[Histonet] VIP 1000

Fri Jan 7 15:08:34 CST 2011

Are you looking for the VIP 1000 User Manual?  If so, I can send a copy

Lyn Stadler
Senior Research Associate - Histopathology
Cleveland Biolabs, Inc.
73 High Street
Buffalo, NY 14203
-----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: Thursday, December 23, 2010 8:01 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [BULK] Histonet Digest, Vol 85, Issue 21
Importance: Low

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Today's Topics:

   1. Kathleen Dittrich, where are you? (Settembre, Dana)
   2. Physician signature (Webb, Dorothy L)
   3. RE: Physician signature (Weems, Joyce)
   4. Thomas Crowell is out of the office. (thomas.crowell <@t> novartis.com)
   5. RE: RE: Physician signature (Mike Pence)
   6. RE: RE: Physician signature (Weems, Joyce)
   7. High Paying Job Opportunity - Live anywhere (Alisha Dynan)
   8. Fisher MicroProbe manual staining system (Martha Ward)
   9. RE: RE: Physician signature (Morken, Tim)
  10. Frozen Specimen Handling (John Shelley)
  11. RE: RE: Physician signature (Weems, Joyce)
  12. Symphony cover slipper (Clare Thornton)
  13. VIP 1000 Help (Drew Meyer)
  14. FW: ASCP Action Alert - Physician Signature Requirement   _FYI
      (Liz Chlipala)
  15. RE: Frozen Specimen Handling (sgoebel <@t> mirnarx.com)
  16. Used embedding center and microtome (alineumann <@t> aol.com)
  17. CAP Question regarding procedure manual (Victor Tobias)
  18. RE: CAP Question regarding procedure manual (Weems, Joyce)
  19. RE: CAP Question regarding procedure manual (WILLIAM DESALVO)
  20. RE: CAP Question regarding procedure manual (Jesus Ellin)
  21. Re: CAP Question regarding procedure manual
      (BSullivan <@t> shorememorial.org)

----------------------------------------------------------------------

Message: 1
Date: Wed, 22 Dec 2010 13:18:22 -0500
From: "Settembre, Dana" <settembr <@t> umdnj.edu>
Subject: [Histonet] Kathleen Dittrich, where are you?
To: "Settembre, Dana" <settembr <@t> umdnj.edu>, 'IRENA SREBOTNIK KIRBIS'
        <irena.kirbis <@t> hotmail.com>, "hfedor <@t> jhmi.edu" <hfedor <@t> jhmi.edu>,
        "ahutton <@t> dh.org" <ahutton <@t> dh.org>, "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <B64B947688FB794A8C191D19F22927C875BE7005 <@t> UMDEXMBX02.core.umdnj.edu>
Content-Type: text/plain; charset="us-ascii"

Kathleen Dittrich, formerly from Dako.
Where are you?
Dana Settembre

------------------------------

Message: 2
Date: Wed, 22 Dec 2010 12:36:43 -0600
From: "Webb, Dorothy L" <Dorothy.L.Webb <@t> HealthPartners.Com>
Subject: [Histonet] Physician signature
To: "'histonet <@t> lists.utsouthwestern.edu'"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <65365F35C0F2EF4D846EC3CA73E49C43EA95058335 <@t> HPEMX3.HealthPartners.int>
Content-Type: text/plain; charset="us-ascii"

According to our manager, the physician signature is for clinical testing only, not anatomic pathology.  If anyone knows that this is inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!

  ________________________________
This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited.

If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0

------------------------------

Message: 3
Date: Wed, 22 Dec 2010 13:38:30 -0500
From: "Weems, Joyce" <JWeems <@t> sjha.org>
Subject: [Histonet] RE: Physician signature
To: "Webb, Dorothy L" <Dorothy.L.Webb <@t> HealthPartners.Com>,
        "'histonet <@t> lists.utsouthwestern.edu'"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <92AD9B20A6C38C4587A9FEBE3A30E164044B332B22 <@t> CHEXCMS10.one.ads.che.org>
Content-Type: text/plain; charset="us-ascii"

It specifically mentions AP technical charges in the proposal.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, not anatomic pathology.  If anyone knows that this is inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!

  ________________________________
This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited.

If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us. HealthPartners R001.0 _______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Confidentiality Notice:
This e-mail, including any attachments is the
property of Catholic Health East and is intended
for the sole use of the intended recipient(s).
It may contain information that is privileged and
confidential.  Any unauthorized review, use,
disclosure, or distribution is prohibited. If you are
not the intended recipient, please delete this message, and
reply to the sender regarding the error in a separate email.

------------------------------

Message: 4
Date: Wed, 22 Dec 2010 14:01:42 -0500
From: thomas.crowell <@t> novartis.com
Subject: [Histonet] Thomas Crowell is out of the office.
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
        <OFE20E1455.76F190E4-ON85257801.006886D2-85257801.006886D3 <@t> domino.novartis.com>

Content-Type: text/plain; charset=US-ASCII

I will be out of the office starting  12/22/2010 and will not return until
01/03/2011.

Please contact Kelly Miner at 617-871-5122 if you have any questions
regarding clinical trial samples.

------------------------------

Message: 5
Date: Wed, 22 Dec 2010 13:25:20 -0600
From: "Mike Pence" <mpence <@t> grhs.net>
Subject: RE: [Histonet] RE: Physician signature
To: "Weems, Joyce" <JWeems <@t> sjha.org>,   "Webb, Dorothy L"
        <Dorothy.L.Webb <@t> HealthPartners.Com>,
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <661949901A768E4F9CC16D8AF8F2838C03974AD6 <@t> is-e2k3.grhs.net>
Content-Type: text/plain;       charset="us-ascii"

And where would one go to see this proposal?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems,
Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature

It specifically mentions AP technical charges in the proposal.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Webb,
Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical
testing only, not anatomic pathology.  If anyone knows that this is
inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!

  ________________________________
This e-mail and any files transmitted with it are confidential and are
intended solely for the use of the individual or entity to whom they are
addressed. If you are not the intended recipient or the individual
responsible for delivering the e-mail to the intended recipient, please
be advised that you have received this e-mail in error and that any use,
dissemination, forwarding, printing, or copying of this e-mail is
strictly prohibited.

If you have received this e-mail in error, please immediately notify the
HealthPartners Support Center by telephone at (952) 967-6600. You will
be reimbursed for reasonable costs incurred in notifying us.
HealthPartners R001.0 _______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Confidentiality Notice:
This e-mail, including any attachments is the
property of Catholic Health East and is intended
for the sole use of the intended recipient(s).
It may contain information that is privileged and
confidential.  Any unauthorized review, use,
disclosure, or distribution is prohibited. If you are
not the intended recipient, please delete this message, and
reply to the sender regarding the error in a separate email.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

------------------------------

Message: 6
Date: Wed, 22 Dec 2010 14:47:42 -0500
From: "Weems, Joyce" <JWeems <@t> sjha.org>
Subject: RE: [Histonet] RE: Physician signature
To: Mike Pence <mpence <@t> grhs.net>, "Webb, Dorothy L"
        <Dorothy.L.Webb <@t> HealthPartners.Com>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <92AD9B20A6C38C4587A9FEBE3A30E164044B332B65 <@t> CHEXCMS10.one.ads.che.org>
Content-Type: text/plain; charset="iso-8859-1"

The Federal Register is always a good place to find interesting reading.

http://edocket.access.gpo.gov/2010/pdf/2010-15900.pdf

Search for signature and you can find it...starts on page 40161. In the middle column on page 40162 charges for TC for AP are mentioned.

                consistent with the principle in
? 410.32(a) that a written order for
diagnostic tests including those paid
under the CLFS and those that are not
paid under the CLFS (for example, that
are paid under the PFS or under the
OPPS), such as X-rays, MRIs, and the TC
of physician pathology services, must be
signed by the ordering physician or
NPP. That is, the policy that signatures
are not required on requisitions for
clinical diagnostic laboratory tests paid
based on the CLFS applies only to
requisitions (as opposed to written
orders) (74 FR 33642).

Blah blah blah....

At the end they say "We believe that this policy would result in a less confusing process."

Merry Christmas, Everyone! j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax

-----Original Message-----
From: Mike Pence [mailto:mpence <@t> grhs.net]
Sent: Wednesday, December 22, 2010 14:25
To: Weems, Joyce; Webb, Dorothy L; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

And where would one go to see this proposal?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature

It specifically mentions AP technical charges in the proposal.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, not anatomic pathology.  If anyone knows that this is inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!

  ________________________________
This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited.

If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us.
HealthPartners R001.0 _______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Confidentiality Notice:
This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s).
It may contain information that is privileged and confidential.  Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Confidentiality Notice:
This e-mail, including any attachments is the
property of Catholic Health East and is intended
for the sole use of the intended recipient(s).
It may contain information that is privileged and
confidential.  Any unauthorized review, use,
disclosure, or distribution is prohibited. If you are
not the intended recipient, please delete this message, and
reply to the sender regarding the error in a separate email.

------------------------------

Message: 7
Date: 22 Dec 2010 14:48:21 -0500
From: Alisha Dynan <alisha <@t> ka-recruiting.com>
Subject: [Histonet] High Paying Job Opportunity - Live anywhere
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <1222998903.1293047301530.JavaMail.cfservice <@t> sl4app2>
Content-Type: text/plain; charset="utf-8"

Hi Histonet Members,

I am a healthcare recruiter, specifically focused on the laboratory/pathology space. I have openings all across the country and would be interested in speaking with anyone interested in searching for a new job.

I am currently working on an amazing opportunity with a cancer diagnostics company. This company is looking to hire on Technical Support Specialists in several areas across the country. They currently are looking for people located anywhere West of the Mississippi River or in Atlanta, GA or in Nashville, TN or in New York City or in Philadelphia. The TSS would be responsible for training pathologists, surgeons, radiologists, and pathologist assistant's to ensure adequate sampling on breast cancer and colon cancer tissues. They are looking for someone with a Bachelor's Degree and 5+ years experience in tissue grossing/sampling, histology, or in a pathology or surgical capacity. The ideal candidate with be PA(ASCP) or HTL(ASCP) certified. This position requires extensive travel, paid for by the company. The compensation package is fantastic with a high base salary and up to a 20% bonus. If interested in learning more details, please email me at alisha <@t> ka-recruiting.com.

If you are not interested but know of someone you could recommend for this position, please pass on their contact information to me. We have a referral bonus for anyone you refer to me that I place into a new job.

Sincerely,

Alisha (Taylor) Dynan, Founder

K.A. Recruiting, Inc.

Your Partner in Healthcare Recruiting

10 Post Office Square 8th Floor SOUTH

Boston, MA 02109

P: (617) 692-2949

F: (617) 507-8009

alisha <@t> ka-recruiting.com

www.ka-recruiting.com

------------------------------

Message: 8
Date: Wed, 22 Dec 2010 20:23:54 +0000
From: Martha Ward <mward <@t> wfubmc.edu>
Subject: [Histonet] Fisher MicroProbe manual staining system
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <B2CECB1B6665A4479056478F6DE3C4AB01F316 <@t> EXCHDB3.medctr.ad.wfubmc.edu>
Content-Type: text/plain; charset="us-ascii"

Does anyone have one of these systems that they would be willing to donate?  One of our pathologists is going on a mission trip to Honduras and would like to take one of these down there with him.  We used to have the set up but recently got rid of it.  (Timing is everything!!)

Martha Ward, MT (ASCP) QIHC
Assistant Manager
Molecular Diagnostics Lab
Dept. of Pathology
Wake Forest University Baptist Medical Center
Winston-Salem, NC 27157
336-716-2104

------------------------------

Message: 9
Date: Wed, 22 Dec 2010 12:33:14 -0800
From: "Morken, Tim" <Timothy.Morken <@t> ucsfmedctr.org>
Subject: RE: [Histonet] RE: Physician signature
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <E34FE56785C4A549972E60343BC575A5064DAD4F <@t> MCINFRWEM002.ucsfmedicalcenter.org>

Content-Type: text/plain; charset=iso-8859-1

Joyce wrote:
"The Federal Register is always a good place to find interesting reading"

Gee, Joyce, all these years I've known you and I never realized you are a masochist!!

But maybe the fact you are the go-to person for regulations should have been a clue!;)

Tim Morken

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 11:48 AM
To: Mike Pence; Webb, Dorothy L; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

The Federal Register is always a good place to find interesting reading.

http://edocket.access.gpo.gov/2010/pdf/2010-15900.pdf

Search for signature and you can find it...starts on page 40161. In the middle column on page 40162 charges for TC for AP are mentioned.

                consistent with the principle in
? 410.32(a) that a written order for
diagnostic tests including those paid
under the CLFS and those that are not
paid under the CLFS (for example, that
are paid under the PFS or under the
OPPS), such as X-rays, MRIs, and the TC
of physician pathology services, must be
signed by the ordering physician or
NPP. That is, the policy that signatures
are not required on requisitions for
clinical diagnostic laboratory tests paid
based on the CLFS applies only to
requisitions (as opposed to written
orders) (74 FR 33642).

Blah blah blah....

At the end they say "We believe that this policy would result in a less confusing process."

Merry Christmas, Everyone! j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax

-----Original Message-----
From: Mike Pence [mailto:mpence <@t> grhs.net]
Sent: Wednesday, December 22, 2010 14:25
To: Weems, Joyce; Webb, Dorothy L; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

And where would one go to see this proposal?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature

It specifically mentions AP technical charges in the proposal.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, not anatomic pathology.  If anyone knows that this is inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!

  ________________________________
This e-mail and any files transmitted with it are confidential and are intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient or the individual responsible for delivering the e-mail to the intended recipient, please be advised that you have received this e-mail in error and that any use, dissemination, forwarding, printing, or copying of this e-mail is strictly prohibited.

If you have received this e-mail in error, please immediately notify the HealthPartners Support Center by telephone at (952) 967-6600. You will be reimbursed for reasonable costs incurred in notifying us.
HealthPartners R001.0 _______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Confidentiality Notice:
This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s).
It may contain information that is privileged and confidential.  Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

Confidentiality Notice:
This e-mail, including any attachments is the
property of Catholic Health East and is intended
for the sole use of the intended recipient(s).
It may contain information that is privileged and
confidential.  Any unauthorized review, use,
disclosure, or distribution is prohibited. If you are
not the intended recipient, please delete this message, and
reply to the sender regarding the error in a separate email.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

------------------------------

Message: 10
Date: Wed, 22 Dec 2010 15:36:39 -0500
From: John Shelley <jshelley <@t> sanfordburnham.org>
Subject: [Histonet] Frozen Specimen Handling
To: "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <CEDED70E7CD1FD418B1525ABD333554F7BF2789148 <@t> LN-MAIL07.ln.burnham.org>
Content-Type: text/plain; charset="us-ascii"

Hi HistoLand,

I have a question regarding frozen specimen handling. I have a group that gave  me hearts, brown fat and white fat and there are some issues with the morphology of the tissue and also the cutting quality. Unfortunately I was part of the whole process from tissue harvesting to cutting and staining of specimens. We placed harvested tissue in a cryo mold with OCT and snap froze the block in LN2 and then placed on dry ice. I know sometimes the quick freeze can cause some effects but was wondering how others are addressing the freezing of tissue, especially fat. We have frozen fat this way before and did not have the same issues. Any help or suggestions would be great. Thanks!!!

Kind Regards!

John Shelley

------------------------------

Message: 11
Date: Wed, 22 Dec 2010 15:43:19 -0500
From: "Weems, Joyce" <JWeems <@t> sjha.org>
Subject: RE: [Histonet] RE: Physician signature
To: "Morken, Tim" <Timothy.Morken <@t> ucsfmedctr.org>,
        "histonet <@t> lists.utsouthwestern.edu"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <92AD9B20A6C38C4587A9FEBE3A30E164044B332B98 <@t> CHEXCMS10.one.ads.che.org>
Content-Type: text/plain; charset="iso-8859-1"

Oh dear, now you all know!

You all ought to see where our tax dollars are going!! Such a convoluted mess. I don't know how the writer can understand what he/she is saying! We could save so may trees if they would just get to the point! j

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Morken, Tim
Sent: Wednesday, December 22, 2010 15:33
To: histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

Joyce wrote:
"The Federal Register is always a good place to find interesting reading"

Gee, Joyce, all these years I've known you and I never realized you are a masochist!!

But maybe the fact you are the go-to person for regulations should have been a clue!;)

Tim Morken

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 11:48 AM
To: Mike Pence; Webb, Dorothy L; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

The Federal Register is always a good place to find interesting reading.

http://edocket.access.gpo.gov/2010/pdf/2010-15900.pdf

Search for signature and you can find it...starts on page 40161. In the middle column on page 40162 charges for TC for AP are mentioned.

                consistent with the principle in
? 410.32(a) that a written order for
diagnostic tests including those paid
under the CLFS and those that are not
paid under the CLFS (for example, that
are paid under the PFS or under the
OPPS), such as X-rays, MRIs, and the TC
of physician pathology services, must be signed by the ordering physician or NPP. That is, the policy that signatures are not required on requisitions for clinical diagnostic laboratory tests paid based on the CLFS applies only to requisitions (as opposed to written
orders) (74 FR 33642).

Blah blah blah....

At the end they say "We believe that this policy would result in a less confusing process."

Merry Christmas, Everyone! j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax

-----Original Message-----
From: Mike Pence [mailto:mpence <@t> grhs.net]
Sent: Wednesday, December 22, 2010 14:25
To: Weems, Joyce; Webb, Dorothy L; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Physician signature

And where would one go to see this proposal?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Wednesday, December 22, 2010 12:39 PM
To: Webb, Dorothy L; 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] RE: Physician signature

It specifically mentions AP technical charges in the proposal.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Webb, Dorothy L
Sent: Wednesday, December 22, 2010 13:37
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] Physician signature

According to our manager, the physician signature is for clinical testing only, not anatomic pathology.  If anyone knows that this is inaccurate, would love to see the written rules!!

Thanks and everyone have the most blessed Holiday!!

  ________________________________
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for the sole use of the intended recipient(s).
It may contain information that is privileged and
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not the intended recipient, please delete this message, and
reply to the sender regarding the error in a separate email.

------------------------------

Message: 12
Date: Wed, 22 Dec 2010 16:08:20 -0500
From: Clare Thornton <CThornton <@t> dahlchase.com>
Subject: [Histonet] Symphony cover slipper
To: "'Histonet <@t> lists.utsouthwestern.edu'"
        <Histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <C9D78FFC9D668B4CBEA4405F84697504F801D1DC56 <@t> iris.dahlchase.net>
Content-Type: text/plain; charset="us-ascii"

Hello,

Anyone else out there have issues with misaligned cover slips on the Symphony stainer?  We have two stainers and there doesn't seem to be a pattern.  Sometimes it's one stainer, sometimes the other, sometimes every tray, sometimes one out of ten trays.  Usually the cover slip is off just enough to have a sharp edge and we need to fix it, which for any other Symphony owners you know that's a pain.  Whenever they adjust the cover slipper, it will work well for a day or two then start acting up again.  Is it just us?

Thanks!
Clare

Clare J. Thornton, HTL(ASCP), QIHC
Assistant Histology Supervisor
Dahl-Chase Diagnostic Services
417 State Street, Suite 540
Bangor, ME 04401
cthornton <@t> dahlchase.com

------------------------------

Message: 13
Date: Wed, 22 Dec 2010 16:09:00 -0500
From: Drew Meyer <41dmb41 <@t> gmail.com>
Subject: [Histonet] VIP 1000 Help
To: histonet <@t> lists.utsouthwestern.edu
Message-ID:
        <AANLkTinfQokMmBV5O3e9DL+YL_TN9w3+urN_mxPqkPbj <@t> mail.gmail.com>
Content-Type: text/plain; charset=ISO-8859-1

We've got the old workhorse, the VIP 1000, that we still use.  During a
move, the guide, which shows all the commands you can do with that magnet,
got lost.  Is there anyone out there that has this and could send or fax me
a copy?  It would be much appreciated!

Thanks,
Drew Meyer

--

~Love is like a booger. You keep picking at it until you get it, then wonder
what to do with it.

------------------------------

Message: 14
Date: Wed, 22 Dec 2010 15:18:18 -0700
From: "Liz Chlipala" <liz <@t> premierlab.com>
Subject: [Histonet] FW: ASCP Action Alert - Physician Signature
        Requirement     _FYI
To: <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <EE33BE5C905A3046A7FF8F58A64C8E4B16F783 <@t> server.PremierLab.local>
Content-Type: text/plain;       charset="iso-8859-1"

FYI - saw alot about this today, just got this e-mail from ASCP

Liz

-----Original Message-----
From: American Society for Clinical Pathology [mailto:ascp <@t> site1.ascpmail.org]
Sent: Wed 12/22/2010 2:42 PM
To: Liz Chlipala
Subject: ASCP Action Alert - Physician Signature Requirement

 <http://portal.mxlogic.com/images/transparent.gif>

Physician Signature Requirement Burdens Labs, Jeopardizes Patients

ASCP urges you to act before the Jan. 3 deadline

Recently, the Centers for Medicare and Medicaid Services (CMS) finalized its Medicare Physician Fee Schedule final rule for the 2011 calendar year. The rule includes a troubling policy change requiring a physician's or qualified nonphysician practitioner's (NPP) signature on requisitions for clinical diagnostic laboratory tests paid under the clinical laboratory fee schedule (effective Jan. 1, 2011). CMS defines a requisition as "the actual paperwork, such as a form, which is provided to a clinical diagnostic laboratory that identifies the test or tests to be performed for a patient." Currently, a physician signature is required only on orders for laboratory services.

ASCP believes the new rule could adversely affect patient care and complicate the provision of the laboratory services. In cases where a signature from the ordering physician or NPP is absent, laboratories could be left scrambling trying to obtain the signature.

Late Breaking News Rule: Recently CMS has partially agreed to a delayed implementation request from ASCP and other members of the clinical laboratory coalition organizations. CMS will delay implementation of the rule for three months. During this period, ASCP will continue to pressure CMS to withdraw its new proposal.

ASCP urges you to contact CMS and tell them of your opposition to the policy change.

Contact CMS before the Jan. 3 Comment Deadline to maximize the effectiveness of your voice.

Read more and take action today . . . <http://emessage.chicago.ascp.org/emessageirs/servlet/IRSL?v=4&l=1&r=10644&m=22015&e=2>

Tell a friend:
Not everyone receives ASCP's Action Alerts, so please forward this message to your peers and co-workers!

 <http://www.chicago.ascp.org/pics/email/logoASCP-final-2736.jpg>

2010 American Society for Clinical Pathology
33 West Monroe Street, Suite 1600, Chicago, IL 60603
312.541.4999
~ info <@t> ascp.org

 <http://portal.mxlogic.com/images/transparent.gif>

------------------------------

Message: 15
Date: Wed, 22 Dec 2010 16:52:13 -0600
From: <sgoebel <@t> mirnarx.com>
Subject: RE: [Histonet] Frozen Specimen Handling
To: <jshelley <@t> sanfordburnham.org>,      <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <D957F2A7D21959488C492A2680F9920A173829 <@t> svrexch.asuragen.us>
Content-Type: text/plain;       charset="us-ascii"

Cutting frozen fat is virtually impossible.  There are a few articles I
have seen online (one is called something along the lines of "the fat
demon" or something pun-tastic like that).  Because fat is so oily it
usually doesn't freeze at all.  If you have a lot of fat in the tissue
you are trying to freeze and not just a big hunk of fat (say an inguinal
LN incased in fat), cutting the fatty tissue can be a challenge too.  I
have heard you can try and cut it thicker, but some doc's don't like
that.  Another thing we tried was fixing the fat for about 15 minutes in
Pen-Fix (or some other alcoholic formalin mixture), if you have this
much time then that can also help.
Good Luck!!

Sarah Goebel, BA, HT(ASCP)
Histotechnologist
Mirna Therapeutics
2150 Woodward Street
Suite 100
Austin, Texas  78744
(512)901-0900 ext. 6912

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of John
Shelley
Sent: Wednesday, December 22, 2010 2:37 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Frozen Specimen Handling

Hi HistoLand,

I have a question regarding frozen specimen handling. I have a group
that gave  me hearts, brown fat and white fat and there are some issues
with the morphology of the tissue and also the cutting quality.
Unfortunately I was part of the whole process from tissue harvesting to
cutting and staining of specimens. We placed harvested tissue in a cryo
mold with OCT and snap froze the block in LN2 and then placed on dry
ice. I know sometimes the quick freeze can cause some effects but was
wondering how others are addressing the freezing of tissue, especially
fat. We have frozen fat this way before and did not have the same
issues. Any help or suggestions would be great. Thanks!!!

Kind Regards!

John Shelley

_______________________________________________
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Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

------------------------------

Message: 16
Date: Wed, 22 Dec 2010 18:06:19 -0500 (EST)
From: alineumann <@t> aol.com
Subject: [Histonet] Used embedding center and microtome
To: histonet <@t> lists.utsouthwestern.edu
Message-ID: <8CD7043FA4CB24F-478-1572A <@t> Webmail-d112.sysops.aol.com>
Content-Type: text/plain; charset="us-ascii"

Hello Histonetters, especially those in the Denver area, we have the following available:
?
A functional?embedding center, Reichert Histostat 8034, purchased in 1/2002,?used,?for $1500, with manual.? Will sell for $700, or $1100 if shipping is required (ie, if you cannot pick it up from our Denver suburb location)..
?
A functional microtome, Leitz 1512,??purchased used in 10/2004 for $1500.??We can sell for $700, or $850 if shipping is required.? Pay Pal and corporate checks accepted.? Please contact me at the email or phone below if interested.? Thank you,

Alice Neumann MD
Western Wyoming Pathology PC
Pinnacle Pathology PC
9423 West Kentucky Place
Lakewood, CO?? 80226
24 Hour Cell Phone:? 307-413-4092
alineumann <@t> aol.com?
?
?

------------------------------

Message: 17
Date: Wed, 22 Dec 2010 15:16:37 -0800
From: Victor Tobias <victor <@t> pathology.washington.edu>
Subject: [Histonet] CAP Question regarding procedure manual
To: Histonet <Histonet <@t> lists.utsouthwestern.edu>
Message-ID: <4D1286D5.9030207 <@t> pathology.washington.edu>
Content-Type: text/plain; charset=ISO-8859-1; format=flowed

Is there a requirement to have a signature of every staff member on a
procedure if they perform that procedure in a manual? Wouldn't one
signature on a cover page suffice that you have read and understand what
is in the manual?

Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
victor <@t> pathology.washington.edu
206-598-2792
206-598-7659 Fax
=================================================
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use
of the intended recipients. If you are not the intended recipient, or
if the message has been addressed to you in error, do not read,
disclose, reproduce, distribute, disseminate or otherwise use this
transmission. Instead, please notify the sender by reply e-mail, and
then destroy all copies of the message and any attachments.

------------------------------

Message: 18
Date: Wed, 22 Dec 2010 18:34:54 -0500
From: "Weems, Joyce" <JWeems <@t> sjha.org>
Subject: RE: [Histonet] CAP Question regarding procedure manual
To: Victor Tobias <victor <@t> pathology.washington.edu>, Histonet
        <Histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <92AD9B20A6C38C4587A9FEBE3A30E164044B332BCB <@t> CHEXCMS10.one.ads.che.org>
Content-Type: text/plain; charset="us-ascii"

Please tell me that is good enough! We do that here - for each manual.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Victor Tobias
Sent: Wednesday, December 22, 2010 18:17
To: Histonet
Subject: [Histonet] CAP Question regarding procedure manual

Is there a requirement to have a signature of every staff member on a procedure if they perform that procedure in a manual? Wouldn't one signature on a cover page suffice that you have read and understand what is in the manual?

Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
victor <@t> pathology.washington.edu
206-598-2792
206-598-7659 Fax
=================================================
Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments.

_______________________________________________
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Confidentiality Notice:
This e-mail, including any attachments is the
property of Catholic Health East and is intended
for the sole use of the intended recipient(s).
It may contain information that is privileged and
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not the intended recipient, please delete this message, and
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------------------------------

Message: 19
Date: Wed, 22 Dec 2010 16:46:09 -0700
From: WILLIAM DESALVO <wdesalvo.cac <@t> hotmail.com>
Subject: RE: [Histonet] CAP Question regarding procedure manual
To: <victor <@t> pathology.washington.edu>, histonet
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID: <BAY151-w471BB4F7E833652D69CEF2911B0 <@t> phx.gbl>
Content-Type: text/plain; charset="iso-8859-1"

You will need a signature for the manual and for each procedure that is implemented or amended during your cycle year. If your manual is very stable, a yearly signature page for the entire manual may suffice, but the inspector will note the date everyone signed the manual review page and then go through the manual to see if there are any implementation dates or procedure change dates after the manual review date. Each occurrence found one can be a deficiency.

In my lab, it is not uncommon for new procedures to be written and implemented or existing procedures implemented during a cycle year and all these events require a signature by System Medical Director, Site Medical Director, Site Lab Director, System Technical Specialist (responsible for physically writing) and all employees affected. You must prove to CAP that all personnel know where the procedure manual is located, that they have reviewed the manual as a whole and that they have reviewed all additions implemented. We have employees sign each technical alert, procedure update/change and new procedures, along with a once a year review of all manuals.

This type of signature trail is part of and right in line with quality management and document control. This process alone can be a daunting task and requires a lot or forethought. To better manage this process, we are moving to an electronic on-line, web based procedure manual with document control functions that tracks usage by employee and captures electronic signatures for each step of the creation, review and implementation process. Thankfully, this process is the responsibility of our Technical Specialist for Anatomic Pathology and our System Quality Department.

William DeSalvo, B.S., HTL(ASCP)

> Date: Wed, 22 Dec 2010 15:16:37 -0800
> From: victor <@t> pathology.washington.edu
> To: Histonet <@t> lists.utsouthwestern.edu
> CC:
> Subject: [Histonet] CAP Question regarding procedure manual
>
> Is there a requirement to have a signature of every staff member on a
> procedure if they perform that procedure in a manual? Wouldn't one
> signature on a cover page suffice that you have read and understand what
> is in the manual?
>
> Victor
>
> --
> Victor Tobias
> Clinical Applications Analyst
> University of Washington Medical Center
> Dept of Pathology Room BB220
> 1959 NE Pacific
> Seattle, WA 98195
> victor <@t> pathology.washington.edu
> 206-598-2792
> 206-598-7659 Fax
> =================================================
> Privileged, confidential or patient identifiable information may be
> contained in this message. This information is meant only for the use
> of the intended recipients. If you are not the intended recipient, or
> if the message has been addressed to you in error, do not read,
> disclose, reproduce, distribute, disseminate or otherwise use this
> transmission. Instead, please notify the sender by reply e-mail, and
> then destroy all copies of the message and any attachments.
>
>
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet

------------------------------

Message: 20
Date: Wed, 22 Dec 2010 16:57:52 -0700
From: "Jesus Ellin" <JEllin <@t> yumaregional.org>
Subject: RE: [Histonet] CAP Question regarding procedure manual
To: "WILLIAM DESALVO" <wdesalvo.cac <@t> hotmail.com>,
        <victor <@t> pathology.washington.edu>,      "histonet"
        <histonet <@t> lists.utsouthwestern.edu>
Message-ID:
        <29BE166A2CF48D459853F8EC57CD37E8021C6AEA <@t> EXCHANGECLUSTER.yumaregional.local>

Content-Type: text/plain;       charset="us-ascii"

Currently Victor we use to have the techs sign off on all the policies
and procedures.  As Bill stated this is a big pain.  We are now all
electonic and have gone live with I-Passport our document control
software,, this has saved tons of time and effort.  Electronic is the
way to go especially for updates and new information.  Users are notifed
by email and it allows the supervisor to keep track of edits and much
more.

Jesus A Ellin  HT/PA  ASCP

Department of Pathology/Histology

Yuma Regional Medical Center

2400 South Ave A

Yuma, AZ  85364 - 7170

( Office:  (928) 336-1743

(    Fax:  (928) 336-7319

*    Email: jellin <@t> yumaregional.org

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of WILLIAM
DESALVO
Sent: Wednesday, December 22, 2010 4:46 PM
To: victor <@t> pathology.washington.edu; histonet
Subject: RE: [Histonet] CAP Question regarding procedure manual

You will need a signature for the manual and for each procedure that is
implemented or amended during your cycle year. If your manual is very
stable, a yearly signature page for the entire manual may suffice, but
the inspector will note the date everyone signed the manual review page
and then go through the manual to see if there are any implementation
dates or procedure change dates after the manual review date. Each
occurrence found one can be a deficiency.

In my lab, it is not uncommon for new procedures to be written and
implemented or existing procedures implemented during a cycle year and
all these events require a signature by System Medical Director, Site
Medical Director, Site Lab Director, System Technical Specialist
(responsible for physically writing) and all employees affected. You
must prove to CAP that all personnel know where the procedure manual is
located, that they have reviewed the manual as a whole and that they
have reviewed all additions implemented. We have employees sign each
technical alert, procedure update/change and new procedures, along with
a once a year review of all manuals.

This type of signature trail is part of and right in line with quality
management and document control. This process alone can be a daunting
task and requires a lot or forethought. To better manage this process,
we are moving to an electronic on-line, web based procedure manual with
document control functions that tracks usage by employee and captures
electronic signatures for each step of the creation, review and
implementation process. Thankfully, this process is the responsibility
of our Technical Specialist for Anatomic Pathology and our System
Quality Department.

William DeSalvo, B.S., HTL(ASCP)

> Date: Wed, 22 Dec 2010 15:16:37 -0800
> From: victor <@t> pathology.washington.edu
> To: Histonet <@t> lists.utsouthwestern.edu
> CC:
> Subject: [Histonet] CAP Question regarding procedure manual
>
> Is there a requirement to have a signature of every staff member on a
> procedure if they perform that procedure in a manual? Wouldn't one
> signature on a cover page suffice that you have read and understand
> what is in the manual?
>
> Victor
>
> --
> Victor Tobias
> Clinical Applications Analyst
> University of Washington Medical Center Dept of Pathology Room BB220
> 1959 NE Pacific
> Seattle, WA 98195
> victor <@t> pathology.washington.edu
> 206-598-2792
> 206-598-7659 Fax
> =================================================
> Privileged, confidential or patient identifiable information may be
> contained in this message. This information is meant only for the use
> of the intended recipients. If you are not the intended recipient, or
> if the message has been addressed to you in error, do not read,
> disclose, reproduce, distribute, disseminate or otherwise use this
> transmission. Instead, please notify the sender by reply e-mail, and
> then destroy all copies of the message and any attachments.
>
>
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet

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http://lists.utsouthwestern.edu/mailman/listinfo/histonet

______________________________________________________________________
This message is confidential, intended only for the named
recipient(s) and may contain information that is privileged
or exempt from disclosure under applicable law.  If you are
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______________________________________________________________________

------------------------------

Message: 21
Date: Thu, 23 Dec 2010 07:53:22 -0500
From: BSullivan <@t> shorememorial.org
Subject: Re: [Histonet] CAP Question regarding procedure manual
To: Victor Tobias <victor <@t> pathology.washington.edu>
Cc: Histonet <Histonet <@t> lists.utsouthwestern.edu>,
        histonet-bounces <@t> lists.utsouthwestern.edu
Message-ID:
        <OFA98C2FE3.EF1EE046-ON85257802.00469F5B-85257802.00471342 <@t> shorememorial.org>

Content-Type: text/plain; charset=US-ASCII

Victor,
 To my knowledge all you need is proof that the staff reviewed the manuals.
We accomplish this by a sign off sheet in the front of each manual we use.
The Supervisor, or designee, needs to review and sign off on each procedure
in each manual.

Beatrice Sullivan, HT(A.S.C.P.) HTL , AAS, CLSP(N.C.A.)
AP Supervisor
Shore Memorial Hospital
609-653-3590

Speak only well of people and you need never whisper

             Victor Tobias
             <victor <@t> pathology
             .washington.edu>                                           To
             Sent by:                  Histonet
             histonet-bounces@         <Histonet <@t> lists.utsouthwestern.edu>
             lists.utsouthwest                                          cc
             ern.edu
                                                                   Subject
                                       [Histonet] CAP Question regarding
             12/22/2010 06:16          procedure manual
             PM

Is there a requirement to have a signature of every staff member on a
procedure if they perform that procedure in a manual? Wouldn't one
signature on a cover page suffice that you have read and understand what
is in the manual?

Victor

--
Victor Tobias
Clinical Applications Analyst
University of Washington Medical Center
Dept of Pathology Room BB220
1959 NE Pacific
Seattle, WA 98195
victor <@t> pathology.washington.edu
206-598-2792
206-598-7659 Fax
=================================================
Privileged, confidential or patient identifiable information may be
contained in this message. This information is meant only for the use
of the intended recipients. If you are not the intended recipient, or
if the message has been addressed to you in error, do not read,
disclose, reproduce, distribute, disseminate or otherwise use this
transmission. Instead, please notify the sender by reply e-mail, and
then destroy all copies of the message and any attachments.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

------------------------------

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http://lists.utsouthwestern.edu/mailman/listinfo/histonet

End of Histonet Digest, Vol 85, Issue 21
****************************************

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