[Histonet] Hello everyone, I am new to this forum

2010-03-13 Thread Valerie Rodriguez
Hello everyone, I want to introduce myself to all the histotechs here. I
have visited this forum before but I finally subscribed today. My name is
Valerie, but please call me Val. I am an histotechnologist living in Puerto
Rico. I got interested in the field of histology in 2008. I always loved
Biology but I really did not wanted to study medicine, so I started to
search for careers that were related to medicine but did not required a
doctorate degree. First I wanted to study cytotechnology in my country but I
did not got admitted to that college because there were many people who
applied to the program  but a very small group was chosen. I remember that
my dermatologist told me that I should consider the career of
histotechnology instead because they are not a lot of people prepared in
this field. Since there are no histotech schools in Puerto Rico I decided to
study this career in the U.S. I graduated in 2009. I took the HTL ASCP test
in January of 2010 and successfully passed after my second try.

I finally got a job, which I started this month in a private laboratory in
my country, but instead of working with histology, I am preparing cytology
slides! At the begining I was told I was going to do histology in their
central laboratory, but I was sent to another laboratory in a private
hospital to perform frozen sections but to my surpise, they also told me I
was going to stain cytology stains of fine needle aspirations.

I have been a little overwhelmed because my expertise is not in cytology. I
may follow the protocol of the laboratory for staining these slides, but I
really don't have the knowledge of how to troubleshoot a problem in
cytology. For now I have been doing a good job, but I recently had a problem
with the staining, because the person who trained me did not gave me clear
instructions about when to change the solutions so, I did not changed the
H20 saline frequently. I tough it was once a week, but then after making
this mistake they told me it was like 3 times a week because this solution
gets dirty very quickly and can affect the quality of the details of the
stains, (they told me this too late because I already stained a whole rack
of slides).

Now I have to find some info on cytology so that I can understand this field
better and stay competitive because in my country you have to do everything,
unlike in the U.S where histotech do histology, cytotech do cytology and the
pathologist assistant only do the grossing, in here there are histotech that
have to do all.

Now, to the frozen sections. I still have not performed a real frozen
section by myself yet. I have just practiced using little pieces of chicken
and I have gotten good sections but, I need to practice with real tissue
because not all the tissues are the same and some are very difficult to cut.
I have more experience cutting sections with the microtome, embedding
blocks, doing routine HE stains. I have not done an special stain yet, but
I have knowledge of all of them because histotech school and the ASCP
prepared me to know them, but I have little experience in frozen sectioning.
I have the knowledge but not the practice.

How ironic is life, I prepared myself 100% for histology and now I am doing
things that I though I would never do.


Do you have similar experiences? Could you provide me advice or good
resources about cytology and frozen sections?

Thanks
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RE: [Histonet] Block patient IDs

2010-03-13 Thread Patsy Ruegg
The new derm path lab I am associated with built their own computerized
specimen tracking system and I am pretty sure that the same multi unique
identifiers that are printed on the slides are printed on the blocks.  They
have leica slide and block printers connected to accessioning and grossing
by touch screen computers and I believe they are labeled the same.  If the
block labeling and slide labeling are integrated why not keep them the same?

Patsy 

Patsy Ruegg, HT(ASCP)QIHC
IHCtech
12635 Montview Blvd. Ste.215
Aurora, CO 80045
720-859-4060
fax 720-859-4110
www.ihctech.net 
www.ihcrg.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Terri Brown
Sent: Friday, March 12, 2010 9:00 AM
To: Nails, Felton; Anne van Binsbergen;
histonet-requ...@lists.utsouthwestern.edu; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Block patient IDs

I think  you will find that CAP is asking if 2 patient identifiers are
used throughout the entire process.  We engrave the blocks, slides and a
computer generated block count log that uses 2 patient identifiers.

 

Terri H. Brown,, HT (ASCP)
Pathology Laboratory Manager
Northside Hospital  Atlanta
terri.br...@northside.com

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails,
Felton
Sent: Friday, March 12, 2010 10:55 AM
To: 'Anne van Binsbergen'; histonet-requ...@lists.utsouthwestern.edu;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Block patient IDs

It is my understand that the two patient identifier applies to the
completed slide not the block.
You can verify this by looking at the CAP Checklist for anatomical
pathology 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Anne van
Binsbergen
Sent: Friday, March 12, 2010 9:42 AM
To: histonet-requ...@lists.utsouthwestern.edu;
histonet@lists.utsouthwestern.edu
Subject: [Histonet] Block patient IDs

A question for all you CAP fundis: how many patient Identifiers are
needed on each paraffin block

We currently just write the unique, LIS generated number on the block
face, but have recently been advised that CAP and JCIA require not one,
but TWO patient IDS on the block

Comments please

--
Anne van Binsbergen (Hope)
Abu Dhabi
UAE
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RE: SPAM-LOW: RE: [Histonet] Red Chromogen for MITF antibody

2010-03-13 Thread Patsy Ruegg
Is the Perma Red for hrp?  If you switch to an alk.phos detection system you
could use fast red which is much redder than AEC.  Dako sells ap/red
detection systems, but I prefer to use Vector Red for AP.

Patsy

Patsy Ruegg, HT(ASCP)QIHC
IHCtech
12635 Montview Blvd. Ste.215
Aurora, CO 80045
720-859-4060
fax 720-859-4110
www.ihctech.net 
www.ihcrg.org


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of McMahon,
Loralee A
Sent: Friday, March 12, 2010 6:23 AM
To: Gareth Blaeuer Davis; histonet@lists.utsouthwestern.edu
Subject: SPAM-LOW: RE: [Histonet] Red Chromogen for MITF antibody

We use Diagnostic Biosystems Perma Red with the Dako system.
www.dbiosys.com
Works very well


Loralee McMahon, HTL (ASCP)
Immunohistochemistry Supervisor
Strong Memorial Hospital
Department of Surgical Pathology
(585) 275-7210

From: histonet-boun...@lists.utsouthwestern.edu
[histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gareth Blaeuer
Davis [gareth.da...@hotmail.com]
Sent: Thursday, March 11, 2010 7:32 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Red Chromogen for MITF antibody

Hi,

Does anyone do MITF immunostains with a Red Chromogen.  We are using a Dako
autostainer, and in the past have used AEC chromogen on MITF.  Our
pathologist doesn't like it, because it doesn't get red enough.  We would
like something we could use with current protocols on the Dako, but can't
find anything.  Any suggestions?

Gareth Blaeuer Davis, HT, BS.

Pathology Associates of St. Thomas

Nashville, Tn 37205

615-298-4100

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[Histonet] Her-2 Controls

2010-03-13 Thread Rae Staskiewicz
Morning All,

 

My chief pathologist has asked the following question. For all of those
doing Her-2 Neu staining for scoring with the Vias system. How many control
slides do you cut in advance and how long are they viable if kept
refrigerated?  

 

Thanks in advance,

 

Rae Ann Staskiewicz

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[Histonet] Histonet

2010-03-13 Thread baumannr

dear Val, first my english is not good. I can understandbut the grammar!
My way is similar- after studies I wanted to work in microbiologie.  
But I´ve got a job in Pathologie. First time I was alone in the  
laboratorie.I had to manage the routine...cutting,staining,preparation  
and so on...and that was at the beginning after my studies, I had no  
experiances! Sometimes I thought  OH GOD  but I think, this is the  
best way to learn! I have made my mistakes! -but I´ve learned.I´ve  
never made the same mistakes two times! Now I do my job about 36 years  
and I teach students in histotechnologie.

Val, I think there is no problem to make a mistake at the beginning!
For your  beginning  I wish you good luck.

Best wishes Renate



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Re: [Histonet] IHC on 3 year fixed tissue?

2010-03-13 Thread Rene J Buesa
I have to imagine that you are doing the HIER in the FFPE sections? If you have 
used autoclave unsuccessfully it seems that the epitopes are so cross-linked 
that they do not respond to the treatment.
I would try a piece of fixed tissue before processing, cut it in a very thin 
slice (about 2 mm maximum) and heat it in distilled water at 65ºC for 30 
minutes. Wah it thoroughly and process it as usual.
After that, prepare the sections and HIER them in citrate buffer in a steamer 
and proceed as usual.
By doing this you will have to steps were the cross-linkages area going to be 
weaken and perhaps you will get some acceptable reaction.
René J.

--- On Sat, 3/13/10, Kevin Egan kevi...@mail.med.upenn.edu wrote:


From: Kevin Egan kevi...@mail.med.upenn.edu
Subject: [Histonet] IHC on 3 year fixed tissue?
To: histonet@lists.utsouthwestern.edu
Date: Saturday, March 13, 2010, 2:15 PM


Hello Histonetters,

I've been asked to perform anti-GFP IHC on some mouse bones which have been 
sitting in NBF for 3-4 years. My Abcam rabbit polyclonal gets great results in 
GFP mouse control tissue, but I can't seem to get any results out of these 
bones. I've tried citrate buffer HIER using autoclave, hotplate, and 65 degree 
water batch over night, but my signal is non-existent (or really the noise is 
so huge you can't distinguish).Do the great minds of histonet have any ideas on 
how to achieve good staining? Is enzymatic epitope retrieval worth  a try? Does 
anyone have a time machine I can use to stop my predecessors from just sticking 
the bones in NBF and forgetting about them for years?

This listserv has helped me countless times, I am truly appreciative of the 
knowledge and experience available on Histonet.

Thanks,
Kevin

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RE: [Histonet] IHC on 3 year fixed tissue?

2010-03-13 Thread Jacqui Detmar
Hey there.  I have done IHC on mouse placentae that have been fixed in NBF for 
over 2 years and it took me 5-10 minutes of ProK (10 ug/ml in PBS) followed by 
60 minutes of HIER in 10 mM citrate buffer (made sure PBS was at pH 6) in a 
veggie steamer.  
 
I had previously done this IHC in a veggie steamer for only 25 minutes in 10 mM 
citrate buffer (pH 6) for mouse placentae that had only been fixed for 24 hours 
in NBF.  The antigen was a nuclear receptor (AhR); I have found nuclear 
antigens to be slightly more difficult to retrieve...at least for mouse 
placenta!  Note that the 2-year-fixed tissue did NOT react positively until the 
60-minute mark after HIER, although I tested at 25, 35 and 50 minutes.Only 
60 minutes HIER plus enzyme retrieval worked, even though quick-fixed tissue 
worked simply with 25 minutes HIER.  Definitely worth a try, if you're 
desperate.  It took me over a year to get this **#%*#%** tissue working! 
grin   Also, used a  1:100 dilution instead of my normal 1:500 dilution of 
the antibody, so you might want to titrate the antibody, too. 
 
Am I being lucid?  Have just come home from a most excellent dinner party!  
Perhaps not such a good idea to give histo-advice on a Saturday nightbut I 
deeply sympathized with your plight grin.  If you have any questions, please 
feel free to contact me personally, Kevin, either on gmail or at my SLRI 
account.
 
Jacqui
 
 
 
Jacqui Detmar
 
Work phone:  1-416-646-0223
Work fax:  1-416-862-9696
Cell phone:1-647-273-8735
jacquidet...@gmail.com



From: histonet-boun...@lists.utsouthwestern.edu on behalf of Rene J Buesa
Sent: Sat 3/13/2010 6:17 PM
To: histonet@lists.utsouthwestern.edu; Kevin Egan
Subject: Re: [Histonet] IHC on 3 year fixed tissue?



I have to imagine that you are doing the HIER in the FFPE sections? If you have 
used autoclave unsuccessfully it seems that the epitopes are so cross-linked 
that they do not respond to the treatment.
I would try a piece of fixed tissue before processing, cut it in a very thin 
slice (about 2 mm maximum) and heat it in distilled water at 65ºC for 30 
minutes. Wah it thoroughly and process it as usual.
After that, prepare the sections and HIER them in citrate buffer in a steamer 
and proceed as usual.
By doing this you will have to steps were the cross-linkages area going to be 
weaken and perhaps you will get some acceptable reaction.
René J.

--- On Sat, 3/13/10, Kevin Egan kevi...@mail.med.upenn.edu wrote:


From: Kevin Egan kevi...@mail.med.upenn.edu
Subject: [Histonet] IHC on 3 year fixed tissue?
To: histonet@lists.utsouthwestern.edu
Date: Saturday, March 13, 2010, 2:15 PM


Hello Histonetters,

I've been asked to perform anti-GFP IHC on some mouse bones which have been 
sitting in NBF for 3-4 years. My Abcam rabbit polyclonal gets great results in 
GFP mouse control tissue, but I can't seem to get any results out of these 
bones. I've tried citrate buffer HIER using autoclave, hotplate, and 65 degree 
water batch over night, but my signal is non-existent (or really the noise is 
so huge you can't distinguish).Do the great minds of histonet have any ideas on 
how to achieve good staining? Is enzymatic epitope retrieval worth  a try? Does 
anyone have a time machine I can use to stop my predecessors from just sticking 
the bones in NBF and forgetting about them for years?

This listserv has helped me countless times, I am truly appreciative of the 
knowledge and experience available on Histonet.

Thanks,
Kevin

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[Histonet] in situ hybridization histochemistry question about radioisotope

2010-03-13 Thread Susan Bachus
I have routinely seen that we obtain slightly different results (like 10-20% 
variance) in using 35S dATP for TdT-catalyzed tailing reactions of 
oligonucleotides from month to month as we use different batches (made fresh 
monthly) of the 35S dATP.   But on a few occasions over the years we have 
found dramatically reduced results with a particular lot.  This happened 
again in February, and I confirmed by comparing directly between the Feb.  
March lots in March that the results with the Feb. lot were half that of the 
March batch (of course, given the half-life of 35S, they would be expected 
to be down some, but not by half!).  The company was good about believing me 
and not charging us for the March replacement batch, but they have no idea 
what could cause this to happen occasionally.  They check the specific 
activity, pH, purity, etc. and run a bio-assay that is a binding assay 
each month, but were not set up to test the enzymatic reaction.   I told 
them that years ago when this happened it was finally determined that the 
DTT concentration was unusually high and interfered with the reaction, but 
they discounted this possibility.  I guess I should just count my blessings 
that things are working again now (mercifully, I was able to cling to 
optimism, based on past experience, that the isotope was the problem, until 
I could confirm this myself), but it's very frustrating that the company is 
not motivated to check the efficacy of the item for this particular 
application (which I would imagine a lot of customers use it for) each 
month, or to figure out what causes this to happen on occasion (so as to 
avoid it!)--we lose a lot of time and other expensive reagents (e.g. the 
TdT) each time this happens.   I also don't know how to interpret it--I know 
that as the enzyme begins to degrade it just means that the tails are 
shorter, which I can compensate for with a longer film exposure, but I have 
no idea what's going on when the isotope causes the problem  am afraid to 
use those batches.  Does anyone else using ISH have any ideas about what 
causes this variability?   grateful for any thoughts,   Susan 

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