and I'm
wondering how other facilities handle the reporting. We presently
receive the smear from a tech, the pathologist provides a comment and
returns it to the lab.
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 2
Date: Wed, 30 Mar 2011 10:00:49 -0500
From: Laura.Miller <@t> leica-microsystems.com
Subject: [Histonet] Laura Miller is Out of the Office.
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
<OF69753508.1B5BFDDC-ON86257863.00527906-86257863.00527906 <@t> leica-microsy
stems.com>
Content-Type: text/plain; charset=US-ASCII
I will be out of the office starting 03/25/2011 and will not return
until
04/04/2011.
I am on vacation until Monday, April 4th. Please contact David
Archambault
if you need immediate assistance. Thanks!!!
______________________________________________________________________
This email has been scanned by the MessageLabs Email Security System.
For more information please visit http://www.messagelabs.com/email
______________________________________________________________________
------------------------------
Message: 3
Date: Wed, 30 Mar 2011 11:56:07 -0400 (EDT)
From: daystar0622 <@t> aol.com
Subject: [Histonet] Breast Processing
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <8CDBD0A1D7F79FE-DD4-531F <@t> Webmail-m104.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"
Breast Processing: Looking to set up a breast protocol on our Sakura
VIP processor. Looking for times/duration of specific solutions and
types of solutions used (ie. PEN-FIX).
------------------------------
Message: 4
Date: Wed, 30 Mar 2011 12:06:21 -0400
From: Alyssa Peterson <alyssa <@t> alliedsearchpartners.com>
Subject: [Histonet] Whiteplains, NY: Histology Tech, IHC Techs, Leads
& Manager Positions
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
<AANLkTi=WLZC4wJ7bX2vE2x=aLh6atmaz2_DCysV-hHKf <@t> mail.gmail.com>
Content-Type: text/plain; charset=windows-1252
Allied Search Partners has been retained for the following searches. We
have
openings in *Histology/IHC, for techs, leads, and managers. *
- Please email a copy of updated resume
to<melissa <@t> alliedsearchpartners.com>
alyssa <@t> alliedsearchpartners.com for a full job description.
- Please send availability for a phone screen with one of our
recruiters.
- Please indicate your salary expectations.
- Referral bonuses are available for all positions so please pass
this
along to anyone you deem fit.
We have the following positions available:
*HISTOLOGY/IHC:*
**
*IHC Manager*
Whiteplains, NY area
Monday-Friday, Day Shift, Full Time
*NY license required
*IHC Tech III (Lead)*
Whiteplains, NY area
Schedule, TBD
*NY License Required
*IHC Tech II *
White Plains, NY area
7am-3:30pm Tuesday-Saturday
10am-6:30pm Monday-Friday
*NY License Required
*Histotech I*
Whiteplains, NY area
M-F 5am-1:30pm
*NY license required
**Ask us about our other histotech & managerial positions in WI, NC, CA,
LA,
FL.
--
* *
**If you wish to no longer receive emails from Allied Search Partners
please
reply with "Remove." *
Alyssa Peterson, Director of Candidate Recruitment
LinkedIN:http://www.linkedin.com/in/alyssapetersonasp
Allied Search Partners
T: 888.388.7571
F: 888.388.7572
www.alliedsearchpartners.com
This email including its attachments is intended only for the
confidential
use of the individual to whom it is addressed. If you are not the
intended
recipient, any use, dissemination, distribution or copying of this
message
or its attachments is prohibited. If you have received this message in
error, please notify us immediately, and delete this message and its
attachments permanently from your system.
------------------------------
Message: 5
Date: Wed, 30 Mar 2011 11:09:33 -0500
From: "Sebree Linda A" <LSebree <@t> uwhealth.org>
Subject: RE: [Histonet] Ventana's Basal Cell Cocktail
To: "Sharon.Davis-Devine" <Sharon.Davis-Devine <@t> carle.com>,
<histonet <@t> lists.utsouthwestern.edu>
Message-ID:
<8C023B4AB999614BA4791BAEB26E273801002A19 <@t> UWHC-MAIL01.uwhis.hosp.wisc.ed
u>
Content-Type: text/plain; charset="us-ascii"
Sharon,
We're actually doing a triple stain of HMWCK + p63 + p504S but charging
as a single stain. I am advocating charging for at least 2 of the 3
stains (done in 2 separate runs) since one can easily differentiate
between 2 different chromogen colors. The jury's still out.
Linda A. Sebree
University of Wisconsin Hospital & Clinics
IHC/ISH Laboratory
DB1-223 VAH
600 Highland Ave.
Madison, WI 53792
(608)265-6596
-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of
Sharon.Davis-Devine
Sent: Wednesday, March 30, 2011 9:42 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Ventana's Basal Cell Cocktail
To all of you Histonetter's out there I need to know for those of you
that are using the new Ventana antibody, CK34BE12 + p63, Basal Cell
Cocktail, are you charging these as as one charge or two? Any
information will be greatly appreciated. Thanks.
Sharon Davis-Devine, CT (ASCP)
Cytology-Histology Supervisor
Carle Foundation Hospital
Laboratory and Pathology Services
611 West Park Street
Urbana, Illinois 61801
217-383-3572
sharon.davis-devine <@t> carle.com
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
------------------------------
Message: 6
Date: Wed, 30 Mar 2011 12:22:15 -0400
From: Robert Richmond <rsrichmond <@t> gmail.com>
Subject: [Histonet] Re: Peripheral smear
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
<AANLkTinD=0Z04CuGVPONRo3+u602N6L4_LFx1sa5Z=Lk <@t> mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1
Gary Martin (where?) asks: >>Our pathologist[s] review peripheral
smears for the clinical lab, and I'm wondering how other facilities
handle the reporting. We presently receive the smear from a tech, the
pathologist provides a comment and returns it to the lab.<<
I take these VERY seriously. First, how NOT to do it: 1. Pathologist
scribbles a tiny note in a space the size of a postage stamp, which
then gets posted to the chart, or maybe doesn't. 2. Pathologist
scribbles a note, which a technologist then types into the system
(pathologist doesn't have access to the system). 3. Pathologist
dictates a note, which is typed by a transcriptionist unfamiliar with
the vocabulary, then put in the chart where the attending physician
will never find it.
Peripheral smear reviews are requests for consultation and should be
treated as such. This consultation is billable (CPT 85060). There is a
higher CPT code for more extensive consultation (80502) but I've never
talked to anyone who'd heard of it. The pathologist should review the
history to the extent necessary, and record this review in the note.
(The patient doesn't live whose relevant history I can't summarize in
one sprawling, badly written sentence.) The consult should include the
basic data from the blood count that comes with the smear, since this
information probably won't be simultaneously available to the
physician reading the consult.
The blood smear review should be focused in view of the information
available. The pathologist should recommend such basic tests
(reticulocyte count, vitamin B12, ferritin, direct antiglobulin test)
as haven't been done.
I prefer to type these consults myself, but most pathologists dictate
them. A template would be worthwhile.
The point here is - the pathologist is a consultant, not a technician,
and should not regard themself as a technician nor allow themself to
be treated as a technician.
These reviews can be the best bargain in laboratory medicine, given
that the pathologist would make better money flippin' burgers at
McDonald's. I get enough feedback about them to know they're
worthwhile.
The opinions expressed are my own, and have not been vetted by anybody
with an MBA.
Bob Richmond
Samurai Pathologist
Knoxville TN
------------------------------
_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
End of Histonet Digest, Vol 88, Issue 39
****************************************
More information about the Histonet
mailing list