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<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Bob Richman has a couple of interesting messages in the <span
class=SpellE>histonet</span>----about not doing similar cases in a row, to
avoid mix ups with the resulting expensive litigation.<span
style='mso-spacerun:yes'> </span>Now I’m the one who’s
sending the muscle and nerve packets all over the place.<span
style='mso-spacerun:yes'> </span>I did nothing but same cases in the
6,359 muscles and 2000plus nerves.<span style='mso-spacerun:yes'>
</span>There was rarely any “other” to process in between my
specialty.<span style='mso-spacerun:yes'> </span>I didn’t even
think of this when I gave each biopsy my own number.<span
style='mso-spacerun:yes'> </span>My muscles were numbered from 1 to
6,359.<span style='mso-spacerun:yes'> </span>I sent the reports and case
paper work to the main lab. They assigned a number to the case. But all my
slides clear through prelim H & E’s to <span class=SpellE>histochemistry</span>
had my number on it.<span style='mso-spacerun:yes'> </span>When a case
was ready to go to the <span class=SpellE>neuropthologist</span>, I put labels
on the slides with the department accession number on them<span class=GramE>..</span>
<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>At any rate my method of numbering the cases worked very
well.<span style='mso-spacerun:yes'> </span>I think the trouble you
discuss is more likely to occur when you use the official surgical numbers,
which are assigned by someone else and get to be large soon in the year. The
one who cuts in marks a strictly nominal number on the paraffin mold.<span
style='mso-spacerun:yes'> </span>But my numbers were real sequence
numbers with no letters in it that I gave to the case and wrote it on its mold
and in my register. But every slide of mine was numbered <span class=GramE>in<span
style='mso-spacerun:yes'> </span>sequence</span> with that number in
indelible ink from the start to keep things straight until the accession number
came out. When that happened, I labeled the slides and put the official
accession number on the labels. Of course, this procedure would not work in the
main lab. But when more than one specimen of the same tissue comes in, in a
row, isn’t there an added code digit used, added to the accession number,
to indicate like specimens, and to keep each of the same tissue cases in
sequence??---This must alert the <span class=SpellE>histotechs</span> to the
problem and keep these cases straight.<span style='mso-spacerun:yes'>
</span>When the <span class=SpellE>histotech</span> starts to cut, it would be
the first thing to do to sort the blocks, and spot the same-tissue cases and
identify them on their slides, and to alert them to the need for extra care in
sectioning, marking the slides, and avoiding mix ups.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>.georgecole@ev1.net<span
style='mso-spacerun:yes'> </span>.<span
style='mso-spacerun:yes'> </span><o:p></o:p></span></font></p>
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