Re: [Histonet] Histonet Digest, Vol 140, Issue 12

2015-07-13 Thread Deborah.Rogers
I'm studying for the ASCP Safety Qualification.  Looking for advice from an 
experienced source.  Thanks! 



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Subject: Histonet Digest, Vol 140, Issue 12

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Today's Topics:

   1. Re: Coverslipping mystery (Caroline Miller)


--

Message: 1
Date: Sat, 11 Jul 2015 07:17:30 -0700
From: Caroline Miller mi...@3scan.com
To: John Kiernan jkier...@uwo.ca
Cc: Adam Boanas a.boa...@epistem.co.uk,
histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Coverslipping mystery
Message-ID: 6c960c7a-bc93-463a-a408-2a94b7918...@3scan.com
Content-Type: text/plain;   charset=us-ascii

I really like DPX, although funnily enough we used cytoseal in my lab in London 
but always called it the DPX! I think I remember by boss telling me about the 
bad DPX time.

When I moved to the USA the lab I started in had a bottle of DPX and i loved 
it! I always decant some of the DPX into a 100ml glass bottle, put in a plastic 
squeeze pipette and then screw a lid on it to stop it drying out (with the 
pipette still inside) when not in use. Surprisingly the pipette doesn't melt! 
Which is good because I am a recycle freak and i couldn't stand using a new one 
every time I mounted something!

Yours,
mills

Caroline Miller (mills)
Director of Histology
3Scan, Inc
415-2187297

 On Jul 10, 2015, at 10:55 PM, John Kiernan jkier...@uwo.ca wrote:

 DPX is a polystyrene mounting medium. In principle you can make your own from 
 published recipes. In practice, everyone buys commercial resinous mounting 
 media.

 In the 1990s we had trouble similar to what you describe. The commercial DPX 
 was cloudy, and not because of alcohol in our xylene. The Canadian supplier 
 acknowledged the bad DPX and urged us to buy Entellan instead. Entellan is a 
 poly(methacrylate) plastic and is an excellent but expensive mounting medium. 
 Another poly(methacrylate) mountant called CytoSeal was less expensive and 
 also came in a squeeze-easy plastic bottle for delivery onto the slide or 
 coverslip. It's now my routine resious mountant.

 Good DPX returned to the market in the 2000s, but in old-fashioned bottles 
 and not easy to apply to slides or coverslips.

 John Kiernan
 = = =
 On 09/07/15, Adam Boanas  a.boa...@epistem.co.uk wrote:
 Hello,

 We are having a problem that is developing into a big issue in our lab and I 
 was wondering if anybody could shed any light on it. Our CV5000 coverslipper 
 has recently started introducing microscopic air bubbles onto the slides 
 during coverslipping. We have been told by our engineer that it is a 
 consequence of the age and use of the motor and that sourcing another for an 
 instrument that old (15yrs) will be v difficult. As such, we have been 
 forced to manually coverslip using DPX and a pipette - manually applying the 
 coverslips to the slide, thus mirroring the action of the coverslipper. This 
 is fine at first and for the next few days the slides look great and very 
 clean. However, after about day 4 -5 days post coverslipping, the slides 
 develop an odd appearance down the microscope which looks like very fine 
 `parched earth / crazy paving` all over the slide - including the section. 
 The excess mountant around the edge of the coverslip also has a very faint, 
 cloudy appearance
 wh!
  en this occurs. This of course renders the slide un-useable. Does anyone 
 have a clue what this might be down to / how we can stop it?
 We are struggling for ideas with this one! - this occurs with fresh DPX also.

 Many thanks
 Adam

 Adam Boanas
 Senior Research Associate
 Epistem Ltd
 48 Grafton Street
 Manchester, M13 9XX

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Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and Histology Laboratories

2015-07-13 Thread John Kiernan via Histonet
Dear Banjo,

A reference to the article would be helpful; there must be more to it than one 
sentence! 

Formaldehyde has been known for decades to be hazardous, and there are safety 
regulations in places where it is used. Plenty of old-timers are still alive 
and well after woking with formaldehyde in the days when there were few or no 
regulations. I'm one of them.
 
From about 1895 until about 1995 (and perhaps still, in some universities), 
every medical student spent most of the working day for at least a year with 
his or her nose and bare hands in a cadaver that had been embalmed in a 
cocktail containing phenol and formaldehyde. The predominant smell was the 
phenol, except when dissecting brains, which were fixed and stored in 4% 
formaldehyde. 

About 35 years ago, the American Association of Anatomists investigated effects 
of exposure to embalming chemicals on teachers of anatomy, who are in the 
dissecting room year after year. The only significant finding was eczema on the 
hands of some people, long known to be avoidable by wearing rubber gloves. Yes, 
I too should be able to provide a reference, but this was in the days of paper, 
which gets thrown out to make room for more paper ... There might be something 
deep in the archives at http://www.anatomy.org/

Other chemicals used in anatomy, pathology and histology labs also have their 
dangers; we avoid drinking them, rubbing them into our skin and inhaling their 
vapours, and we do our best to observe the safety regulations when it comes to 
getting rid of them. 

There is no substitute fixative functionally identical to formaldehyde. There 
are other fixatives, some less hazardous, but they have different effects on 
staining properties etc. The late Holde Puchtler published papers urging 
pathologists to use non-aqueous coagulant fixatives for routine fixation of 
small specimens, with her Carnoy variant methacarn (methanol 60, acetic acid 
10, chloroform 30) as the probable best, also good for some modern molecular 
methods. For this I can provide a few references:

Puchtler, H., Waldrop, F.S., Meloan, S.N., Terry, M.S. and Connor, H.M. (1970). 
Methacarn (methanol-Carnoy) fixation. Practical and theoretical considerations. 
Histochemie 21:97-116.

Cox, M.L., Schray, C.L., Luster, C.N., Stewart, Z.S., Korytko, P.J., Khan, 
K.N.M., Paulauskis, J.D. and Dunstan, R.W. (2006). Assessment of fixatives, 
fixation and tissue processing on morphology and RNA integrity. Experimental 
and Molecular Pathology 80:183-191.

Buesa, R.J. (2008). Histology without formalin? Annals of Diagnostic Pathology 
12:387-396.

Uneyama, C., Shibutani, M., Masutomi, N., Takagi, H. and Hirose, M. (2002). 
Methacarn fixation for genomic DNA analysis in microdissected paraffin-embedded 
tissue specimens. Journal of Histochemistry and Cytochemistry 50:1237-1245.

Milcheva, R., Janega, P., Celec, P., Russev, R. and Babal, P. (2013). Alcohol 
based fixatives provide excellent tissue morphology, protein immunoreactivity 
and RNA integrity in paraffin embedded tissue specimens. Brain Research 
Protocols 115:279-289.

Greer, C.E., Peterson, S.L., Kiviat, N.B. and Manos, M.M. (1991). PCR 
amplification from paraffin-embedded tissues. American Journal of Clinical 
Pathology 95:117-124.

Tissue processing is extremely simple after non-aqueous coagulant fixation, and 
most of the stages of a processing machine are not needed. Nuclear chromatin 
details are much sharper than after formaldehyde. This may not be seen as a 
blessing by young and middle-aged pathologists. In bygone days the routine 
fixatives contained mercuric chloride, which gives crisp chromatin and 
cytoplasmic details. The heterochromatin details probably are artifacts of 
fixation, but they are useful for identifying cells.

John Kiernan
Old neuroanatomist and histochemist
UWO, London, Canada
http://publish.uwo.ca/~jkiernan/
Also Secretary, Biological Stain Commission
http://biostain.com
= = =
On 13/07/15, Adesupo, Adesuyi (Banjo)  abades...@nrh-ok.com wrote:
  Hi,
  I read this article (National Academy of Sciences Confirms That Formaldehyde 
 Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology 
 and Histology Laboratories) this morning.
  I wanted to know whether some of you guys out there are using Formaldehyde 
 substitute.
 
 
  Best regards,
 
  Banjo Adesuyi, BMLS, HT (ASCP) HTL, QIHC, QLS
  Histology Supervisor
  Norman Regional Health System,
  Norman, OK 73071.
  Tel: 405- 307- 1145
  abades...@nrh-ok.commailto:abades...@nrh-ok.com abades...@nrh-ok.com
 
 ==
 CONFIDENTIALITY NOTICE:
 
 This e-mail communication and any attachments may 
 contain confidential and privileged information for the use 
 of the designated recipients named above. If you are not 
 the intended recipient, you are hereby notified that you 
 have received this communication in error and that any 
 review, disclosure, dissemination, distribution, or copying 
 of it or 

Re: [Histonet] Coverslipping mystery

2015-07-13 Thread Bernice Frederick
We have a CV5030  and use the suggested  Surgipath micromount. It works well. 
As has been previously mentioned, you can adjust the amount of mountant 
dispensed  as desired.
Bernice

Bernice Frederick HTL (ASCP)
Senior Research Tech
Pathology Core Facility
Robert. H. Lurie Cancer Center
Northwestern University
710 N Fairbanks Court
Olson 8-421
Chicago,IL 60611
312-503-3723
b-freder...@northwestern.edu


-Original Message-
From: Caroline Miller [mailto:mi...@3scan.com] 
Sent: Saturday, July 11, 2015 9:18 AM
To: John Kiernan
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Coverslipping mystery

I really like DPX, although funnily enough we used cytoseal in my lab in London 
but always called it the DPX! I think I remember by boss telling me about the 
bad DPX time.

When I moved to the USA the lab I started in had a bottle of DPX and i loved 
it! I always decant some of the DPX into a 100ml glass bottle, put in a plastic 
squeeze pipette and then screw a lid on it to stop it drying out (with the 
pipette still inside) when not in use. Surprisingly the pipette doesn't melt! 
Which is good because I am a recycle freak and i couldn't stand using a new one 
every time I mounted something!

Yours,
mills

Caroline Miller (mills)
Director of Histology
3Scan, Inc
415-2187297

 On Jul 10, 2015, at 10:55 PM, John Kiernan jkier...@uwo.ca wrote:
 
 DPX is a polystyrene mounting medium. In principle you can make your own from 
 published recipes. In practice, everyone buys commercial resinous mounting 
 media.
 
 In the 1990s we had trouble similar to what you describe. The commercial DPX 
 was cloudy, and not because of alcohol in our xylene. The Canadian supplier 
 acknowledged the bad DPX and urged us to buy Entellan instead. Entellan is a 
 poly(methacrylate) plastic and is an excellent but expensive mounting medium. 
 Another poly(methacrylate) mountant called CytoSeal was less expensive and 
 also came in a squeeze-easy plastic bottle for delivery onto the slide or 
 coverslip. It's now my routine resious mountant. 
 
 Good DPX returned to the market in the 2000s, but in old-fashioned bottles 
 and not easy to apply to slides or coverslips. 
 
 John Kiernan
 = = =
 On 09/07/15, Adam Boanas  a.boa...@epistem.co.uk wrote:
 Hello,
 
 We are having a problem that is developing into a big issue in our lab and I 
 was wondering if anybody could shed any light on it. Our CV5000 coverslipper 
 has recently started introducing microscopic air bubbles onto the slides 
 during coverslipping. We have been told by our engineer that it is a 
 consequence of the age and use of the motor and that sourcing another for an 
 instrument that old (15yrs) will be v difficult. As such, we have been 
 forced to manually coverslip using DPX and a pipette - manually applying the 
 coverslips to the slide, thus mirroring the action of the coverslipper. This 
 is fine at first and for the next few days the slides look great and very 
 clean. However, after about day 4 -5 days post coverslipping, the slides 
 develop an odd appearance down the microscope which looks like very fine 
 `parched earth / crazy paving` all over the slide - including the section. 
 The excess mountant around the edge of the coverslip also has a very faint, 
 cloudy appearance wh!
  en this occurs. This of course renders the slide un-useable. Does anyone 
 have a clue what this might be down to / how we can stop it?
 We are struggling for ideas with this one! - this occurs with fresh DPX also.
 
 Many thanks
 Adam
 
 Adam Boanas
 Senior Research Associate
 Epistem Ltd
 48 Grafton Street
 Manchester, M13 9XX
 
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[Histonet] Looking for someone who can do this stain for us

2015-07-13 Thread Sheila Fonner
 Hello Histonetters,
I need your help. I have a doc looking for someone to perform an IHC stain for 
us. It's a p41/38 moab antibody for HHV-6. If anyone knows of someone doing 
this stain who also accepts outside cases, I would really appreciate the 
contact info.
Thank you and have a wonderful Monday.
SheilaDPPKnoxville, TN
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Re: [Histonet] Coverslipping mystery

2015-07-13 Thread Caroline Miller
It sounds totally plausible, but just to put a spanner in the works; I have a 
plastic pipette in my DPX that I leave in there for at least 6 months and I 
don't get that artifact. We may have different pipettess though.

Yours,
mills

Caroline Miller (mills)
Director of Histology
3Scan, Inc
415-2187297

 On Jul 13, 2015, at 12:30 AM, Adam Boanas a.boa...@epistem.co.uk wrote:
 
 Hello again,
 
 Thought I might offer an update on the coverslipping issue as it might be of 
 use in future.
 I ran a test last week of manual coverslipping using blank charged and 
 un-charged slides and using DPX and Pertex as the mountant. I also used 2 
 methods of application.
 1) Mountant applied using plastic Pasteur pipette
 2) Mountant applied using aluminium screw cap tube.
 Following immersion in xylene for 5 mins the coverslips were applied. From 
 viewing this morning, all slides were clear with the exception of those 
 coverslipped using DPX applied with the Pasteur. In each case, these slides 
 had the 'parched earth' artefact having been left to dry over the weekend.
 I suspect that the DPX has had a reaction with the plastic of the pipette 
 during application and the artefact is caused by residual `molten` plastic 
 from the pipette that only reveals itself over time.
 Does this sound plausible? No problem with the pertex and pipettes (which is 
 what I've used for years with no issue)
 Thanks
 Adam
 
 -Original Message-
 From: Caroline Miller [mailto:mi...@3scan.com] 
 Sent: 11 July 2015 15:18
 To: John Kiernan
 Cc: Adam Boanas; histonet@lists.utsouthwestern.edu
 Subject: Re: [Histonet] Coverslipping mystery
 
 I really like DPX, although funnily enough we used cytoseal in my lab in 
 London but always called it the DPX! I think I remember by boss telling me 
 about the bad DPX time.
 
 When I moved to the USA the lab I started in had a bottle of DPX and i loved 
 it! I always decant some of the DPX into a 100ml glass bottle, put in a 
 plastic squeeze pipette and then screw a lid on it to stop it drying out 
 (with the pipette still inside) when not in use. Surprisingly the pipette 
 doesn't melt! Which is good because I am a recycle freak and i couldn't stand 
 using a new one every time I mounted something!
 
 Yours,
 mills
 
 Caroline Miller (mills)
 Director of Histology
 3Scan, Inc
 415-2187297
 
 On Jul 10, 2015, at 10:55 PM, John Kiernan jkier...@uwo.ca wrote:
 
 DPX is a polystyrene mounting medium. In principle you can make your own 
 from published recipes. In practice, everyone buys commercial resinous 
 mounting media.
 
 In the 1990s we had trouble similar to what you describe. The commercial DPX 
 was cloudy, and not because of alcohol in our xylene. The Canadian supplier 
 acknowledged the bad DPX and urged us to buy Entellan instead. Entellan is a 
 poly(methacrylate) plastic and is an excellent but expensive mounting 
 medium. Another poly(methacrylate) mountant called CytoSeal was less 
 expensive and also came in a squeeze-easy plastic bottle for delivery onto 
 the slide or coverslip. It's now my routine resious mountant. 
 
 Good DPX returned to the market in the 2000s, but in old-fashioned bottles 
 and not easy to apply to slides or coverslips. 
 
 John Kiernan
 = = =
 On 09/07/15, Adam Boanas  a.boa...@epistem.co.uk wrote:
 Hello,
 
 We are having a problem that is developing into a big issue in our lab and 
 I was wondering if anybody could shed any light on it. Our CV5000 
 coverslipper has recently started introducing microscopic air bubbles onto 
 the slides during coverslipping. We have been told by our engineer that it 
 is a consequence of the age and use of the motor and that sourcing another 
 for an instrument that old (15yrs) will be v difficult. As such, we have 
 been forced to manually coverslip using DPX and a pipette - manually 
 applying the coverslips to the slide, thus mirroring the action of the 
 coverslipper. This is fine at first and for the next few days the slides 
 look great and very clean. However, after about day 4 -5 days post 
 coverslipping, the slides develop an odd appearance down the microscope 
 which looks like very fine `parched earth / crazy paving` all over the 
 slide - including the section. The excess mountant around the edge of the 
 coverslip also has a very faint, cloudy appearance wh!
 en this occurs. This of course renders the slide un-useable. Does anyone 
 have a clue what this might be down to / how we can stop it?
 We are struggling for ideas with this one! - this occurs with fresh DPX 
 also.
 
 Many thanks
 Adam
 
 Adam Boanas
 Senior Research Associate
 Epistem Ltd
 48 Grafton Street
 Manchester, M13 9XX
 
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[Histonet] Non Specific Esterase

2015-07-13 Thread Reuel Cornelia
Hello Histonetters,
Does anyone have a protocol for NSE on paraffin sections?
 
Reuel
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Re: [Histonet] Eosin

2015-07-13 Thread Hannen, Valerie
Rene,

As I stated before and maybe I was not entirely clear, we had this problem ( 
little Eosin in the sections of the first rack of slides on Monday morning) 
before, but had remedied it by starting to change the Eosin on Monday morning 
before the first rack of slides was run.  He now is stating that the problem of 
little Eosin in the sections from the first rack on Monday A.M. is starting 
again.  Since the last fix of the problem we have not deviated in any way, 
procedure or chemical wise.  We have used the same lot # in previous weeks for 
the Eosin as we currently have on the stainer ( I changed the Eosin this 
morning) , so I don’t think it is an Eosin problem per se.

Kari,

We do use 95% alcohol before our Eosin at all times.  I would think that if the 
alcohol before the  Eosin was the problem, all of my racks would have the 
“little Eosin in the sections” problem.. not just the first rack.

Again any and all suggestions are welcomed!!

Thanks again Rene and Kari for replying.

Valerie

From: Rene J Buesa [mailto:rjbu...@yahoo.com]
Sent: Monday, July 13, 2015 11:20 AM
To: Hannen, Valerie; Histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Eosin

It is difficult to advise you anything without knowing what is your PT's 
complaint. What he does complain about?
René


On Monday, July 13, 2015 11:17 AM, Hannen, Valerie 
valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.com wrote:

Good morning,

I once again am dealing with a my picky Pathologist!!  About a year ago, he 
started to complain about not having enough Eosin on his sections( first 
morning rack on Monday).. I went from changing the Eosin on Friday and stirring 
it on Monday to totally changing it  on Monday...it has all been good until the 
end of last week. The problem has started up again... little Eosin in the first 
rack of Monday morning.  Any suggestions??

Valerie Hannen,MLT(ASCP),HTL,SU (FL)
Section Chief, Histology
Parrish Medical Center
951 N. Washington Ave.
Titusville,Florida 32796
T: (321)268-6333 ext. 7506
F: (321) 268-6149
valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.com
www.parrishmed.comhttp://www.parrishmed.com

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Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and Histology Laboratories

2015-07-13 Thread Stedman, Nancy
We are using Excell Plus made by American Master Tech.  It is a combination of 
alcohol, ethylene glycol, and glyoxal.  It does not fix quite as fast as 
formalin but fixes just as well as long as tissue samples are small and not too 
fatty.  We work in veterinary pathology and mostly with necropsy tissues, and 
try to keep everything 5 to 10 mm maximum thickness that goes into Excell Plus. 
 It definitely won't fix an entire intact brain no matter how long you let it 
sit so we book the brains into thin slices 24 hours after collection.   We have 
done some limited IHC and DNA extraction from Excell Plus fixed tissue and have 
not had any issues.   We tried another low tox fixative too - Statlab's GTF 
formalin substitute, which is glyoxal - and it did not fix as well as Excell 
Plus.  GTF fixed CNS tissues especially had a lot of artifact like shrunken 
neurons.   

Hope this is helpful.  I would also be curious to know how many labs use 
formalin substitutes because it seems like they have not caught on much (or at 
all) in the veterinary world.   

-Nancy 


Nancy L. Stedman DVM PhD Dipl ACVP
Veterinary Pathologist
Busch Gardens Tampa
nancy.sted...@buschgardens.com



-Original Message-
From: Adesupo, Adesuyi (Banjo) [mailto:abades...@nrh-ok.com] 
Sent: Monday, July 13, 2015 12:52 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can 
Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

 Hi,
   I read this article (National Academy of Sciences Confirms That 
Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic 
Pathology and Histology Laboratories) this morning.
I wanted to know whether some of you guys out there are using Formaldehyde 
substitute.


Best regards,

   Banjo Adesuyi, BMLS, HT (ASCP) HTL, QIHC, QLS
   Histology Supervisor
   Norman Regional Health System,
   Norman, OK 73071.
   Tel: 405- 307- 1145
   abades...@nrh-ok.commailto:abades...@nrh-ok.com

==
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Re: [Histonet] Eosin

2015-07-13 Thread Rene J Buesa
Sometimes these issues are mysterious and in your case are particularly 
mysterious because you once solved the problem, only to recently reappear.I 
am going to tell you how I used to do it and never had those PT rejections:1- 
for both hematoxylin and eosin I kept a log of the number of stained slides and 
changes both when I reached 200, regardless of the day of the week or the time 
within the day the amount was reached.2- I always used the same brand (Harleco) 
3- I never left the staining set over the week. Everything was removed the last 
day of work (Saturday) and the containers were rinsed and dried and left upside 
down. For the automatic stainer (Sakura) we did the same thing.4- come Monday 
morning the whole set was prepared and everything started again.
Now, before I retired all the method was changed and this part probably you 
will not attempt: we dewaxed with dishwasher soap (elimination of xylene and 
ethanol). The slides went directly to the hematoxylin → bluing → 
differentiation → water → eosin → wash water and from then directly to an oven 
at 60ºC for 15 minutes (elimination of ethanol and xylene) → coverslip
So, try as I describe in points 1 to 4 or you can even could try eliminating 
xylene and ethanol and go green and dry.René 


 On Monday, July 13, 2015 1:30 PM, Hannen, Valerie 
valerie.han...@parrishmed.com wrote:
   

 #yiv6464311563 #yiv6464311563 -- _filtered #yiv6464311563 
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{}#yiv6464311563 Rene,  As I stated before and maybe I was not entirely clear, 
we had this problem ( little Eosin in the sections of the first rack of slides 
on Monday morning) before, but had remedied it by starting to change the Eosin 
on Monday morning before the first rack of slides was run.  He now is stating 
that the problem of little Eosin in the sections from the first rack on Monday 
A.M. is starting again.  Since the last fix of the problem we have not deviated 
in any way, procedure or chemical wise.  We have used the same lot # in 
previous weeks for the Eosin as we currently have on the stainer ( I changed 
the Eosin this morning) , so I don’t think it is an Eosin problem per se.  
Kari,  We do use 95% alcohol before our Eosin at all times.  I would think that 
if the alcohol before the  Eosin was the problem, all of my racks would have 
the “little Eosin in the sections” problem.. not just the first rack.  Again 
any and all suggestions are welcomed!!  Thanks again Rene and Kari for 
replying.  Valerie  From: Rene J Buesa [mailto:rjbu...@yahoo.com] 
Sent: Monday, July 13, 2015 11:20 AM
To: Hannen, Valerie; Histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Eosin  It is difficult to advise you anything without 
knowing what is your PT's complaint. What he does complain about?
René    On Monday, July 13, 2015 11:17 AM, Hannen, Valerie 
valerie.han...@parrishmed.com wrote:  Good morning,

I once again am dealing with a my picky Pathologist!!  About a year ago, he 
started to complain about not having enough Eosin on his sections( first 
morning rack on Monday).. I went from changing the Eosin on Friday and stirring 
it on Monday to totally changing it  on Monday...it has all been good until the 
end of last week. The problem has started up again... little Eosin in the first 
rack of Monday morning.  Any suggestions??

Valerie Hannen,MLT(ASCP),HTL,SU (FL)
Section Chief, Histology
Parrish Medical Center
951 N. Washington Ave.
Titusville,Florida 32796
T: (321)268-6333 ext. 7506
F: (321) 268-6149
valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.com
www.parrishmed.com

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[Histonet] Pax8

2015-07-13 Thread S hay
Is anyone using pax 8 with iview detection on the Ventana Ultra?
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[Histonet] National Academy of Sciences Confirms That Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and Histology Laboratories

2015-07-13 Thread Adesupo, Adesuyi (Banjo)
 Hi,
   I read this article (National Academy of Sciences Confirms That 
Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic 
Pathology and Histology Laboratories) this morning.
I wanted to know whether some of you guys out there are using Formaldehyde 
substitute.


Best regards,

   Banjo Adesuyi, BMLS, HT (ASCP) HTL, QIHC, QLS
   Histology Supervisor
   Norman Regional Health System,
   Norman, OK 73071.
   Tel: 405- 307- 1145
   abades...@nrh-ok.commailto:abades...@nrh-ok.com

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[Histonet] Source for ultra low temperature immersion thermometer

2015-07-13 Thread Paula Sicurello
Good Morning Histolanders,

Does anyone have a source for an immersion thermometer that can be used to
measure the temperature of the isopentane or 2-methylbutane or methylbutane
( you choose) ;-) used for freezing muscle biopsies?

I have searched using Dr. Google and cannot find one that goes below -100
degrees C.

Thank you in advance.


Sincerely,



Paula



Paula Sicurello, HTL (ASCP)CM

Histotechnology Specialist

UCSD Medical Center

200 Arbor Drive

San Diego, CA 92103

(P): 619-543-2872



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Re: [Histonet] Source for ultra low temperature immersion thermometer

2015-07-13 Thread Morken, Timothy
Paula, we use an Oakton Temp10K with a Type-K  thermocouple probe (goes to 
-250C) . We got it from Fisher scientific

https://www.fishersci.com/shop/products/oakton-digi-sense-dual-input-j-k-t-thermocouple-thermometer/p-203772



Tim Morken
Pathology Site Manager, Parnassus 
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center


-Original Message-
From: Paula Sicurello [mailto:pat...@gmail.com] 
Sent: Monday, July 13, 2015 8:35 AM
To: HistoNet
Subject: [Histonet] Source for ultra low temperature immersion thermometer

Good Morning Histolanders,

Does anyone have a source for an immersion thermometer that can be used to 
measure the temperature of the isopentane or 2-methylbutane or methylbutane ( 
you choose) ;-) used for freezing muscle biopsies?

I have searched using Dr. Google and cannot find one that goes below -100 
degrees C.

Thank you in advance.


Sincerely,



Paula



Paula Sicurello, HTL (ASCP)CM

Histotechnology Specialist

UCSD Medical Center

200 Arbor Drive

San Diego, CA 92103

(P): 619-543-2872



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[Histonet] Eosin

2015-07-13 Thread Hannen, Valerie
Good morning,

I once again am dealing with a my picky Pathologist!!  About a year ago, he 
started to complain about not having enough Eosin on his sections( first 
morning rack on Monday).. I went from changing the Eosin on Friday and stirring 
it on Monday to totally changing it  on Monday...it has all been good until the 
end of last week. The problem has started up again... little Eosin in the first 
rack of Monday morning.  Any suggestions??

Valerie Hannen,MLT(ASCP),HTL,SU (FL)
Section Chief, Histology
Parrish Medical Center
951 N. Washington Ave.
Titusville,Florida 32796
T: (321)268-6333 ext. 7506
F: (321) 268-6149
valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.com
www.parrishmed.com

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Re: [Histonet] Eosin

2015-07-13 Thread Kienitz, Kari
It's always kind of a stab in the dark to diagnose HE problems without a 
little more information.  One thing I would try if you don't feel its an actual 
Eosin problem is your alcohol prior to the eosin.  Slide volume and humidity 
can dilute your alcohol and cause lighter cytoplasmic staining.  The alcohol 
prior to eosin should be 95% and changed daily if need be.


Kari Kienitz HT, (ASCP)
Histology Laboratory
Gastroenterology-EAST
The Oregon Clinic
 NE 99th Ave
Portland, OR  97220
503.935.8311
kkien...@orclinic.com




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your computer system. Thank you

From: Hannen, Valerie [valerie.han...@parrishmed.com]
Sent: Monday, July 13, 2015 8:05 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Eosin

Good morning,

I once again am dealing with a my picky Pathologist!!  About a year ago, he 
started to complain about not having enough Eosin on his sections( first 
morning rack on Monday).. I went from changing the Eosin on Friday and stirring 
it on Monday to totally changing it  on Monday...it has all been good until the 
end of last week. The problem has started up again... little Eosin in the first 
rack of Monday morning.  Any suggestions??

Valerie Hannen,MLT(ASCP),HTL,SU (FL)
Section Chief, Histology
Parrish Medical Center
951 N. Washington Ave.
Titusville,Florida 32796
T: (321)268-6333 ext. 7506
F: (321) 268-6149
valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.com
www.parrishmed.com

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Re: [Histonet] Eosin

2015-07-13 Thread Rene J Buesa
It is difficult to advise you anything without knowing what is your PT's 
complaint. What he does complain about?
René 


 On Monday, July 13, 2015 11:17 AM, Hannen, Valerie 
valerie.han...@parrishmed.com wrote:
   

 Good morning,

I once again am dealing with a my picky Pathologist!!  About a year ago, he 
started to complain about not having enough Eosin on his sections( first 
morning rack on Monday).. I went from changing the Eosin on Friday and stirring 
it on Monday to totally changing it  on Monday...it has all been good until the 
end of last week. The problem has started up again... little Eosin in the first 
rack of Monday morning.  Any suggestions??

Valerie Hannen,MLT(ASCP),HTL,SU (FL)
Section Chief, Histology
Parrish Medical Center
951 N. Washington Ave.
Titusville,Florida 32796
T: (321)268-6333 ext. 7506
F: (321) 268-6149
valerie.han...@parrishmed.commailto:valerie.han...@parrishmed.com
www.parrishmed.com

==
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[Histonet] CMV antibody clone

2015-07-13 Thread Cooper, Brian
Good afternoon Histonet,

Just taking a quick poll to find out which CMV clone most folks are running in 
their labs.  Your feedback is much appreciated.

Thanks,

Brian D. Cooper, HT (ASCP)CM | Histology Supervisor
Department of Pathology and Laboratory Medicine
Children's Hospital Los Angeles
4650 Sunset Blvd MS#43- Los Angeles, CA 90027
Ph: 323.361.3357
bcoo...@chla.usc.edumailto:bcoo...@chla.usc.edu



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Re: [Histonet] CMV antibody clone

2015-07-13 Thread Cartun, Richard
We use DAKO's (an Agilent Technologies Company) product number M0854 (clones 
DDG9  CCH2).

Richard
Richard W. Cartun, MS, PhD
Director, Histology  Immunopathology
Director, Biospecimen Collection Programs
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 972-1596
(860) 545-2204 Fax



-Original Message-
From: Cooper, Brian [mailto:bcoo...@chla.usc.edu]
Sent: Monday, July 13, 2015 3:51 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] CMV antibody clone

Good afternoon Histonet,

Just taking a quick poll to find out which CMV clone most folks are running in 
their labs.  Your feedback is much appreciated.

Thanks,

Brian D. Cooper, HT (ASCP)CM | Histology Supervisor Department of Pathology and 
Laboratory Medicine Children's Hospital Los Angeles
4650 Sunset Blvd MS#43- Los Angeles, CA 90027
Ph: 323.361.3357
bcoo...@chla.usc.edumailto:bcoo...@chla.usc.edu



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Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and Histology Laboratories

2015-07-13 Thread Weems, Joyce K.
The problem in the clinical world is that many clinical trials require formalin 
fixation, so I would not want to substitute anything that would prevent a 
patient from being in a trial.

It's not new to me that formalin is a carcinogen. I just try to make sure to 
use PPE and have good ventilation and monitor as necessary. (Unlike when I put 
my ungloved hands in it and had no ventilation when I started down this path a 
hundred years ago.)  j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

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review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: Stedman, Nancy [mailto:nancy.sted...@buschgardens.com]
Sent: Monday, July 13, 2015 3:12 PM
To: Adesupo, Adesuyi (Banjo); 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde 
Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

We are using Excell Plus made by American Master Tech.  It is a combination of 
alcohol, ethylene glycol, and glyoxal.  It does not fix quite as fast as 
formalin but fixes just as well as long as tissue samples are small and not too 
fatty.  We work in veterinary pathology and mostly with necropsy tissues, and 
try to keep everything 5 to 10 mm maximum thickness that goes into Excell Plus. 
 It definitely won't fix an entire intact brain no matter how long you let it 
sit so we book the brains into thin slices 24 hours after collection.   We have 
done some limited IHC and DNA extraction from Excell Plus fixed tissue and have 
not had any issues.   We tried another low tox fixative too - Statlab's GTF 
formalin substitute, which is glyoxal - and it did not fix as well as Excell 
Plus.  GTF fixed CNS tissues especially had a lot of artifact like shrunken 
neurons.

Hope this is helpful.  I would also be curious to know how many labs use 
formalin substitutes because it seems like they have not caught on much (or at 
all) in the veterinary world.

-Nancy


Nancy L. Stedman DVM PhD Dipl ACVP
Veterinary Pathologist
Busch Gardens Tampa
nancy.sted...@buschgardens.com



-Original Message-
From: Adesupo, Adesuyi (Banjo) [mailto:abades...@nrh-ok.com]
Sent: Monday, July 13, 2015 12:52 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can 
Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

 Hi,
   I read this article (National Academy of Sciences Confirms That 
Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic 
Pathology and Histology Laboratories) this morning.
I wanted to know whether some of you guys out there are using Formaldehyde 
substitute.


Best regards,

   Banjo Adesuyi, BMLS, HT (ASCP) HTL, QIHC, QLS
   Histology Supervisor
   Norman Regional Health System,
   Norman, OK 73071.
   Tel: 405- 307- 1145
   abades...@nrh-ok.commailto:abades...@nrh-ok.com

==
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Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and Histology Laboratories

2015-07-13 Thread Paula Pierce
Like and Ditto to Joyce. Paula Pierce, BS, HTL(ASCP)HT President Excalibur 
Pathology, Inc. 5830 N Blue Lake Dr. Norman, OK 73069 405-759-3953 PH  
405-759-7513 FAX www.excaliburpathology.com
  From: Weems, Joyce K. joyce.we...@emoryhealthcare.org
 To: Stedman, Nancy nancy.sted...@buschgardens.com; Adesupo, Adesuyi 
(Banjo) abades...@nrh-ok.com; 'histonet@lists.utsouthwestern.edu' 
histonet@lists.utsouthwestern.edu 
 Sent: Monday, July 13, 2015 3:09 PM
 Subject: Re: [Histonet] National Academy of Sciences Confirms That 
Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic 
Pathology and Histology Laboratories
   
The problem in the clinical world is that many clinical trials require formalin 
fixation, so I would not want to substitute anything that would prevent a 
patient from being in a trial.

It's not new to me that formalin is a carcinogen. I just try to make sure to 
use PPE and have good ventilation and monitor as necessary. (Unlike when I put 
my ungloved hands in it and had no ventilation when I started down this path a 
hundred years ago.)  j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



www.saintjosephsatlanta.org
5665 Peachtree Dunwoody Road
Atlanta, GA 30342

This e-mail, including any attachments is the property of Saint Joseph's 
Hospital and is intended for the sole use of the intended recipient(s).  It may 
contain information that is privileged and confidential.  Any unauthorized 
review, use, disclosure, or distribution is prohibited. If you are not the 
intended recipient, please delete this message, and reply to the sender 
regarding the error in a separate email.


-Original Message-
From: Stedman, Nancy [mailto:nancy.sted...@buschgardens.com]
Sent: Monday, July 13, 2015 3:12 PM
To: Adesupo, Adesuyi (Banjo); 'histonet@lists.utsouthwestern.edu'
Subject: Re: [Histonet] National Academy of Sciences Confirms That Formaldehyde 
Can Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

We are using Excell Plus made by American Master Tech.  It is a combination of 
alcohol, ethylene glycol, and glyoxal.  It does not fix quite as fast as 
formalin but fixes just as well as long as tissue samples are small and not too 
fatty.  We work in veterinary pathology and mostly with necropsy tissues, and 
try to keep everything 5 to 10 mm maximum thickness that goes into Excell Plus. 
 It definitely won't fix an entire intact brain no matter how long you let it 
sit so we book the brains into thin slices 24 hours after collection.  We have 
done some limited IHC and DNA extraction from Excell Plus fixed tissue and have 
not had any issues.  We tried another low tox fixative too - Statlab's GTF 
formalin substitute, which is glyoxal - and it did not fix as well as Excell 
Plus.  GTF fixed CNS tissues especially had a lot of artifact like shrunken 
neurons.

Hope this is helpful.  I would also be curious to know how many labs use 
formalin substitutes because it seems like they have not caught on much (or at 
all) in the veterinary world.

-Nancy


Nancy L. Stedman DVM PhD Dipl ACVP
Veterinary Pathologist
Busch Gardens Tampa
nancy.sted...@buschgardens.com



-Original Message-
From: Adesupo, Adesuyi (Banjo) [mailto:abades...@nrh-ok.com]
Sent: Monday, July 13, 2015 12:52 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] National Academy of Sciences Confirms That Formaldehyde Can 
Cause Cancer in a Finding That Has Implications for Anatomic Pathology and 
Histology Laboratories

    Hi,
      I read this article (National Academy of Sciences Confirms That 
Formaldehyde Can Cause Cancer in a Finding That Has Implications for Anatomic 
Pathology and Histology Laboratories) this morning.
    I wanted to know whether some of you guys out there are using Formaldehyde 
substitute.


    Best regards,

  Banjo Adesuyi, BMLS, HT (ASCP) HTL, QIHC, QLS
  Histology Supervisor
  Norman Regional Health System,
  Norman, OK 73071.
  Tel: 405- 307- 1145
  abades...@nrh-ok.commailto:abades...@nrh-ok.com

==
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[Histonet] HPV

2015-07-13 Thread Clarence Owens via Histonet
Hello Histonetters:

Maybe one of you could lend a hand. I am currently working on FISH validation 
and I am in the need of HPV positive tissue of the following subtypes: 18, 31, 
33, and 51. Does anyone have any extra positive HPV tissue they can spare 
expressing the above subtypes? I thank you for your help. 

Regards,

Clarence Owens, HT (ASCP)cm, QIHC

Sent from my iPhone
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[Histonet] Advice needed on doing the technical component and professional component at two different sites

2015-07-13 Thread Vickroy, James

Currently our dermatologists send their skin biopsies to a private lab.   Since 
we  now have our own Histology department we are proposing to do the technical 
component (grossing and preparation of slides) in house and sending the block 
and HE slides to the same private company.  They call these type of clients  
professional read only.   I understand the differences regarding billing since 
the CPT codes we are using have a professional component and a technical 
component.   My questions center around what other organizations do for 
accessioning and how they  meet CAP requirements for grossing, etc.

Normally we handle all of our other specimens in the normal way of 
accessioning, grossing (under the indirect supervision of a pathologist that 
comes to read the slides, processing, preparation of slides, and giving the 
slides to the pathologist who signs out the surgical report including the 
gross, and the rest of the surgical report.

The dermatology specimens would have to be handled differently. Our 
dermatologists want the slides read by the private company that only does 
dermatology specimens. (at least until we hire a dermatopathologist).  In the 
past the derm tissues were sent to the private company and they did all of the 
process including grossing.  Our organization has now decided that it is 
advantageous for us to do the technical portion in house and then send the 
slides to be read by the private company because of changes in billing.  The 
private company is perfectly willing to  help us make sure they get information 
they need  to diagnose the cases (they have even shown us how they like each 
type of skin biopsy sectioned and inked.  They will help us set up a system for 
them to get the slides and do the surgical reports.  Their report will have our 
gross description and surgical number, along with a statement that the gross 
and processing was done elsewhere.  They have done this with several other clien
 ts.  I have some unanswered questions since I have never done something like 
this.  Below is a list of my questions.  What I really need is someone to tell 
me how they are handling specimens that they prepare locally and then send the 
slides to a pathology group to read.


1.Since the local pathologist group does not read these slides,  are 
our  grossing techs under the indirect supervision of the pathologists at the 
private company for these specimens?

2.   How do you accession these specimens locally so tracking, slide 
preparation, and technical component billing can be done, without a local 
surgical report.

3.   If you have to do a local report, who signs the gross report that just 
has a gross and maybe a statement that the slides will be read at the private 
company?

4.   Are there other CAP considerations I am not thinking of?

Am I making this too complicated?

Jim





Jim Vickroy
Histology Manager
Springfield Clinic, Main Campus, East Building
1025 South 6th Street
Springfield, Illinois  62703
Office:  217-528-7541, Ext. 15121
Email:  jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com



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Re: [Histonet] CMV antibody clone

2015-07-13 Thread Cooper, Brian via Histonet
Thank you to everyone who replied to this post.  In case you're wondering, I 
got like 8 responses today, and everyone who responded uses CMV (DDG9/CCH2) 
from either Cell Marque or Dako.

You guys are the best!

Thanks,

Brian

-Original Message-
From: Cooper, Brian [mailto:bcoo...@chla.usc.edu] 
Sent: Monday, July 13, 2015 12:51 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] CMV antibody clone

Good afternoon Histonet,

Just taking a quick poll to find out which CMV clone most folks are running in 
their labs.  Your feedback is much appreciated.

Thanks,

Brian D. Cooper, HT (ASCP)CM | Histology Supervisor Department of Pathology and 
Laboratory Medicine Children's Hospital Los Angeles
4650 Sunset Blvd MS#43- Los Angeles, CA 90027
Ph: 323.361.3357
bcoo...@chla.usc.edumailto:bcoo...@chla.usc.edu



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Re: [Histonet] Coverslipping mystery

2015-07-13 Thread Adam Boanas
Hello again,

Thought I might offer an update on the coverslipping issue as it might be of 
use in future.
I ran a test last week of manual coverslipping using blank charged and 
un-charged slides and using DPX and Pertex as the mountant. I also used 2 
methods of application.
1) Mountant applied using plastic Pasteur pipette
2) Mountant applied using aluminium screw cap tube.
Following immersion in xylene for 5 mins the coverslips were applied. From 
viewing this morning, all slides were clear with the exception of those 
coverslipped using DPX applied with the Pasteur. In each case, these slides had 
the 'parched earth' artefact having been left to dry over the weekend.
I suspect that the DPX has had a reaction with the plastic of the pipette 
during application and the artefact is caused by residual `molten` plastic from 
the pipette that only reveals itself over time.
Does this sound plausible? No problem with the pertex and pipettes (which is 
what I've used for years with no issue)
Thanks
Adam

-Original Message-
From: Caroline Miller [mailto:mi...@3scan.com] 
Sent: 11 July 2015 15:18
To: John Kiernan
Cc: Adam Boanas; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Coverslipping mystery

I really like DPX, although funnily enough we used cytoseal in my lab in London 
but always called it the DPX! I think I remember by boss telling me about the 
bad DPX time.

When I moved to the USA the lab I started in had a bottle of DPX and i loved 
it! I always decant some of the DPX into a 100ml glass bottle, put in a plastic 
squeeze pipette and then screw a lid on it to stop it drying out (with the 
pipette still inside) when not in use. Surprisingly the pipette doesn't melt! 
Which is good because I am a recycle freak and i couldn't stand using a new one 
every time I mounted something!

Yours,
mills

Caroline Miller (mills)
Director of Histology
3Scan, Inc
415-2187297

 On Jul 10, 2015, at 10:55 PM, John Kiernan jkier...@uwo.ca wrote:
 
 DPX is a polystyrene mounting medium. In principle you can make your own from 
 published recipes. In practice, everyone buys commercial resinous mounting 
 media.
 
 In the 1990s we had trouble similar to what you describe. The commercial DPX 
 was cloudy, and not because of alcohol in our xylene. The Canadian supplier 
 acknowledged the bad DPX and urged us to buy Entellan instead. Entellan is a 
 poly(methacrylate) plastic and is an excellent but expensive mounting medium. 
 Another poly(methacrylate) mountant called CytoSeal was less expensive and 
 also came in a squeeze-easy plastic bottle for delivery onto the slide or 
 coverslip. It's now my routine resious mountant. 
 
 Good DPX returned to the market in the 2000s, but in old-fashioned bottles 
 and not easy to apply to slides or coverslips. 
 
 John Kiernan
 = = =
 On 09/07/15, Adam Boanas  a.boa...@epistem.co.uk wrote:
 Hello,
 
 We are having a problem that is developing into a big issue in our lab and I 
 was wondering if anybody could shed any light on it. Our CV5000 coverslipper 
 has recently started introducing microscopic air bubbles onto the slides 
 during coverslipping. We have been told by our engineer that it is a 
 consequence of the age and use of the motor and that sourcing another for an 
 instrument that old (15yrs) will be v difficult. As such, we have been 
 forced to manually coverslip using DPX and a pipette - manually applying the 
 coverslips to the slide, thus mirroring the action of the coverslipper. This 
 is fine at first and for the next few days the slides look great and very 
 clean. However, after about day 4 -5 days post coverslipping, the slides 
 develop an odd appearance down the microscope which looks like very fine 
 `parched earth / crazy paving` all over the slide - including the section. 
 The excess mountant around the edge of the coverslip also has a very faint, 
 cloudy appearance wh!
  en this occurs. This of course renders the slide un-useable. Does anyone 
 have a clue what this might be down to / how we can stop it?
 We are struggling for ideas with this one! - this occurs with fresh DPX also.
 
 Many thanks
 Adam
 
 Adam Boanas
 Senior Research Associate
 Epistem Ltd
 48 Grafton Street
 Manchester, M13 9XX
 
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