[Histonet] Gloves for Microtomy

[Joe Nocito]

Ok,
story time. When I was in my PA training, I had to cut all the legs. One 
(sweet, yeah right) pathologist wanted me to strip the blood vessels all the 
way down to the ankle. I told her (my mistake) it didn't matter because if 
the blood vessels were occluded at the surgical margin, the doctors will 
most like have to go higher when the surgical incision doesn't heal.
    Well as you can guess, I lost that argument ( that was a no brainer). 
So, I started clamping off the blood vessels at the surgical margin. One 
time as I was stripping the blood vessels. I ran my scalpel across the 
vessels and got a mouthful of blood. Yep, tomato soup.
    Luckily, the patient had no infectious diseases (the hospital ran tests) 
and I told that pathologist, in front of the medical director if she wants 
to, she can gross legs, but I'm not stripping legs any more.  It's okay, I 
don't work there any more.

JTT
----- Original Message ----- 
From: "Wiese, Jason VHAROS" <Jason.Wiese <@t> va.gov>
To: "Derek Papalegis" <derek.papalegis <@t> tufts.edu>; 
<histonet <@t> lists.utsouthwestern.edu>
Sent: Friday, September 07, 2007 4:15 PM
Subject: RE: [Histonet] Gloves for Microtomy


At the risk of being flamed... No disrespect, but you are in the wrong
line of work my friend.  If you think paraffin embedded tissue is
"nasty", how do you feel about a cystic structure exploding up under
your face mask on autopsy, or a necrotic bowel, or a gangrene
amputation, or... well... a billion other things that make embedded
tissue look like frosted flakes.  This is just my 2 cents too, but the
last of my worries is touching a "nasty" tissue block when cutting.  Do
you wear gloves when putting blocks in the storage containers too... or
when disposing of old blocks?  What is nasty to me is having my hand in
a Nitrile glove for 4-5 hours!

JW

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Derek
Papalegis
Sent: Friday, September 07, 2007 11:58 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] Gloves for Microtomy

Although it is not a biohazard risk to cut without gloves on, why would
you want to? When you think about it, it is pretty gross. Although it is

fixed, you are dealing with tissues such as cysts, prostate "chips",
colon biopsies and other nasty tissues. Maybe it a generational thing
but it seems like the newer histotechs would never think of cutting
without gloves on. I know that some people claim they cant cut with
gloves on and that is fine but if why not use gloves if you can. It's
not a bad idea and it also prevents your hands from getting caked in
paraffin.

Just my 2 cents.
-Derek

Douglas D Deltour wrote:
> This whole thing just burns me. I was fuming over this same thing
earlier
> this month. The latest edition of advance magazine has a gloved hand
with
> someone cutting on the front cover. It also shows another picture of
someone
> cutting with gloves. When these photos get into the wrong hands
> (administrators, safety officers, know-it-alls) then it causes nothing
but
> problems. I would think that advance magazine would know that these
photos
> are unrealistic.
>
> Douglas D. Deltour HT(ASCP)
> Histology Manager
> Professional Pathology Services, PC
> One Science Court
> Suite 200
> Columbia, SC 29203
> Office (803)252-1913
> Fax (803)254-3262
> Doug <@t> ppspath.com
>
>



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