RE: [Histonet] Re: Staining on Alcohol Fixed Smears

2013-12-17 Thread Tom McNemar
Thanks for the clarification.  I appreciate the info!

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 Beth Cox
Sent: Monday, December 16, 2013 2:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

I agree that with no formalin exposure, there is no crosslinking that
needs to be broken, but a then, do nothing approach to antigen
retrieval oversimplifies the issue.   Alcohol fixation makes changes in
the protiens/antibodies also, although different changes than formalin
does, and these changes need to be accounted for.  In my research on
alcohol fixed smears, I found that most antibodies perform best with
some antigen retrieval, often gentler than formalin tissues require.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech

--

Message: 4
Date: Mon, 16 Dec 2013 11:13:59 -0500
From: Tom McNemartmcne...@lmhealth.org
Subject: RE: [Histonet] Re: Staining on Alcohol Fixed Smears
To: 'Beth Cox'bethc...@gmail.com,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu,levi.fr...@gmail.com
levi.fr...@gmail.com
Message-ID:
E9A90E28259D2F4E84308C5E8EA8F7B4016951E94252@lmhs-exchange
Content-Type: text/plain; charset=us-ascii


Since there is no exposure to formalin, we do not do antigen retrieval on 
alcohol fixed specimens.  We use the Ventana Benchmark XT and copy the protocol 
to a new number and use the Wet option rather than paraffin.  No retrieval 
needed.

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 Beth Cox
Sent: Saturday, December 14, 2013 6:30 PM
To:histonet@lists.utsouthwestern.edu;levi.fr...@gmail.com
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

Levi,

I've worked up most of the more common antibodies on alcohol fixed
smears.  There are two things to remember here:  1) your specimens are
alcohol fixed, meaning antigen retrieval needs are different, and 2)
they are smears, meaning the cells weren't 'cut open' during microtomy,
which impeeds some nuclear staining.  Those are two different issues to
consider.

Some rules of thumb:
1)  most cell membrane antigens will stain nicely with minimal changes
to the protocols you use for FFPE specimens
2)  most cytokeratin antigens stain nicely with little change to your
FFPE protocols (if you need to change, start by cutting your antigen
retrieval time in half)
3)  most nuclear antigens require significant changes from FFPE
protocols, and some are essentially impossible to stain using standard
antibodies.

When I return to work on Monday, I will forward you my protocol
'adjustments' for the antibodies you requested.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech




On 12/14/2013 12:00 PM,histonet-requ...@lists.utsouthwestern.edu  wrote:

 Message: 4
 Date: Sat, 14 Dec 2013 18:25:08 +0200
 From: Levi Friedlevi.fr...@gmail.com
 Subject: [Histonet] Staining on Alcohol Fixed Smears.
 To:histonet@lists.utsouthwestern.edu
 Message-ID:
CA+puqxTXL85pEwvR=sqPQA36tMJPm=sx2kv3gyebrbu0he3...@mail.gmail.com
 Content-Type: text/plain; charset=ISO-8859-1

 Hi Everyone.

 I am looking to stain alcohol fixed smears with a group of antibodies.

 The antibodies of particular interest are p63, p53 and ki67.
 Along with these antibodies I am looking for positive nuclear and
 cytoplastic staining antibodies.

 If anyone has any experience in staining alcohol fixed slides your
 information is very appreciated.

 All the best.

 -- Sincerely, - Levi Fried

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RE: [Histonet] Re: Staining on Alcohol Fixed Smears

2013-12-17 Thread Susan Foreman
What info do you guys have on acetone fixed smears?  Specifically, having
trouble getting PAX5 (nuclear) to show good signal without chewing up the
cells during antigen retrieval.  

Susan Foreman, HT (ASCP)
KDL Pathology
315 Erin Drive
Knoxville, TN 37919
(865)584-1933


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar
Sent: Tuesday, December 17, 2013 5:48 AM
To: 'Beth Cox'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Staining on Alcohol Fixed Smears

Thanks for the clarification.  I appreciate the info!

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 Beth Cox
Sent: Monday, December 16, 2013 2:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

I agree that with no formalin exposure, there is no crosslinking that needs
to be broken, but a then, do nothing approach to antigen
retrieval oversimplifies the issue.   Alcohol fixation makes changes in
the protiens/antibodies also, although different changes than formalin does,
and these changes need to be accounted for.  In my research on alcohol fixed
smears, I found that most antibodies perform best with some antigen
retrieval, often gentler than formalin tissues require.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech

--

Message: 4
Date: Mon, 16 Dec 2013 11:13:59 -0500
From: Tom McNemartmcne...@lmhealth.org
Subject: RE: [Histonet] Re: Staining on Alcohol Fixed Smears
To: 'Beth Cox'bethc...@gmail.com,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu,levi.fr...@gmail.com
levi.fr...@gmail.com
Message-ID:
E9A90E28259D2F4E84308C5E8EA8F7B4016951E94252@lmhs-exchange
Content-Type: text/plain; charset=us-ascii


Since there is no exposure to formalin, we do not do antigen retrieval on
alcohol fixed specimens.  We use the Ventana Benchmark XT and copy the
protocol to a new number and use the Wet option rather than paraffin.  No
retrieval needed.

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 Beth Cox
Sent: Saturday, December 14, 2013 6:30 PM
To:histonet@lists.utsouthwestern.edu;levi.fr...@gmail.com
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

Levi,

I've worked up most of the more common antibodies on alcohol fixed smears.
There are two things to remember here:  1) your specimens are alcohol fixed,
meaning antigen retrieval needs are different, and 2) they are smears,
meaning the cells weren't 'cut open' during microtomy, which impeeds some
nuclear staining.  Those are two different issues to consider.

Some rules of thumb:
1)  most cell membrane antigens will stain nicely with minimal changes to
the protocols you use for FFPE specimens
2)  most cytokeratin antigens stain nicely with little change to your FFPE
protocols (if you need to change, start by cutting your antigen retrieval
time in half)
3)  most nuclear antigens require significant changes from FFPE protocols,
and some are essentially impossible to stain using standard antibodies.

When I return to work on Monday, I will forward you my protocol
'adjustments' for the antibodies you requested.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech




On 12/14/2013 12:00 PM,histonet-requ...@lists.utsouthwestern.edu  wrote:

 Message: 4
 Date: Sat, 14 Dec 2013 18:25:08 +0200
 From: Levi Friedlevi.fr...@gmail.com
 Subject: [Histonet] Staining on Alcohol Fixed Smears.
 To:histonet@lists.utsouthwestern.edu
 Message-ID:

 CA+puqxTXL85pEwvR=sqPQA36tMJPm=sx2kv3gyebrbu0he3...@mail.gmail.com
 Content-Type: text/plain; charset=ISO-8859-1

 Hi Everyone.

 I am looking to stain alcohol fixed smears with a group of antibodies.

 The antibodies of particular interest are p63, p53 and ki67.
 Along with these antibodies I am looking for positive nuclear and 
 cytoplastic staining antibodies.

 If anyone has any experience in staining alcohol fixed slides your 
 information is very appreciated.

 All the best.

 -- Sincerely, - Levi Fried

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intended 

[Histonet] Re: Staining on Alcohol Fixed Smears

2013-12-17 Thread Beth Cox

I'm sorry, I have no experience with acetone fixed smears.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech

On 12/17/2013 8:40 AM, Susan Foreman wrote:

What info do you guys have on acetone fixed smears?  Specifically, having
trouble getting PAX5 (nuclear) to show good signal without chewing up the
cells during antigen retrieval.

Susan Foreman, HT (ASCP)
KDL Pathology
315 Erin Drive
Knoxville, TN 37919
(865)584-1933


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar
Sent: Tuesday, December 17, 2013 5:48 AM
To: 'Beth Cox'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Staining on Alcohol Fixed Smears

Thanks for the clarification.  I appreciate the info!

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 Beth Cox
Sent: Monday, December 16, 2013 2:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

I agree that with no formalin exposure, there is no crosslinking that needs
to be broken, but a then, do nothing approach to antigen
retrieval oversimplifies the issue.   Alcohol fixation makes changes in
the protiens/antibodies also, although different changes than formalin does,
and these changes need to be accounted for.  In my research on alcohol fixed
smears, I found that most antibodies perform best with some antigen
retrieval, often gentler than formalin tissues require.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech

--

Message: 4
Date: Mon, 16 Dec 2013 11:13:59 -0500
From: Tom McNemartmcne...@lmhealth.org
Subject: RE: [Histonet] Re: Staining on Alcohol Fixed Smears
To: 'Beth Cox'bethc...@gmail.com,
 histonet@lists.utsouthwestern.edu
 histonet@lists.utsouthwestern.edu,levi.fr...@gmail.com
 levi.fr...@gmail.com
Message-ID:
 E9A90E28259D2F4E84308C5E8EA8F7B4016951E94252@lmhs-exchange
Content-Type: text/plain; charset=us-ascii


Since there is no exposure to formalin, we do not do antigen retrieval on
alcohol fixed specimens.  We use the Ventana Benchmark XT and copy the
protocol to a new number and use the Wet option rather than paraffin.  No
retrieval needed.

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 Beth Cox
Sent: Saturday, December 14, 2013 6:30 PM
To:histonet@lists.utsouthwestern.edu;levi.fr...@gmail.com
Subject: [Histonet] Re: Staining on Alcohol Fixed Smears

Levi,

I've worked up most of the more common antibodies on alcohol fixed smears.
There are two things to remember here:  1) your specimens are alcohol fixed,
meaning antigen retrieval needs are different, and 2) they are smears,
meaning the cells weren't 'cut open' during microtomy, which impeeds some
nuclear staining.  Those are two different issues to consider.

Some rules of thumb:
1)  most cell membrane antigens will stain nicely with minimal changes to
the protocols you use for FFPE specimens
2)  most cytokeratin antigens stain nicely with little change to your FFPE
protocols (if you need to change, start by cutting your antigen retrieval
time in half)
3)  most nuclear antigens require significant changes from FFPE protocols,
and some are essentially impossible to stain using standard antibodies.

When I return to work on Monday, I will forward you my protocol
'adjustments' for the antibodies you requested.

Beth Cox, HTL/SCT(ASCP)QIHC
Vagabond Histotech




On 12/14/2013 12:00 PM,histonet-requ...@lists.utsouthwestern.edu  wrote:


Message: 4
Date: Sat, 14 Dec 2013 18:25:08 +0200
From: Levi Friedlevi.fr...@gmail.com
Subject: [Histonet] Staining on Alcohol Fixed Smears.
To:histonet@lists.utsouthwestern.edu
Message-ID:

CA+puqxTXL85pEwvR=sqPQA36tMJPm=sx2kv3gyebrbu0he3...@mail.gmail.com

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

Hi Everyone.

I am looking to stain alcohol fixed smears with a group of antibodies.

The antibodies of particular interest are p63, p53 and ki67.
Along with these antibodies I am looking for positive nuclear and
cytoplastic staining antibodies.

If anyone has any experience in staining alcohol fixed slides your
information is very appreciated.

All the best.

-- Sincerely, - Levi Fried

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[Histonet] slides with flimsy coverslip coming off

2013-12-17 Thread Nancy Schmitt
We received some slides (being used in a school program) - they have flexible 
plastic coverslips that are coming off and the tissue is adhered to the 
coverslip.
 Does anyone have any experience or thoughts on how we might get the tissue to 
adhere back to the slide?
Thank you!

Nancy Schmitt HT, MLT(ASCP)
Histology Coordinator
United Clinical Laboratories




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Re: [Histonet] slides with flimsy coverslip coming off

2013-12-17 Thread Patrick Laurie
This can happen with the older plastic coverslipping material.  I have
heard that they have since fixed it though.  We had several years worth of
slides that this happened to, the only way we could reliably fix it was add
coverslipping media below the coverslip and put something flat and heavy on
top.

Since the coverslips dissolve in acetone, we tried several things with
attaching the tissue, using acetone to dissolve the coverslip, but it never
worked very well.

Patrick Laurie(HT)ASCP QIHC

Histology Manager

Celligent Diagnostics, LLC

101 East W.T. Harris Blvd  | Suite 1212 | Charlotte, NC 28262

Work: 704-970-3300  Cell: 704-266-0869


On Tue, Dec 17, 2013 at 12:26 PM, Nancy Schmitt nancy_schm...@pa-ucl.comwrote:

 We received some slides (being used in a school program) - they have
 flexible plastic coverslips that are coming off and the tissue is adhered
 to the coverslip.
  Does anyone have any experience or thoughts on how we might get the
 tissue to adhere back to the slide?
 Thank you!

 Nancy Schmitt HT, MLT(ASCP)
 Histology Coordinator
 United Clinical Laboratories




 NOTICE: This email may contain legally privileged information. The
 information
 is for the use of only the intended recipient(s) even if addressed
 incorrectly. If you are not the intended recipient, please notify the
 sender
 that you have received it in error and then delete it along with any
 attachments. Thank you.



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-- 

Patrick Laurie(HT)ASCP QIHC

Histology Manager

Celligent Diagnostics, LLC

101 East W.T. Harris Blvd  | Suite 1212 | Charlotte, NC 28262

Work: 704-970-3300  Cell: 704-266-0869
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[Histonet] Paraffin sections or formalin fixed tissue for EM - looking for reference lab

2013-12-17 Thread Nalesnik, Michael
Hi Carol,
We can do that here; I am copying an internal e-mail I got from the pathologist 
that runs our EM. Hope this helps:

Regards, Mike

***

Mike,
Can you follow up on this and give me some idea of projected number of cases? I 
would be interested in talking with Carol Wilson if you have her phone number. 
Thanks.

Sheldon

Sheldon Bastacky, MD
Director, Nephropathology and Electron Microscopy Laboratory University of 
Pittsburgh Medical Center - Presbyterian University Hospital Department of 
Pathology (Room A610) 200 Lothrop Street Pittsburgh, PA 15213-2582

Phone: (412) 647-9612
Fax: (412) 647-3399
Pager: (412) 392-7205
E-mail: bastack...@upmc.edumailto:bastack...@upmc.edu


https://pathconsult.upmc.com/

**
Michael A. Nalesnik, M.D.
Professor of Pathology
Division of Transplantation and Hepatic Pathology
UPMC Montefiore Rm E738
phone 412-647-7645
fax 412-647-5237
Confidential UPMC Health System information. Any unauthorized or improper 
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[Histonet] grandfathered histotech

2013-12-17 Thread anita
Just wondering what others have found to be the case with CAP and techs that 
are grandfathered in.  When your labs are inspected is there a problem ?

Thanks so much, hope all have a wonderful Christmas!!

 

Anita Dudley 
  
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Re: [Histonet] grandfathered histotech

2013-12-17 Thread Rene J Buesa
Different states with histotech licenses always provided a grand-father 
clause for those histotechs with years of experience lacking the theoretical 
training and gran-fathered them with the license at the same level to those 
with the studies and without much training.
Consequently, a licensed HT is a licensed HT regardless of how they got their 
license.
So the very short answer to your question is: NO!
René J.



From: anita azdud...@hotmail.com
To: Histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu 
Sent: Tuesday, December 17, 2013 12:55 PM
Subject: [Histonet] grandfathered histotech


Just wondering what others have found to be the case with CAP and techs that 
are grandfathered in.  When your labs are inspected is there a problem ?

Thanks so much, hope all have a wonderful Christmas!!



Anita Dudley 
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[Histonet] job postings

2013-12-17 Thread Lee Loss
Hello all,

Where does everyone find the most success when advertising job openings for 
your histology labs?  We currently use Careerbuilder, Monster and also do some 
advertising with NSH and a few other places.  We want to make sure we're 
hitting the places where the most people are looking.  Any thoughts are 
appreciated.

Thanks,

Lee Loss
Lab Manager
Dermatology Associates | Forefront Dermatology
ll...@dermwisconsin.commailto:ll...@dermwisconsin.com




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[Histonet] New code 88343

2013-12-17 Thread Paula Lucas
Hello,

 

Can someone shed some light for me on this new code for IHC?  I think the
code refers to double stain antibodies?  

Thanks in advance

: )
Paula Lucas

Lab Manager

Bio-Path Medical Group

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[Histonet] RE: job postings

2013-12-17 Thread Sullivan, Beatrice
I found both of my current jobs in ADVANCE magazine.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lee Loss
Sent: Tuesday, December 17, 2013 2:04 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] job postings

Hello all,

Where does everyone find the most success when advertising job openings for 
your histology labs?  We currently use Careerbuilder, Monster and also do some 
advertising with NSH and a few other places.  We want to make sure we're 
hitting the places where the most people are looking.  Any thoughts are 
appreciated.

Thanks,

Lee Loss
Lab Manager
Dermatology Associates | Forefront Dermatology 
ll...@dermwisconsin.commailto:ll...@dermwisconsin.com




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pass any of this information to anyone else. Thank you for your cooperation.
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sender by e-mail with a copy to issecur...@virtua.org. 

Thank you



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[Histonet] RE: job postings

2013-12-17 Thread Shirley A. Powell
www.histosearch.com has a histology job page so that you can list or acquire 
jobs.  
Shirley Powell

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lee Loss
Sent: Tuesday, December 17, 2013 2:04 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] job postings

Hello all,

Where does everyone find the most success when advertising job openings for 
your histology labs?  We currently use Careerbuilder, Monster and also do some 
advertising with NSH and a few other places.  We want to make sure we're 
hitting the places where the most people are looking.  Any thoughts are 
appreciated.

Thanks,

Lee Loss
Lab Manager
Dermatology Associates | Forefront Dermatology 
ll...@dermwisconsin.commailto:ll...@dermwisconsin.com




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Protected Health Information covered under the HIPAA Privacy Rule. If you are 
not the intended recipient, be advised that any unauthorized use, disclosure, 
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information is strictly forbidden by law. If you have received this e-mail in 
error, please notify me by reply e-mail and then delete this message. Do not 
pass any of this information to anyone else. Thank you for your cooperation.
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[Histonet] beautiful microscope photos

2013-12-17 Thread Lee Peggy Wenk
Just for fun. This year’s top 10 Olympus Bioscapes digital imaging competition. 
Most through microscopes.

http://www.wired.com/wiredscience/2013/12/olympus-bioscapes-microscope-photography/#slideid-395121

Peggy A. Wenk, HTL(ASCP)SLS
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Re: [Histonet] Discontinuing Negative Reagent Controls for IHC

2013-12-17 Thread Roger Heyna
Below is the list of Histonet responses representing the labs that have 
discontinued the use of negative reagent controls for IHC's. Thanks to everyone 
who responded.
 
Roger
Maywood, IL
 
 

Molecular Diagnostics Lab, Winston-Salem, NC
Saint Joseph's Hospital, Atlanta, GA
Hartford Hospital, Hartford, CT
UC San Francisco Medical Center, San Francisco, CA
UCSD Medical Center, San Diego, CA
Central Vermont Medical Center, Berlin, VT
Beaumont Health System, Royal Oak, MI
Saint Francis Medical Center, Cape Girardeau, MO
Dominion Pathology Laboratories, Norfolk, VA
CSI Laboratories, Alpharetta, GA
Unitypoint Health-Methodist, Peoria, IL
Rutland Regional Medical Center, Rutland, VT
Vanderbilt University, Nashville, TN
Physicians Reference Laboratory, LLC, Overland Park, KS
Regions Hospital, St. Paul, MN
United Clinical Laboratories, Dubuque, IA
Holy Redeemer Hospital Laboratory, Meadowbrook, PA
St. Luke's Hospital, Duluth, MN
PRHS, Naples, FL
 
 
 Roger Heyna rhe...@lumc.edu 12/9/2013 2:47 PM 
I am putting together a list of facilities that have discontinued the use of 
negative reagent controls for IHC. After the CAP revised the requirement 
related to negative controls when polymer-based detection systems are used, we 
decided to investigate whether discontinuing the negative controls would be 
possible for our lab. It would be helpful to know what labs have done this 
successfully. If the labs that have discontinued the use of negatives could 
just respond in an email, I would appreciate it.

Also, if anyone has any thoughts pertaining to this change, they're certainly 
welcome.

Thank you,
Roger
Maywood, IL
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