[Histonet] RE: Yahoo link

Pam Marcum mucram11 <@t> comcast.net
Wed Dec 4 09:07:12 CST 2013



I remember the study and some fairly important people in NSH at the time thinking it was a little overblown.  It was not followed up on at the time just a report in JOH and done.  I have been in Histology many years (about 50) and like Hazel have seen many of the ones even older than us die of cancer or organ failure.  Histology is safer than it has ever been however; I am not sure people really pay enough attention to the dangers with chemicals and tissue that is not well fixed.  



I remember people smoking in labs, eating (even in the autopsy suite) and having a cup of coffee or soda at the microtome.  One of my pathologists told us to clean paraffin off our hands with xylene like he did.  We have come a long way just not far enough.  



Pam Marcum 

----- Original Message -----
From: "Hazel V Horn" <HornHV <@t> archildrens.org> 
To: "Lee & Peggy Wenk" <lpwenk <@t> sbcglobal.net>, "Elizabeth Cameron" <Elizabeth.Cameron <@t> jax.org>, histonet <@t> lists.utsouthwestern.edu 
Sent: Wednesday, December 4, 2013 8:52:13 AM 
Subject: RE: [Histonet] RE: Yahoo link 

I remember participating in the health study in the 80's.   Xylene and Formaldehyde levels are monitored in all labs.  If our hospitals/research centers would allow us to forward that information on to someone who could compile data it would be a starting place for a health study. 

I strongly believe this profession can be danger to health.  I can name at least 10 histotechs who have died from cancer.  Yes, it may have been when they were older but I feel certain it was from all the chemical exposure in histology before safety became a priority.   I know others will remember no ventilation, smoking and eating in the lab, no real requirements for gloves, etc.     There were also no MSDS information available and we were exposed through lack of knowledge. 

I believe the lab is much safer today with all of the safety precautions we take and the knowledge we have on chemicals/stains and their toxicity.   

Hazel Horn 
Supervisor of Histology/Autopsy/Transcription 
Anatomic Pathology 
Arkansas Children's Hospital 
1 Children's Way | Slot 820| Little Rock, AR 72202 
501.364.4240 direct | 501.364.1241 fax 
hornhv <@t> archildrens.org 
archildrens.org 






-----Original Message----- 
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Lee & Peggy Wenk 
Sent: Wednesday, December 04, 2013 8:24 AM 
To: Elizabeth Cameron; histonet <@t> lists.utsouthwestern.edu 
Subject: Re: [Histonet] RE: Yahoo link 

Couple of studies that I know of. 

One was sponsored by NSH in the mid-1980's. KH Kilburn came to several NSH Symposiums, and did different tests on people who volunteered to participate. Published findings in the late 1980's that said that histotechs had lower pulmonary function than average population, and decreased memory, equilibrium and dexterity than the general population. 

In Letters to the Editor, people pointed out statistical flaws (low numbers of participants, for example). I also feel there were flaws, such as testing people after traveling over time zones, who were up late at the parties, and had possibly been drinking the night before. There was no way to measure how much exposure to formaldehyde or xylene people were really exposed to. I didn't participate, but if I though the amount I was being exposed to was medium, someone else being exposed to the same amount might have said low amount and someone else could have said high amount. And the studies would say therefore the low pulmonary exposure was due to histotechs being exposed to formaldehyde. But who could say it was due to that chemical, and not due another chemical, or due to the fact that at the same time, people were smoking in the lab I was working in, which was a small space. 

Another study somewhat relates - S Khattak in 1999 wrote one on pregnancy outcomes following gestational exposure to organic solvents. They interview women who were pregnant and working with organic solvent, so painters for example, so not histotechs only. They compared them to women of same age, same number of children, similar profession not exposed to organic solvents. 
They found that if the exposed women were having symptoms (breathing problems, rashes), they had a higher percentage of miscarriages and babies with deformities. If there were no symptoms, they had the same, and even lower, percentages than comparable women giving birth who were not exposed. 

What histology needs is something like the nursing organization in the US has been doing for over 40 years. Everyone who is a member of the nursing society is sent a survey (I think every year), and asked to have physicals information released from their doctors to the organization (It's voluntary to participate). But they have 40+ years of data from hundred of thousands of women, of all ages. They can mine a wealth of medical data from this. 

NSH (and ASCP) may not have enough histotechs in their organization to pay for the type of survey needed, to continue on for decades. We would need supervisors and bench techs to participate for decades. And probably have to mail them several formaldehyde and xylene monitors every year, or every couple of years, to collect real numbers of how much people were exposed to. 
And the surveys were pages and pages long (my mother was a nurse who participated from the beginning, so I've seen them), and asked lots of questions about health and diet and smoking and personal issues, in addition to questions about what types of chemical we work with an how much and how often. And how do we measure ventilation in all these places of work? 

I hope someone comes up with some studies that can help us figure out if histotechs are being exposed to enough chemicals that could be causing these different diseases in humans. There are animal studies, but not human. 

And remember, people in general, including histotechs, are living longer. If we live longer, we are more likely to have chronic diseases like diabetes, COPD, and cancer. We need to know which cancers are caused by which levels of formaldehyde or organic solvents, vs., say, breast cancer and prostate cancer just because we are women or men. 

Peggy A. Wenk, HTL(ASCP)SLS 

-----Original Message----- 
From: Elizabeth Cameron 
Sent: Wednesday, December 04, 2013 8:24 AM 
To: histonet <@t> lists.utsouthwestern.edu 
Subject: [Histonet] RE: Yahoo link 

I know the potential for damage to your health is huge in histology, but are there any studies out there that indicate histotechs are less healthy than the average person? 

-----Original Message----- 
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Ingles Claire 
Sent: Tuesday, December 03, 2013 7:06 PM 
To: Histonet 
Subject: [Histonet] RE: Yahoo link 


Old Histologists never die, they're just well fixed... 
Claire 
________________________________________ 
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[histonet-bounces <@t> lists.utsouthwestern.edu] on behalf of Morken, Timothy [Timothy.Morken <@t> ucsfmedctr.org] 
Sent: Tuesday, December 03, 2013 11:22 AM 
To: 'Shirley A. Powell'; Histonet 
Subject: [Histonet] RE: Yahoo link 

Well, Shirley, you are actually an Angel, so nothing will ever stop you!! 
(from an old Georgia Society hand). 

Tim Morken 
Supervisor, Electron Microscopy and Neuromuscular Special Studies UC San Francisco Medical Center San Francisco, CA 


-----Original Message----- 
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Shirley A. 
Powell 
Sent: Tuesday, December 03, 2013 9:18 AM 
To: Histonet 
Subject: [Histonet] Yahoo link 

When I entered the profession I was told the average life expectancy of a 
histotechs was 20 years from hiring.  That scared me but I was already 
hooked.  I have been doing this 51 years, so maybe good laboratory practices 
can help, in spite of bad ventilation and all those other dangers mentioned. 

Shirley Powell 
Antique Histotech 

-----Original Message----- 
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Paula Pierce 
Sent: Tuesday, December 03, 2013 11:40 AM 
To: Morken, Timothy; Histonet 
Subject: Re: [Histonet] RE: Yahoo link 

Just what I was thinking. We will never get enough new students now! 

With proper training and equipment, we do the job safely! 




And you can drown in an inch of water. Is that in the MSDS! 

Paula K. Pierce, HTL(ASCP)HT 
President 
Excalibur Pathology, Inc. 
5830 N Blue Lake Dr. Please note new address! 
Norman, OK 73069 
405-759-3953 Lab 
405-759-7513 Fax 
www.excaliburpathology.com 


________________________________ 
From: "Morken, Timothy" <Timothy.Morken <@t> ucsfmedctr.org> 
To: 'Mike Tighe' <mtighe <@t> trudeauinstitute.org>; 
"histonet <@t> lists.utsouthwestern.edu (histonet <@t> lists.utsouthwestern.edu)" 
<histonet <@t> lists.utsouthwestern.edu> 
Sent: Tuesday, December 3, 2013 10:24 AM 
Subject: [Histonet] RE: Yahoo link 


Great. Just what we need. 


Even so, we in the business can take these lists with a grain of K4[Fe(CN) 
6] * 3H 2 O since we know that suitable precautions preclude most of the 
danger. For instance, I'll have to say that the histo lab here is wonderful 
in that it has such good ventilation (ie.,  extraction) that there is none 
of the usual chemical smell - no xylene, alcohol, specials chemicals that 
often assaults the senses in histology. Vendors that come here are amazed. 

Tim Morken 
Supervisor, Electron Microscopy and Neuromuscular Special Studies UC San 
Francisco Medical Center San Francisco, CA 

-----Original Message----- 
From: histonet-bounces <@t> lists.utsouthwestern.edu 
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Mike Tighe 
Sent: Tuesday, December 03, 2013 6:31 AM 
To: histonet <@t> lists.utsouthwestern.edu (histonet <@t> lists.utsouthwestern.edu) 
Subject: [Histonet] Yahoo link 

Anybody wonder who has the most harzardous job to your health? We're Number 
One!!! 



http://finance.yahoo.com/news/the-15-jobs-that-are-most-damaging-to-your-health-155706120.html 



Mike 
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