Re: [Histonet] Nitroblue Tetrazolium Chloride

2010-10-29 Thread louise renton
I used to do a stain on post mortem heart slices to look for recent
infarctions. the entire tissue turned a sort of bluey colour which remained
through formain fixation and processing. the tissue however was incubated in
 solution of NBT in a sodium cyanide containing buffer - not sure if that
would still be allowed these days - but if you want - i could send you the
protocol we used

best regards

On Thu, Oct 28, 2010 at 8:51 PM, Laurie Colbert 
laurie.colb...@huntingtonhospital.com wrote:

 I previously posted a question regarding Nitroblue Tetrazolium Chloride,
 but I didn't really receive the info that I needed - so I thought I
 would ask again.



 I need to purchase this item for a research doc.  He wants to immerse
 tissue in this solution for 24 hours and then process as usual.  It is
 my understanding that this is some kind of dye.  I see that I can order
 it from Sigma in tablet form.  I've seen it from other companies in a
 powder form.



 Has anyone ever used this reagent in the capacity that I describe?  Is
 it available as a ready-to-use solution/liquid?  Is there a certain
 strength/percentage that I should use?



 Thanks,

 Laurie Colbert

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RE: [Histonet] RE: breast fixation times

2010-10-29 Thread Kuhnla, Melissa
One more question regarding ER/PR/Her2..who am I kidding, we will be
talking about them forever!!  With regards to the ER/PR publication: The
PR clone (Ventana 1E2) that we currently use is not listed as
'acceptable'. Is anyone else in this situation?  Are you switching to
another clone?? Have you come across anything speaking of this scenario?
What to do if you currently run a clone not mentioned?  It will be a
relatively easy validation for me, but I can't image I am alone here.
Thanks, Melissa

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Feher,
Stephen
Sent: Thursday, October 28, 2010 5:50 PM
To: Tench, Bill; Weems, Joyce; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: breast fixation times

Great discussion, comprehensive yet concise.  Thanks Bill and Joyce and
Melissa. 


Steve

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench,
Bill
Sent: Wednesday, October 27, 2010 12:26 PM
To: Weems, Joyce; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: breast fixation times

My apologies for not including the updates accurate for ER and PR. 


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: Weems, Joyce [mailto:jwe...@sjha.org]
Sent: Wednesday, October 27, 2010 9:22 AM
To: Tench, Bill; histonet@lists.utsouthwestern.edu
Subject: RE: breast fixation times

Thanks for this good explanation, Bill.

One can not follow the guidelines and document the variant in the
report, but not following them could hurt the patient if there is a
clinical trial they might participate in. Clinical trials follow the
protocol to the letter and if the FDA requirement is not met, the
patient can not participate. 

The times were extended for ER and PR to 72 hours, but NOT yet for Her2.
So...because the tissue is all the same, we must follow the 48 hour
limit. We just had a case this weekend. Had the clinical staff remove it
from the processor on Sun morning and embedded it Monday. We don't
ususally have this problem as we are a 6-day lab, but it was finished
too late on Fri. 

Cheers,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: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench,
Bill
Sent: Wednesday, October 27, 2010 11:50
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] breast fixation times

There is no exception for core biopsies, as reasonable as that may seem.
I have had that discussion with the purveyors of the guidelines.  6-48
is the current standard.  there was a lot of discussion about exceeding
48 and using the FISH option.  My colleague responsible for this wrote:
It is in the CAP checklist, ANP 22998:

If the laboratory assesses Her2 by IHC or Her2 gene amplification by
in-situ hybridization (FISH, CISH, SISH), does the lab have a documented
procedure for ensuring appropriate length of fixation of specimens
tested? 

Specimens subject to Her2 testing should be fixed in 10% neutral
buffered formalin for at least 6 hours and no longer than 48 hours.
While fixation outside of these time limits is not an absolute exclusion
criterion for Her2 testing, labs should qualify any negative results for
specimens fixed less than 6 hours or longer than 48 hours. For cases
with negative results by IHC, consideration should be given to
performing confirmatory analysis by in-situ hybridization. 

 There is also a table in the original ASCO/CAP Guideline
Recommendations for Her2 in Breast Cancer (Arch Pathol Lab Med, Vol 131,
Jan 2007) that states that tissue fixed in formalin for greater than 48
hours is not an absolute exclusion criterion, but if known to be fixed
longer than 48 hours or unknown, the report should qualify any negative
result with this information (table 6). 

As for upcoming changes, i don't know other than these time limitations
are suppose to be more rigorously applied to ER and PR, along with the
newly instituted documentation of time between excision and time placed
in fixative.
 
 
Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604
 

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Dissemination, distribution, or 

RE: [Histonet] RE: Saponin Technique

2010-10-29 Thread IRENA SREBOTNIK KIRBIS

for removing  erythrocytes from hemorrhagic cytology samples we use filtration 
of bloody suspension through membrane filter with pore size 20 mikrons, you can 
find an article in Cytopathology. 2007 Jun;18(3):175-9. Epub 2007 Mar 27.
it is worth trying!
regards
Irena
 
 From: tmcne...@lmhealth.org
 To: valerie.han...@parrishmed.com; histonet@lists.utsouthwestern.edu
 Date: Mon, 25 Oct 2010 11:52:31 -0400
 CC: 
 Subject: [Histonet] RE: Saponin Technique
 
 I don't know about the procedure you have but ours only uses a 1% solution of 
 saponin, a 3% solution of calcium gluconate, and a balanced salt solution. We 
 get the balanced salt solution from our pharmacy.
 
 
 Tom McNemar, HT(ASCP)
 Histology Co-ordinator
 Licking Memorial Health Systems
 (740) 348-4163
 (740) 348-4166
 tmcne...@lmhealth.org
 www.LMHealth.org
 
 
 -Original Message-
 From: histonet-boun...@lists.utsouthwestern.edu 
 [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hannen, 
 Valerie
 Sent: Monday, October 25, 2010 11:40 AM
 To: histonet@lists.utsouthwestern.edu
 Subject: [Histonet] FW: Saponin Technique
 
 
 
 
 
 From: Hannen, Valerie
 Sent: Monday, October 25, 2010 11:39 AM
 To: 'histo...@list.utsouthwestern.edu'
 Subject: Saponin Technique
 
 
 Hi folks..
 I am hoping someone out there in Histo-land can help. One of our
 Pathologists is asking us to check into doing the Saponin Technique to
 lyse the red cells in some of our cytology specimens. She gave a copy of
 one of the pages from one of her manuals, and it shows that in order for
 us to do this we would need to buy alot of reagents that we currently do
 not have. Being that we would probably not be doing this technique very
 often, and not sure how cost effective it will be for us to buy the
 reagents, we are wondering if anyone knows of a commercial product that
 we can buy that would be a cheaper way out.
 
 Thanks in advance!!
 Valerie Hannen, Histotechnologist
 Parrish Medical Center
 Titusville,Florida
 
 
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[Histonet] Nashville HT Position

2010-10-29 Thread Hale, Meredith
Great opportunity for a Histotechnician in a brand new laboratory!
Bellmeade Dermatology in Nashville, TN is looking for a certified HT or
HTL to run their newly constructed laboratory. Bellmeade Dermatology has
been in the dermatology business for 18 years with 3 physicians and 2
Nurse Practitioners' . Candidate must be ASCP certified and CLIA
certified to perform gross dissection, prior supervisory experience
preferred. The candidate will be responsible for the following: Creation
and maintenance of policies and procedures to CLIA standards, leading
lab through CLIA inspection, maintenance and quality control for
equipment, and routine histology duties. This is a part time  position
that offers a competitive salary and  the flexible hours allows you to
put your own personal stamp on the laboratory .  Interested applicants
should contact Meredith Hale phone 214-596-2219 or through email
mh...@carisls.com

 

 

 

 

*** Please no recruiter's or vendors , HT applicant's only , thank you .


 

 

Meredith Hale HT (ASCP) CM

Operations Liaison Director and Education Coordinator 

 

Caris Life Sciences

6655 North MacArthur Blvd, Irving Texas 75039

direct: 214-596-2219

cell: 469-648-8253

fax: 972-929-9966

mh...@carisls.com 

 

 

 

 

 

 

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[Histonet] RE: Nitroblue Tetrazolium Chloride

2010-10-29 Thread Houston, Ronald
Nitro BT is a tetrazolium salt used in many dehydrogenase enzyme histochemical 
techniques. It is used in powder form (I would recommend the Nitrotetrazolium 
Blue chloride from Sigma, cat N6876).



The Nitro BT test is used for the demonstration of early myocardial infarction 
in gross hearts at necropsy by a dehydrogenase enzyme histochemical reaction on 
slices on unfixed heart.

In brief, a redox indicator is reduced by mitochondrial enzymes in cardiac 
muscle cells producing a blue staining reaction in all but infarcted areas. The 
loss of enzyme activity from the tissue defines the damaged heart muscle



Incubation Medium:



  Nitro BT50mg

  0.2M Tris-HCl buffer, pH 7.4100ml

  Sodium cyanide  50mg

  β-NAD   100mg

   Adjust pH to 7.1

The stock solution can be kept for several weeks at 4C



Protocol:

1.Rinse slices of myocardium in cold running water to remove 
the blood.

2.Incubate slices at 37C for 30 minutes

3.Wash in running water

4.Store in formol saline


Result:
  Normal myocardium   - dark blue
Areas of infarcted muscle show diminished staining, the degree of which depends 
on age of infarct

Notes:
Loss of staining can be detected as early as 1-5 hr after clinically determined 
onset of infarct. Material can be tested for 3 days after death and even longer 
if stored at 4C

Cyanide is added to the incubation medium to bind keto acids, produced during 
the dehydrogenation of some hydroxy acids, which may inhibit the dehydrogenase 
reaction.

NAD is added to the reaction medium as it is lost from the tissue rapidly 
post-mortem, and greatly improves the sensitivity of the reaction.

Some reaction medium call for the addition of the electron transfer mediator 
phenazine methosulfate (PMS), ostensibly to increase the reaction velocity of 
the enzyme reaction. This is used to by-pass the reaction of tetrazolium 
reductases, mediating between the reduced coenzymes and the tetrazolium salt. 
However, if PMS is used, any active cytochrome oxidase must be inhibited, as it 
can either oxidize the PMS reducing the amount of formazan deposited at the 
site of the enzyme reaction or even reverse the pattern producing false 
non-selective staining and obscuring areas of recent myocardial damage.


Ronnie Houston, MS HT(ASCP)QIHC
Anatomic Pathology Manager

ChildLab, a Division of Nationwide Children's Hospital

www.childlab.com


700 Children's Drive
Columbus, OH 43205
(P) 614-722-5450
(F) 614-722-2899
ronald.hous...@nationwidechildrens.orgmailto:ronald.hous...@nationwidechildrens.org
www.NationwideChildrens.orghttp://www.NationwideChildrens.org

One person with passion is better than forty people merely interested.
~ E.M. Forster

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Laurie Colbert
Sent: Thursday, October 28, 2010 2:52 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Nitroblue Tetrazolium Chloride



I previously posted a question regarding Nitroblue Tetrazolium Chloride,

but I didn't really receive the info that I needed - so I thought I

would ask again.







I need to purchase this item for a research doc.  He wants to immerse

tissue in this solution for 24 hours and then process as usual.  It is

my understanding that this is some kind of dye.  I see that I can order

it from Sigma in tablet form.  I've seen it from other companies in a

powder form.







Has anyone ever used this reagent in the capacity that I describe?  Is

it available as a ready-to-use solution/liquid?  Is there a certain

strength/percentage that I should use?







Thanks,



Laurie Colbert



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RE: [Histonet] lymph nodes peeling out of OCT

2010-10-29 Thread Monfils, Paul
I place all tissues in liquid OCT for at least 15 minutes before
freezing.  This virtually eliminates the problem of tissue sections
separating from the OCT after sectioning.



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[Histonet] Precipitating Silver

2010-10-29 Thread Sheila Haas
Has anyone heard of precipitating silver out of a solution by adding table 
salt? 
I read this somewhere as a means of disposing of silver easily. Any info would 
be appreciated.
Thanks,
 
Sheila Haas
Laboratory Supervisor
MicroPath Laboratories, Inc.



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[Histonet] PLP fixative

2010-10-29 Thread Truscott, Tom
I am seeking basic information on PLP fixative. What is it? Can I make it or 
buy it? How long does fixation take for lymph node? Thanks in advance, Tom 
Truscott
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RE: [Histonet] Precipitating Silver

2010-10-29 Thread Monfils, Paul
Yes, it is easy to do. Since silver chloride is insoluble in water, chloride 
added to a solution containing ionic silver will cause the white compound to 
precipitate out immediately.  It will settle out onto the bottom of the 
container overnight, or can be filtered out.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sheila Haas
Sent: Friday, October 29, 2010 1:56 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Precipitating Silver

Has anyone heard of precipitating silver out of a solution by adding table 
salt? 
I read this somewhere as a means of disposing of silver easily. Any info would 
be appreciated.
Thanks,
 
Sheila Haas
Laboratory Supervisor
MicroPath Laboratories, Inc.


  
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RE: [Histonet] PLP fixative

2010-10-29 Thread WILLIAM DESALVO

Follow the links for a receipe.
 
www.pathology.ufl.edu/~molecular/PLP%20Fixative.doc
 
http://www.niehs.nih.gov/research/atniehs/labs/lep/path-support/immuno/reagents.cfm
 
www.hopkinsmedicine.org/.../multimedia/text_documents/Recipes_For_Making_PLP_Fixative.doc


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




 
 From: ttrus...@vetmed.wsu.edu
 To: histonet@lists.utsouthwestern.edu
 Date: Fri, 29 Oct 2010 10:55:45 -0700
 Subject: [Histonet] PLP fixative
 
 I am seeking basic information on PLP fixative. What is it? Can I make it or 
 buy it? How long does fixation take for lymph node? Thanks in advance, Tom 
 Truscott
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[Histonet] IHC Staining Problem

2010-10-29 Thread Jennifer Hill
 I hope someone can help me with a problem I've been having with my CD79a hand 
stain.  This is a stain that was validated and working perfectly, when a few 
months ago I started having reduced, to no staining on my controls, with the 
occasional run staining a little stronger. I followed the discussion not too 
long ago with the person who was having similar problems, but the suggestions 
didn't seem to apply (I use Tween 20 in my PBS rinses, and we use APEX slides 
from Surgipath-not Fischer Plus).  I've tried everything I can think of and I 
hope someone may have some other ideas.  For reference this is for a veterinary 
diagnostic lab, not a human lab, and this is the only stain we've been having 
this issue with.

My protocol is as follows: After deparfinization/rehydration,
AR for 20 min in the steamer in Biogenex Citra Solution (I've gotten new Citra 
Solution, tried a pressure cooker)
5 min peroxide quench, followed by a 10 min protein block using Dako's Protein 
Block-Serum Free
60 min Primary incubation (Dako CD79a) at 37 C (decreased dilution from 1:100 
to 1:65, new bottle of antibody)
30 min incubation at room temp of ImmPRESS anti-Mouse Reagent from Vector
Develop stain with DAB chromogen from Vector

Washes of PBS/Tween 20 follow between steps

Thank you,
Jennifer Hill
Research Assistant
Kansas State University
Veterinary Diagnostic Lab

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[Histonet] Laura Miller is Out of the Office.

2010-10-29 Thread Laura . Miller

I will be out of the office starting  10/29/2010 and will not return until
11/01/2010.

I am out of the office for the rest of the day.  I will be back on Monday!


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RE: [Histonet] RE: breast fixation times

2010-10-29 Thread Patsy Ruegg
Melissa,

Just because the clone you are using is not recommended in the guidelines
does not mean that you cannot use it.  You have to validate it the same as
using a clone they do recommend, but the bottom line is you can use what
ever you want in what ever way you want as long as you validate the protocol
on samples generated in your lab.  If you want to use a fixation or
processing different from what is recommended you have to compare it to
formalin fixation and standard (whatever that is) paraffin processing, you
would have to do a side by side comparison on the same tissue.  As long as
you follow the fixation and processing guidelines you can use the ab u want
to use without comparing it to abs they recommend, as far as I can tell.
You must validate that ab on at least 25 samples generated in your
institution just as you would have to validate an antibody they do
recommend. 

Regards,

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 Kuhnla,
Melissa
Sent: Friday, October 29, 2010 3:51 AM
To: Feher, Stephen; Tench, Bill; Weems, Joyce;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: breast fixation times

One more question regarding ER/PR/Her2..who am I kidding, we will be
talking about them forever!!  With regards to the ER/PR publication: The
PR clone (Ventana 1E2) that we currently use is not listed as
'acceptable'. Is anyone else in this situation?  Are you switching to
another clone?? Have you come across anything speaking of this scenario?
What to do if you currently run a clone not mentioned?  It will be a
relatively easy validation for me, but I can't image I am alone here.
Thanks, Melissa

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Feher,
Stephen
Sent: Thursday, October 28, 2010 5:50 PM
To: Tench, Bill; Weems, Joyce; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: breast fixation times

Great discussion, comprehensive yet concise.  Thanks Bill and Joyce and
Melissa. 


Steve

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench,
Bill
Sent: Wednesday, October 27, 2010 12:26 PM
To: Weems, Joyce; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: breast fixation times

My apologies for not including the updates accurate for ER and PR. 


Bill Tench
Associate Dir. Laboratory Services
Chief, Cytology Services
Palomar Medical Center
555 E. Valley Parkway
Escondido, California  92025
bill.te...@pph.org
Voice: 760- 739-3037
Fax: 760-739-2604

-Original Message-
From: Weems, Joyce [mailto:jwe...@sjha.org]
Sent: Wednesday, October 27, 2010 9:22 AM
To: Tench, Bill; histonet@lists.utsouthwestern.edu
Subject: RE: breast fixation times

Thanks for this good explanation, Bill.

One can not follow the guidelines and document the variant in the
report, but not following them could hurt the patient if there is a
clinical trial they might participate in. Clinical trials follow the
protocol to the letter and if the FDA requirement is not met, the
patient can not participate. 

The times were extended for ER and PR to 72 hours, but NOT yet for Her2.
So...because the tissue is all the same, we must follow the 48 hour
limit. We just had a case this weekend. Had the clinical staff remove it
from the processor on Sun morning and embedded it Monday. We don't
ususally have this problem as we are a 6-day lab, but it was finished
too late on Fri. 

Cheers,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: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tench,
Bill
Sent: Wednesday, October 27, 2010 11:50
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] breast fixation times

There is no exception for core biopsies, as reasonable as that may seem.
I have had that discussion with the purveyors of the guidelines.  6-48
is the current standard.  there was a lot of discussion about exceeding
48 and using the FISH option.  My colleague responsible for this wrote:
It is in the CAP checklist, ANP 22998:

If the laboratory assesses Her2 by IHC or Her2 gene amplification by
in-situ hybridization (FISH, CISH, SISH), does the lab have a documented
procedure for ensuring appropriate length of fixation of specimens
tested? 

Specimens subject to Her2 testing should be fixed in 10% neutral
buffered formalin for at least 6 hours and no longer than 48 hours.
While fixation outside of these time limits is not an absolute exclusion
criterion for Her2 testing, labs should qualify any 

[Histonet] cryostat question

2010-10-29 Thread historsd

Does anyone have 'hands on'  experience performing Mohs using a countertop 
cryostat?  Can the specimen head be manipulated to acccomodate a badly embedded 
block? Does the machine stay cold enough to perform Mohs? Any advice would be 
appreciated.  
My e-mail is histo...@aol.com. Thanks, Susan
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Re: [Histonet] IHC Staining Problem

2010-10-29 Thread Jennifer MacDonald
How far in advance are your controls being cut?  Are your patient tissues 
staining?




Jennifer Hill jh...@vet.k-state.edu 
Sent by: histonet-boun...@lists.utsouthwestern.edu
10/29/2010 01:11 PM

To
histonet histonet@lists.utsouthwestern.edu
cc

Subject
[Histonet] IHC Staining Problem






 I hope someone can help me with a problem I've been having with my CD79a 
hand stain.  This is a stain that was validated and working perfectly, 
when a few months ago I started having reduced, to no staining on my 
controls, with the occasional run staining a little stronger. I followed 
the discussion not too long ago with the person who was having similar 
problems, but the suggestions didn't seem to apply (I use Tween 20 in my 
PBS rinses, and we use APEX slides from Surgipath-not Fischer Plus).  I've 
tried everything I can think of and I hope someone may have some other 
ideas.  For reference this is for a veterinary diagnostic lab, not a human 
lab, and this is the only stain we've been having this issue with.

My protocol is as follows: After deparfinization/rehydration,
AR for 20 min in the steamer in Biogenex Citra Solution (I've gotten new 
Citra Solution, tried a pressure cooker)
5 min peroxide quench, followed by a 10 min protein block using Dako's 
Protein Block-Serum Free
60 min Primary incubation (Dako CD79a) at 37 C (decreased dilution from 
1:100 to 1:65, new bottle of antibody)
30 min incubation at room temp of ImmPRESS anti-Mouse Reagent from Vector
Develop stain with DAB chromogen from Vector

Washes of PBS/Tween 20 follow between steps

Thank you,
Jennifer Hill
Research Assistant
Kansas State University
Veterinary Diagnostic Lab

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