Re: [Histonet] Causes of false positive Congo Red

2024-06-20 Thread Greg Dobbin via Histonet
Hi John,

I must apologize again. We used to use the method from Carson's book. We
now make up the reagents as follows:


*Stock alkaline salt solution*

Sodium chloride. 2g

Distilled Water... 20mL

Stir until the salt is dissolved, then with continuous stirring on a
magnetic stirrer add

80mL of 100% denatured ethanol.

Some salt may precipitate out after the ethanol is added.



*Working alkaline salt solution *

Stock alkaline stock solution...50 ml

1% Sodium Hydroxide0.5ml
Filter and use within 15 minutes

*Stock Congo red solution*

Congo red 0.1g

Stock alkaline salt solution 50mL

Stir well with the magnetic stirrer and *let stand overnight or for a
minimum of 3 hours* if the slides need to be ready the same day that the
order was placed.



*Working Congo red (Congo red)*

Stock Congo red.. 50ml

Sodium hydroxide 1%... 0.5ml

Filter and use within 15 minutes.

On Thu, Jun 20, 2024 at 9:31 AM Greg Dobbin  wrote:

> Good day John,
> Very nice to hear from you again! I have been consulting your textbook in
> my investigations!
> Sorry about the brevity of the description of our method. I felt like my
> post was already too long
> and it might scare off some would-be contributors! :-) And yes, I
> incorrectly referred to the dichroic green as "fluorescent"-thank you.
>
> Our method follows the Puchtler method described on pages 132-3 in Frieda
> Carson's "Self-Instructional" textbook (1990) as does
> the hospital that repeated our false-positive Congo Reds. Note, once we
> re-made our reagents, our results returned to accurate staining.
> Greg
>
> On Thu, Jun 20, 2024 at 2:49 AM John Kiernan  wrote:
>
>> Greg, your method is incompletely described in your Histonet post, but it
>> looks quite different from the "traditional" Highman's procedure (*Arch.
>> Path*. *41*:559-562). What method were they using "at another
>> lab" to get correct red amyloid that is green (dichroic, not fluorescent)
>> with crossed polars?
>> *John Kiernan*
>>
>> https://www.schulich.uwo.ca/anatomy//people/faculty/emeriti/kiernan_john.html
>> = = =
>> --
>> *From:* Greg Dobbin via Histonet 
>> *Sent:* June 19, 2024 8:53 AM
>> *To:* histonet@lists.utsouthwestern.edu <
>> histonet@lists.utsouthwestern.edu>
>> *Subject:* [Histonet] Causes of false positive Congo Red
>>
>> Hello experts,
>> *Some background:*
>> I know that Congo Red can bind nonspecifically to non-amyloid components
>> such as collagen and elastin under certain conditions (eg Carnoys
>> fixative,
>> insufficient differentiation, insufficient alkalinity, etc). However,
>> everything I have been able to read on the topic suggests that
>> over-staining is "easily" differentiated from true amyloid staining by
>> using polarizing light microscopy. That is, true amyloid produces apple
>> green fluorescence while non-amyloid components produce silver/grey color.
>>
>> *My question:*
>> I want to know if anyone has encountered false positive staining that *is
>> apple green* in color? We had a few bone marrow core biopsies that stained
>> bright green but were later found to be negative when stained at another
>> lab. We subsequently threw out all of our working solutions and made up
>> everything fresh and repeated the previous (false positive) specimens and
>> they were indeed negative in our lab as well.
>>
>> *In order to prevent this from happening again, I need to attempt to
>> understand what may have caused this to happen in the first place. *
>>
>> This is where the vast collective knowledge of this group comes in. :-)
>> Can anyone offer some insight as to possible causes?
>>
>> *Our Congo Red method:*
>>
>>
>> Deparaffinize sections and bring them to water.
>>
>> Stain in Hematoxylin for 1 minute
>>
>> Add 0.5ml of 1% Sodium Hydroxide to 50 ml of stock alkaline salt solution.
>>
>> Wash slides in running water
>>
>> Place in *working* alkaline salt solution from step 2 for 20 minutes
>>
>> Add 0.5 ml of 1% Sodium Hydroxide to stock Congo red solution.
>>
>> Start to filter *working* Congo red solution when 15 mins are left in
>> step 6
>>
>> Place sections in the *working* Congo red from step #8 for 20 minutes.
>>
>> Dehydrate the slides one at a time in 3 changes of absolute ethanol, 6
>> dips
>> each.
>>
>> Dip the slide 10 times in a coplin of xylene.
>>
>> Continue dehydrating the other slides.
>>
>> Coverslip the slides.
>>
>> *Greg Dobbin*
>> 1205 Pleasant Grove Rd
>> Route 220
>> York,  PE  C0A 1P0
>> ___
>> Histonet mailing list
>> Histonet@lists.utsouthwestern.edu
>> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>>
>
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Re: [Histonet] Causes of false positive Congo Red

2024-06-20 Thread Greg Dobbin via Histonet
Good day John,
Very nice to hear from you again! I have been consulting your textbook in
my investigations!
Sorry about the brevity of the description of our method. I felt like my
post was already too long
and it might scare off some would-be contributors! :-) And yes, I
incorrectly referred to the dichroic green as "fluorescent"-thank you.

Our method follows the Puchtler method described on pages 132-3 in Frieda
Carson's "Self-Instructional" textbook (1990) as does
the hospital that repeated our false-positive Congo Reds. Note, once we
re-made our reagents, our results returned to accurate staining.
Greg

On Thu, Jun 20, 2024 at 2:49 AM John Kiernan  wrote:

> Greg, your method is incompletely described in your Histonet post, but it
> looks quite different from the "traditional" Highman's procedure (*Arch.
> Path*. *41*:559-562). What method were they using "at another
> lab" to get correct red amyloid that is green (dichroic, not fluorescent)
> with crossed polars?
> *John Kiernan*
>
> https://www.schulich.uwo.ca/anatomy//people/faculty/emeriti/kiernan_john.html
> = = =
> --
> *From:* Greg Dobbin via Histonet 
> *Sent:* June 19, 2024 8:53 AM
> *To:* histonet@lists.utsouthwestern.edu  >
> *Subject:* [Histonet] Causes of false positive Congo Red
>
> Hello experts,
> *Some background:*
> I know that Congo Red can bind nonspecifically to non-amyloid components
> such as collagen and elastin under certain conditions (eg Carnoys fixative,
> insufficient differentiation, insufficient alkalinity, etc). However,
> everything I have been able to read on the topic suggests that
> over-staining is "easily" differentiated from true amyloid staining by
> using polarizing light microscopy. That is, true amyloid produces apple
> green fluorescence while non-amyloid components produce silver/grey color.
>
> *My question:*
> I want to know if anyone has encountered false positive staining that *is
> apple green* in color? We had a few bone marrow core biopsies that stained
> bright green but were later found to be negative when stained at another
> lab. We subsequently threw out all of our working solutions and made up
> everything fresh and repeated the previous (false positive) specimens and
> they were indeed negative in our lab as well.
>
> *In order to prevent this from happening again, I need to attempt to
> understand what may have caused this to happen in the first place. *
>
> This is where the vast collective knowledge of this group comes in. :-)
> Can anyone offer some insight as to possible causes?
>
> *Our Congo Red method:*
>
>
> Deparaffinize sections and bring them to water.
>
> Stain in Hematoxylin for 1 minute
>
> Add 0.5ml of 1% Sodium Hydroxide to 50 ml of stock alkaline salt solution.
>
> Wash slides in running water
>
> Place in *working* alkaline salt solution from step 2 for 20 minutes
>
> Add 0.5 ml of 1% Sodium Hydroxide to stock Congo red solution.
>
> Start to filter *working* Congo red solution when 15 mins are left in step
> 6
>
> Place sections in the *working* Congo red from step #8 for 20 minutes.
>
> Dehydrate the slides one at a time in 3 changes of absolute ethanol, 6 dips
> each.
>
> Dip the slide 10 times in a coplin of xylene.
>
> Continue dehydrating the other slides.
>
> Coverslip the slides.
>
> *Greg Dobbin*
> 1205 Pleasant Grove Rd
> Route 220
> York,  PE  C0A 1P0
> ___
> Histonet mailing list
> Histonet@lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
>
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[Histonet] Causes of false positive Congo Red

2024-06-19 Thread Greg Dobbin via Histonet
Hello experts,
*Some background:*
I know that Congo Red can bind nonspecifically to non-amyloid components
such as collagen and elastin under certain conditions (eg Carnoys fixative,
insufficient differentiation, insufficient alkalinity, etc). However,
everything I have been able to read on the topic suggests that
over-staining is "easily" differentiated from true amyloid staining by
using polarizing light microscopy. That is, true amyloid produces apple
green fluorescence while non-amyloid components produce silver/grey color.

*My question:*
I want to know if anyone has encountered false positive staining that *is
apple green* in color? We had a few bone marrow core biopsies that stained
bright green but were later found to be negative when stained at another
lab. We subsequently threw out all of our working solutions and made up
everything fresh and repeated the previous (false positive) specimens and
they were indeed negative in our lab as well.

*In order to prevent this from happening again, I need to attempt to
understand what may have caused this to happen in the first place. *

This is where the vast collective knowledge of this group comes in. :-)
Can anyone offer some insight as to possible causes?

*Our Congo Red method:*


Deparaffinize sections and bring them to water.

Stain in Hematoxylin for 1 minute

Add 0.5ml of 1% Sodium Hydroxide to 50 ml of stock alkaline salt solution.

Wash slides in running water

Place in *working* alkaline salt solution from step 2 for 20 minutes

Add 0.5 ml of 1% Sodium Hydroxide to stock Congo red solution.

Start to filter *working* Congo red solution when 15 mins are left in step 6

Place sections in the *working* Congo red from step #8 for 20 minutes.

Dehydrate the slides one at a time in 3 changes of absolute ethanol, 6 dips
each.

Dip the slide 10 times in a coplin of xylene.

Continue dehydrating the other slides.

Coverslip the slides.

*Greg Dobbin*
1205 Pleasant Grove Rd
Route 220
York,  PE  C0A 1P0
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Re: [Histonet] IHC Validation Question

2024-04-02 Thread Greg Dobbin via Histonet
Hi Kara,
Use multi-tissue block controls with normal tissues that are treated
exactly the same (pre-analytically speaking) as your routine surgical
specimens. Consult NordiQC.org for recommended normal control tissue for
each IHC marker. The most used multi-tissue control block in my lab has
pieces of tonsil, pancreas, small bowel and liver.

*Greg Dobbin*
1205 Pleasant Grove Rd
Route 220
York,  PE  C0A 1P0
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Re: [Histonet] Tisse disposal/formalin

2023-07-12 Thread Greg Dobbin via Histonet
Decant formalin off into formalin waste containers and the remaining tissue
go into a red bag (red signifying destined for incineration). As the O.R.
does with fresh tissues for disposal.

*Greg Dobbin*
1205 Pleasant Grove Rd
Route 220
York,  PE  C0A 1P0
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Re: [Histonet] ISH Decal specimens

2023-06-25 Thread Greg Dobbin via Histonet
Use a formic acid based decal solution and MAKE SURE the specimen does not
fix (formalin fixation) longer than 32hrs (false negatives result). Use 70%
ETOH to manage the fixation time (ie fix for 24 hours, decal for 4 hrs,
place in 70% ETOH until it gets put on the processor. Hold in 70% ETOH for
weekends and holidays).
Greg
-- 
If God made a drink better than whiskey he kept it for himself! 🥃
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Re: [Histonet] destain for IHC

2023-02-09 Thread Greg Dobbin via Histonet
Hi Nancy,
You should have no problem doing so. If you want proof, just run a couple
of your IHC control sections through the H&E stainer as you would for a
patient specimen (so right through to coverslipping) and then start the
process of removing coverslip, hydration, destain in acid alcohol and then
run slides on your IHC platform as you would -without the dewax step
obviously. :-)

*Greg Dobbin*
1205 Pleasant Grove Rd
RR#2 York,
PE  C0A 1P0


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Re: [Histonet] cd138

2022-10-28 Thread Greg Dobbin via Histonet
We use the same. Our protocol is ER2 for 15 mins. We have 3 washes after
polymer.
Greg


*Greg Dobbin*
1205 Pleasant Grove Rd
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PE  C0A 1P0


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Re: [Histonet] Processing artefact??

2022-09-06 Thread Greg Dobbin via Histonet
Since images cannot be attached, if any of you feel you have some
experience that I may find helpful...please email me directly and I will
attach the image to my reply.
Thanks again,
*Greg Dobbin*

Chief Technologist
Anatomic Pathology
Queen Elizabeth Hospital
Charlottetown, PE, Canada
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[Histonet] Processing artefact??

2022-09-02 Thread Greg Dobbin via Histonet
Hello experts,
Every now and then we will get stained slides that look like the attached
image. We run one processing schedule (about 11 hrs) for everything so yes,
our smaller biopsies are somewhat overprocessed, but 90-95% of the time
they look perfectly fine. We can have GI biopsies in a case that go from A
to P and find only one that looks like this. Moreover, recuts do not
remedy the problem either...the problem seems to be occurring prior to
microtomy.

We use vendor grade Xylenes in our processor (a Leica ASP6025). All
specimens are fixed for 18-24 hours prior to processing. Our GI blocks get
a short soak in phenol prior to microtomy to help with the effects of
overprocessing. All blocks within a case are treated the same. In fact we
have also seen it in skin biopsies occasionally and skins do not get soaked
in phenol.

It is the randomness of the problem that is throwing us!
Any ideas?
Thanks,
*Greg Dobbin*

Chief Technologist
Anatomic Pathology
Queen Elizabeth Hospital
Charlottetown, PE, Canada
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Re: [Histonet] Tissue staining artefacts - areas of tissue not labelling

2022-06-15 Thread Greg Dobbin via Histonet
Hi Peter,
We need more info:

   1. What is the tissue(s)? Species?
   2. What is the marker(s) in question?
   3. Answer 1 and 2 with regard to the shared images?
   4. What is the expected staining reaction?
   5. Is there a control section placed on the same slide? If yes...
   6. How does the control section perform? As expected or same artefact?


*Greg Dobbin*
1205 Pleasant Grove Rd
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PE  C0A 1P0


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Re: [Histonet] ultrasafe formalin dispense

2022-04-04 Thread Greg Dobbin via Histonet
Honestly, I don't see the point of using this instrument in the histology
lab (at least not my lab as we are set up). It would seem odd that we are
being "ultra safe" when dispensing the formalin but then it's kind of the
"wild west" when we have to discard the previously archived wet tissue!

Obviously we are safe when discarding our used formalin but my point is
that if there is no closed system for the discard process (none that I am
aware of anyway) then why invest in the front end if the back end is still
a mess!

Now I can see Operating Rooms and Labour and Delivery suites loving this
system as many nurses are less comfortable handling formalin. With this
system they could safely fill their buckets and send the specimens off to
us to let us worry about disposal.

Just my 2 cents worth. Maybe someone on here will be able educate me about
a safe system for tissue discards.
Greg

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Re: [Histonet] formalin in OR

2022-03-08 Thread Greg Dobbin via Histonet
Hi Nancy,
All routine specimens in our hospital are placed in formalin in the OR.
Breast lumps and mastectomy specimens are sent up fresh so that they arrive
STAT (to minimize cold ischemic times) and lymph nodes for lymphoma
protocol are also sent up fresh. [*they actually send sentinel nodes up
fresh too- it was just less confusing*]

Diagnostic Imaging will place routine needle core biopsies directly in
formalin (e.g needle cores of breast, prostate, non-lympoma lymph nodes and
other misc. tissue masses). Lymph node cores for lymphoma protocol and
renal cores are sent to the lab fresh, in a container on saline soaked
Telfa pads.

Endoscopy places all of their specimens directly in formalin. The derm
clinic will place all routine skins directly into formalin but specimens
destined for immunofluoresence are sent up to the lab fresh in a container
on saline soaked Telfa pads. EBUS specimens are split between Cytology and
Histology...the histo specimens go directly into formalin.

Greg

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[Histonet] Fixation time and ISH

2022-03-07 Thread Greg Dobbin via Histonet
Background:
I read on a vendor website that tissues stained using In situ hybridization
should not exceed 32 hours fixation. Greater than 32 hours can produce
false negative results because the validated retrieving protocol can be
inadequate.

We in fact have seen evidence of this in our lab (mystifying negative
kappa/lambda staining) and we are beginning to realize that over-fixation
May we’ll be the issue for us (eg weekend processing).

I am proposing that we do what was common practice many years ago. That is,
transfer the properly fixed and decalcified bone marrow cores into 70% ETOH
until they can be processed into paraffin.

My questions:
Is anyone else doing this??

Is 70% ETOH still a viable option for labs in this situation?? And…

Is there another idea and/or more information out there that could help us
in this regard??

Thank you,
Greg
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1205 Pleasant Grove Rd
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PE  C0A 1P0


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[Histonet] Cold ischemic times

2022-02-15 Thread Greg Dobbin via Histonet
This is more of a survey than a question:

For those of you tracking and documenting your cold ischemic times for
breast tissue (ie time out of body to time sliced [as needed] and immersed
in formalin), and I assume most of you are...*what is your average time?*

*Background:*
*I ask because my director was looking for suggestions for quality
indicators to report and while I feel like our cold ischemic average time
is impressive at ~17 mins, she says that is pretty standard for everyone.*

Thanks,
Greg

-- 
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Chief Technologist - Anatomic Pathology
Queen Elizabeth Hospital
Charlottetown, PE
Canada   C1A 8T5
Ph: 902-894-2337



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[Histonet] New cryostat validation procedure

2021-08-23 Thread Greg Dobbin via Histonet
Hello experts!
I would like to find out what others have done to validate a new cryostat.
I believe it would basically be the same as validating a new microtome
except specimens (ie blocks) are plentiful for microtomy whereas for us,
fresh tissue for cryosectioning is not readily available.

Background:
We are an acute care hospital and we only get about 50 intraoperative
consult requests per year. Our older unit is still functional so I can do
side-by-side comparisons with the new unit. Our frozens are only stained
for H&E and a very rare (one every couple of years) Oil Red O.

So I have two questions:

   1. Can I use formalin-fixed tissue soaked overnight in a saturated
   sucrose solution for the validation? This seems reasonable since I can do
   side-by-side with the older unit. {autopsy tissue could be an option if the
   timing coincided with our validation but Murphy's Law will probably prevent
   this option! lol}

   2. How many tissues would be satisfactory? Is one specimen of each of
   our typical frozen specimen types enough? We typically get: ovary, thyroid,
   skin and lymph node. Any other tissue type would be rare.

I look forward to hearing from you!
Thank you,
Greg

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Re: [Histonet] Water under sections

2021-01-22 Thread Greg Dobbin via Histonet
Hi Bernice,
In my lab, water under the sections is unique to charged slides. And you
are correct, if there is water under the section when the slides are heated
for antigen retrieval, the boiling (or at least very hot) water will damage
or entirely destroy the section.

We allow the charged slides to drain (upright) for a few minutes and then
carefully make a hole in the edge of the wax and use a Kimwipe or paper
towel to carefully wick the excess water out as much as we can without
touching the tissue section. Then we "flick" or shake sharply to remove any
residual water that may remain before we bake them (FYI, we choose not to
bake on the stainer). If after baking 30 mins at 60C, we notice water
(maybe someone was not as diligent earlier?), we wick away the excess and
bake for another 15 mins to ensure good adhesion of the section to the
slide before proceeding to the immunostainer. Hope this helps.
Greg

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Re: [Histonet] IHC validation after a new tissue processer is installed

2020-09-02 Thread Greg Dobbin via Histonet
Hi martha,
Prognostic markers must be re-validated (Eg.s Breast markers and CD117) as
you described.
Every Ab in your menu should be  tested (as you would for a new a new lot)
and do not forget to validate your H&E (with various tissue types) and SS
as well. For the H&Es, if possible do side-by-side comparisons between old
and new processors (the downside of what is otherwise an exciting time!).
Greg

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Re: [Histonet] Blank Spots on IHC- Bubbles on Bond

2020-08-13 Thread Greg Dobbin via Histonet
Hi Tim,
The usual source of bubbles is a deteriorating syringe or lines or valve.
Have you observed the syringe while running the Clean Fluidics maintenance
function? There can be some "micro" bubbles in the syringe on first draw of
a reagent however, if working properly these tiny bubbles quickly disappear
in subsequent draws of that reagent. If bubbles persist in the barrel of
the syringe throughout the flushing, then you have found the source of the
problem. If the bubbles occur with every reagent then the syringe is the
problem but if you only see bubbles in one of the reagents then it is a
defective valve or line for that reagent.
I hope this was helpful.
Greg

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Re: [Histonet] process formalin-fixed tissues from animals infected with a virus

2020-08-06 Thread Greg Dobbin via Histonet
Very interesting paper John! Thank you. I wish the authors had also
experimented with higher concentrations of formaldehyde (eg 10% formalin).
Might one infer that 10% would be even more efficient in inactivating viral
infectivity than 2 and 4%? 🤔
Cheers
Greg

On Thu, Aug 6, 2020 at 11:02 AM John Garratt  wrote:

> Evaluation of Virus Inactivation by Formaldehyde to Enhance Biosafety of
> Diagnostic Electron Microscopy
>
>
> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4353909/
>
>
> It is nice to have a reference.
>
>
>
> John
>
> On Thu, Aug 6, 2020 at 4:10 AM, Greg Dobbin via Histonet <
> histonet@lists.utsouthwestern.edu> wrote:
>
> Hi Amy,
> Formalin fixed tissue is no longer infectious...unless you are talking
> about prions (eg scrapie, BSE, etc). So there should otherwise be no
> concerns or additional precautions required.
> Cheers,
> Greg
>
> --
> *Greg Dobbin*
> 1205 Pleasant Grove Rd
> <https://www.google.com/maps/search/1205+Pleasant+Grove+Rd?entry=gmail&source=g>
> RR#2 York,
> PE C0A 1P0
>
>
> *Everything in moderation...even moderation itself**!*
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>
>
> --
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PE  C0A 1P0


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Re: [Histonet] process formalin-fixed tissues from animals infected with a virus

2020-08-06 Thread Greg Dobbin via Histonet
Hi Amy,
Formalin fixed tissue is no longer infectious...unless you are talking
about prions (eg scrapie, BSE, etc). So there should otherwise be no
concerns or additional precautions required.
Cheers,
Greg

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Re: [Histonet] Spectra Staining Kits

2020-05-14 Thread Greg Dobbin via Histonet
Hi Wanda,
If you have just purchased the Spectra stainer recently (ie still under the
first year warranty), demand that Leica send their Application Specialist
back on site. if they promised 2000 slides with no drop in quality over
that period (I believe it is 2000 slides or 7 days, whichever come
first)...then hold them to it! Make them work for you. You paid a lot of
money for that system. You should not need to be on here looking for help.
I have a Spectra and if you want to chat with me about our experience feel
free to call me. I'll send you my number in a separate email.
All the best,
Greg

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Re: [Histonet] Tissue Tek embedding centers

2020-03-12 Thread Greg Dobbin via Histonet
Hi Charles,
If memory serves, there is a thermal fuse or switch that will shut the unit
down if it exceeds a certain temp. Once the unit cools, the switch is
reset. So either that switch needs to be replaced or there is a problem
elsewhere that is causing the unit to overheat. Replacing that switch
should be an easy and cost-effecient thing to try first.
Good luck,
Greg

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Re: [Histonet] IHC troubleshooting

2020-03-01 Thread Greg Dobbin via Histonet
Nancy,
You used the word “blot” in your reply to Charles, and while I can’t be
certain that you did not mean the same...I would like say in the interest
of clarity, that it is safer to carefully “wick” the water away from under
each section prior to baking.  Blotting (like we might do after a Gram
stain) would likely remove parts or all of the section.
All the best,
Greg
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Re: [Histonet] IHC Troubleshooting

2020-02-26 Thread Greg Dobbin via Histonet
Hi Charles,
It adhesion problems can arise from several sources, some have already been
mentioned. Here are two that I have experienced:
1) Bad slides. Either a manufacturing defect such that the positive charge
is insufficient or the slides were somehow compromised after opening them
on the bench (perhaps exposed to moisture thus removing the charge).
Sometimes a new lot number be better but sometimes switching brands is the
quickest fix.
2) Ensuring all water is removed from under the section. I find that with
some charged slides (many in fact), water is trapped under the section and
does not drain out on standing and does not drain or evaporate when baking
at 60C. If the slide with trapped water is put on the instrument with
trapped water, the dewax step will lift much of the tissue.
Cheers,
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Re: [Histonet] Thyroglobulin TGB04+TGB05 Not Working in Canine and Feline

2019-05-15 Thread Greg Dobbin via Histonet
Hi Sandra,
>From your post, it looks to me like you are assuming the recommended
dilution should work. I apologize in advance if I have misinterpreted your
post in this regard.

When starting with a new antibody (including a new vendor for same Ab
and/or a new clone), do a range of dilutions that includes the recommended
one. So in this case, I would try 1:50, 1:100 and 1:200 to start. Use the
recommended AR first and then see how each of the 3 dilutions look.

Just as an example, you may find 1:50 has a weak signal and higher
dilutions are negative. If so, set up 3 more dilutions with the same AR (eg
1:10, 1:25 and 1:50). Once you get close to where you think the intensity
should be you can try modifying the AR protocol to improve the sensitivity.

Good luck,
Greg

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Re: [Histonet] Processing Schedule- ASP-6025

2019-05-08 Thread Greg Dobbin via Histonet
Great point John!
We do attempt to have all of the specimen handling for our control tissue,
match that of our specimens. However,
tonsillectomies at our hospital are only performed on Thursdays. So we fix
them for 24hrs (until Friday) then process overnight and remove
from the processor on Saturday (we don't typically work Saturdays). And I
have done this a couple of times but can I swear that this particular
tonsil
was handled that way? I cannot ...which I know, points to another
deficiency! :-0  It could very well be that the fixation times of the two
tonsils I am comparing are sufficiently different that they will require
different retrieval times to produce stains of similar intensity.

I also appreciate getting your opinion on the processing schedule. You have
much more experience than I!! Thank you for your insights.
All the best,
Greg

On Wed, May 8, 2019 at 10:50 AM John Garratt  wrote:

> The processing schedule looks fine. I am thinking that if you are having
> no problems with morphology on the H&E processing is not the issue. The
> extended period in the warming draw is a good hypothesis.
> I do have a question. How long was that particular piece of tonsil kept in
> formalin before processing? Could over fixation be the issue?
> I have found that maintaining tight control of control tissues is
> important which includes minimum and maximum fixation time.
>
> John
>
> Sent from ProtonMail Mobile
>
>
> On Tue, May 7, 2019 at 5:52 PM, Greg Dobbin via Histonet <
> histonet@lists.utsouthwestern.edu> wrote:
>
> Fascinating Tony!
> We don’t typically leave them in the warming drawer any longer than a
> couple of hours, but maybe this particular tonsil was left linger for some
> reason and no one thought anything of it?! Something to consider for sure!
> Thanks.
> Greg
>
> On Tue, May 7, 2019 at 9:37 PM Tony Henwood (SCHN) <
> tony.henw...@health.nsw.gov.au> wrote:
>
> > Processing seems adequate.
> >
> > After processing, how long do they sit in the embedding centre block
> > holding tank before embedding?
> >
> > We found that quite a few antigens were affected when we stored control
> > tonsil in the embedding centre (dry) at 60oC for a few days before
> > embedding. In summary:
> >
> > Antibody Clone Dried (Normal = 3+)
> > CD4 4B12 0
> > BOB-1 TG14 0
> > CD3 LN10 1+
> > CD79a JCB117 1+
> > Oct-2 Oct-207 1+
> > CD8 4B11 2+
> > CD20 L26 3+
> >
> > So CD20 was unaffected but this process affected most of the antigens
> with
> > some losing antigen recognition by the antibody (eg CD4 and BOB-1).
> >
> > Another one of those pre-analytical issues we need to consider.
> >
> > And yes I am writing this up for submission!
> >
> >
> > Tony Henwood JP, MSc, BAppSc, GradDipSysAnalys, CT(ASC), FFSc(RCPA) |
> > Principal Scientist; Adjunct Fellow, School of Medicine, University of
> > Western Sydney; Visiting Lecturer, School of Life Sciences, Faculty of
> > Science, University of Technology Sydney | Histopathology
> > t: (02) 9845 3306 | f: (02) 9845 3318 | e:
> tony.henw...@health.nsw.gov.au
> > | w: www.schn.health.nsw.gov.au
> > m:
> >
> >
> > Cnr Hawkesbury Road and Hainsworth Street, Westmead, NSW Australia
> > Locked Bag 4001, Westmead 2145, NSW Australia
> >
> > ♲ Please consider the environment before printing this email.
> >
> > -Original Message-
> > From: Greg Dobbin via Histonet [mailto:histonet@lists.utsouthwestern.edu
> ]
> > Sent: Wednesday, 8 May 2019 5:07 AM
> > To: histonet@lists.utsouthwestern.edu
> > Subject: [Histonet] Processing Schedule- ASP-6025
> >
> > Hello colleagues,
> > I recently stained (IHC) a section of normal tonsil from another facility
> > with p16 and the resulting stain was better than the same stain on a
> > section of my labs own normal tonsil control.
> >
> > This has led us to question our processing schedule. I am not concerned
> > with our fixation because we fix everything for at least 24 hours in 10%
> > formalin (commercially prepared) prior to processing.
> >
> > Does anything jump out at you as being a potential red flag in the
> > following overnight protocol?
> >
> > - Formalin 15 mins; RT
> > - Processing water 1 min; RT
> > - ETOH 70% 30 mins; 35C
> > - ETOH 80% 30 mins; 35C
> > - ETOH 95% 30 mins; 35C
> > - ETOH 100% 30 mins; 35C
> > - ETOH 100% 40 mins; 35C
> > - ETOH 100% 60 mins; 35C
> > - Xylene 60 mins; 35C
> > - Xylene 60 mins; 35C
> > - Xylene 60 mins; 35C
> > - Paraffin 60 mins; 57C; vacuum
> > - Paraffin 60 m

Re: [Histonet] Processing Schedule- ASP-6025

2019-05-07 Thread Greg Dobbin via Histonet
Fascinating Tony!
We don’t typically leave them in the warming drawer any longer than a
couple of hours, but maybe this particular tonsil was left linger for some
reason and no one thought anything of it?! Something to consider for sure!
Thanks.
Greg

On Tue, May 7, 2019 at 9:37 PM Tony Henwood (SCHN) <
tony.henw...@health.nsw.gov.au> wrote:

> Processing seems adequate.
>
> After processing, how long do they sit in the embedding centre block
> holding tank before embedding?
>
> We found that quite a few antigens were affected when we stored control
> tonsil in the embedding centre (dry) at 60oC for a few days before
> embedding. In summary:
>
> AntibodyClone   Dried (Normal = 3+)
> CD4 4B120
> BOB-1   TG140
> CD3 LN101+
> CD79a   JCB117  1+
> Oct-2   Oct-207 1+
> CD8 4B112+
> CD20L26 3+
>
> So CD20 was unaffected but this process affected most of the antigens with
> some losing antigen recognition by the antibody (eg CD4 and BOB-1).
>
> Another one of those pre-analytical issues we need to consider.
>
> And yes I am writing this up for submission!
>
>
> Tony Henwood JP, MSc, BAppSc, GradDipSysAnalys, CT(ASC), FFSc(RCPA) |
> Principal Scientist; Adjunct Fellow, School of Medicine, University of
> Western Sydney; Visiting Lecturer, School of Life Sciences, Faculty of
> Science, University of Technology Sydney | Histopathology
> t: (02) 9845 3306 | f: (02) 9845 3318 | e: tony.henw...@health.nsw.gov.au
> | w: www.schn.health.nsw.gov.au
> m:
>
>
> Cnr Hawkesbury Road and Hainsworth Street, Westmead, NSW Australia
> Locked Bag 4001, Westmead 2145, NSW Australia
>
> ♲  Please consider the environment before printing this email.
>
> -Original Message-
> From: Greg Dobbin via Histonet [mailto:histonet@lists.utsouthwestern.edu]
> Sent: Wednesday, 8 May 2019 5:07 AM
> To: histonet@lists.utsouthwestern.edu
> Subject: [Histonet] Processing Schedule- ASP-6025
>
> Hello  colleagues,
> I recently stained (IHC) a section of normal tonsil from another facility
> with p16 and the resulting stain was better than the same stain on a
> section of my labs own normal tonsil control.
>
> This has led us to question our processing schedule. I am not concerned
> with our fixation because we fix everything for at least 24 hours in 10%
> formalin (commercially prepared) prior to processing.
>
> Does anything jump out at you as being a potential red flag in the
> following overnight protocol?
>
>- Formalin 15 mins; RT
>- Processing water 1 min; RT
>- ETOH 70% 30 mins; 35C
>- ETOH 80% 30 mins; 35C
>- ETOH 95% 30 mins; 35C
>- ETOH 100% 30 mins; 35C
>- ETOH 100% 40 mins; 35C
>- ETOH 100% 60 mins; 35C
>- Xylene  60 mins; 35C
>- Xylene  60 mins; 35C
>- Xylene  60 mins; 35C
>- Paraffin 60 mins; 57C; vacuum
>- Paraffin 60 mins; 57C; vacuum
>- Paraffin 60 mins; 57C; vacuum
>
> Our formalin is changed after every 1100 cassettes and the alcohol,
> xylenes and paraffins are managed similarly by the instrument. Our specimen
> mix is a little of everything (skins, GIs, breasts, needle cores, gall
> bladders, gyne, etc).
>
> The one unknown (so far) in this story, is how the tonsil from the other
> laboratory was handled (ie the fixative used and for how long-I am assuming
> 10% formalin).
>
> Obviously, many of you will have schedules that differ from this one, in
> any number of ways, but what I am looking for from you is your opinion: *is
> there anything about this schedule that is particularly concerning?* Thank
> you, Greg
>
>
> --
> *Greg Dobbin*
> 1205 Pleasant Grove Rd
> <https://maps.google.com/?q=1205+Pleasant+Grove+Rd&entry=gmail&source=g>
> RR#2 York,
> PE  C0A 1P0
>
>
> *Everything in moderation...even moderation itself**!*
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> confidential information. If you are not the intended recipient, please
> delete it and notify the sender.
>
> Views expressed in this message are those of the individual sender, and
> are not necessarily the views of NSW Health or any of its entities.
>
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[Histonet] Processing Schedule- ASP-6025

2019-05-07 Thread Greg Dobbin via Histonet
Hello  colleagues,
I recently stained (IHC) a section of normal tonsil from another facility
with p16 and the resulting stain was better than the same stain on a
section of my labs own normal tonsil control.

This has led us to question our processing schedule. I am not concerned
with our fixation because we fix everything for at least 24 hours in 10%
formalin (commercially prepared) prior to processing.

Does anything jump out at you as being a potential red flag in the
following overnight protocol?

   - Formalin 15 mins; RT
   - Processing water 1 min; RT
   - ETOH 70% 30 mins; 35C
   - ETOH 80% 30 mins; 35C
   - ETOH 95% 30 mins; 35C
   - ETOH 100% 30 mins; 35C
   - ETOH 100% 40 mins; 35C
   - ETOH 100% 60 mins; 35C
   - Xylene  60 mins; 35C
   - Xylene  60 mins; 35C
   - Xylene  60 mins; 35C
   - Paraffin 60 mins; 57C; vacuum
   - Paraffin 60 mins; 57C; vacuum
   - Paraffin 60 mins; 57C; vacuum

Our formalin is changed after every 1100 cassettes and the alcohol, xylenes
and paraffins are managed similarly by the instrument. Our specimen mix is
a little of everything (skins, GIs, breasts, needle cores, gall bladders,
gyne, etc).

The one unknown (so far) in this story, is how the tonsil from the other
laboratory was handled (ie the fixative used and for how long-I am assuming
10% formalin).

Obviously, many of you will have schedules that differ from this one, in
any number of ways, but what I am looking for from you is your opinion: *is
there anything about this schedule that is particularly concerning?*
Thank you,
Greg


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Re: [Histonet] Histonet Digest, Vol 184, Issue 23

2019-03-27 Thread Greg Dobbin via Histonet
Hello all,
While I do not disagree with anything that has been said thus far regarding
the failed refrigerator and moving forward, I think Tim Morken's
information and shared experience was the most relevant! I know that my
Bond instruments are running 24 hrs a day, so some of the more commonly
ordered antibodies and certainly our detection kits (enzyme included) can
be out of the fridge for days  with  no noticeable deterioration. :-)
Greg


>
> -- Forwarded message --
> From: MARY ANN 
> To: 
> Cc:
> Bcc:
> Date:
> Subject: [Histonet] Fridge temp
> Let's say, hypotheticaly, if you discover your fridge with all you
> antibodies and detection kits were discovered to have been at 19c. for an
> undisclosed amout of time. 12 24 48 hours due tona power surge..south
> Florida weather.
>
> Let's also propose your lab CFO/Owner dosent think its a big deal.
>
> First how would you handle the issue given the frisge has been restored ?
>
>
>
>
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Re: [Histonet] ER/PR question

2019-02-08 Thread Greg Dobbin via Histonet
Hi Karen,
As mentioned by others "decay" is not likely going to be an issue. More
concerning for you could be not knowing how those tissues were handled
prior to processing 10 years ago.

Presumably, you now track cold ischemic times and have standardized your
fixation protocols for breast tissues and you have validated your IHC
procedures with these current parameters. If your lab was like many others
10 years ago, these parameters were probably not maintained so rigorously.
So interpretation of a negative result may be problematic.

Having said that, there is the internal control for both ER and PR. It
seems to me that if the internal control is staining adequately, then
perhaps interpretation will not be an issue. I am curious, does anyone have
a different take on relying the internal control as a guide in this
particular situation??
Greg

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Re: [Histonet] IHC-H&E-IHC HELP...

2019-01-04 Thread Greg Dobbin via Histonet
Hi Curt,
You can de-stain the hematoxylin counter stain and then do H&E and all
should be fine. Subsequent IHC is possible but obviously you would need a
different color chromogen to differentiate the new stain from the previous
one.

There may be a problem  getting the section stay on through a second IHC
procedure but maybe not. I would stain a control section for the desired Ab
using the retrieval method that was used initially and see how the control
looks. If the pathologist thinks the that this control is adequate for
interpretation, then restain the slides with the desired Ab and no
additional retrieval.

Cheers,
Greg

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Re: [Histonet] Question - EM

2018-11-21 Thread Greg Dobbin via Histonet
Hi Dr. Cartun,
It has been many years since I worked in EM but I my recollection is that
tissues could remain in 2% Glut indefinitely without detriment (for EM
purposes). However, Osmium tetroxide had to have a limited exposure.
Greg

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Re: [Histonet] Leica Bond Max artifact

2018-10-11 Thread Greg Dobbin via Histonet
Hi Linda,
Is this a problem that has just started or has the red kit always had this
artefact?

   - If it just started, perhaps it is a problem with a particular kit lot
   number (or numbers). If so, get Leica Tech service involved to see if
   anyone else has reported a problem.


   - If it has been an ongoing issue for the red kit then perhaps you need
   to modify the Red Kit protocol by adding additional (and/or longer) wash
   steps. Here again Tech Service can help you with this.
   - The only other thing I can think to ask is: Do you have anyone new
   operating the instrument? Could a new person be putting undiluted Bond Wash
   in the bulk container?

Let us know what you find out. Good luck.
Greg

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[Histonet] Braf protocol on Bond-III

2018-09-19 Thread Greg Dobbin via Histonet
1:100 with ER-2 for 30 mins.
Clone is the V600E from Spring BioScience
Looks great for uis and we are performing well on EQA surveys.
Greg

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Re: [Histonet] BRAF

2018-07-24 Thread Greg Dobbin via Histonet
Yes, it works. Very well actually. And we have done well on both a cIQc and
a CAP survey.
Greg

On Tue, Jul 24, 2018 at 3:20 PM Alminawi, Samira <
samira.almin...@sunnybrook.ca> wrote:

> Hi Greg,
>
> How is the quality of the staining? Is it working for melanoma?
>
> Samira
>
>
>
> *From:* Greg Dobbin [mailto:greg.dob...@gmail.com]
> *Sent:* Tuesday, July 24, 2018 2:17 PM
> *To:* Alminawi, Samira; histonet@lists.utsouthwestern.edu
> *Subject:* RE: BRAF
>
>
>
> Here in Charlottetown we are using V600E (VE-1) clone (Monoclonal) from
> Spring Diagnostics. We run it on the Bond platforms at 1:100 with ER-2
> (high pH) for 30 mins.
>
> Greg
>
>
>
> --
>
> *Greg Dobbin*
> 1205 Pleasant Grove Rd
> RR#2 York,
> PE  C0A 1P0
>
>
>
> *Everything in moderation...even moderation itself!*
>
> *This e-mail is intended only for the named recipient(s) and may contain
> confidential, personal and/or health information (information which may be
> subject to legal restrictions on use, retention and/or disclosure).  No
> waiver of confidence is intended by virtue of communication via the
> internet.  Any review or distribution by anyone other than the person(s)
> for whom it was originally intended is strictly prohibited.  If you have
> received this e-mail in error, please contact the sender and destroy all
> copies.*
>
>
>


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Re: [Histonet] BRAF

2018-07-24 Thread Greg Dobbin via Histonet
Here in Charlottetown we are using V600E (VE-1) clone (Monoclonal) from
Spring Diagnostics. We run it on the Bond platforms at 1:100 with ER-2
(high pH) for 30 mins.
Greg

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Re: [Histonet] USA to Canada

2018-06-07 Thread Greg Dobbin via Histonet
Pass The General MLT Certification exam, as our MLT exam includes Histology
and Microbiology. :-)
Greg

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[Histonet] Slide and block retention -Peds seperated?

2018-06-01 Thread Greg Dobbin via Histonet
Hello all,
I would like to find out what other clinical path labs are doing in Canada
in particular but in the US as well with regard to retention of blocks and
slides. Are other labs filing pediatric cases separately from adult cases?

I am required to archive specimens from pediatric cases separately from
adults because our retention schedule states that specimens for adults will
be retained for *20 years* while specimens from pediatric cases will be
retained for *20 years after the patient reaches the age of majority* (18
years old). So for example, a specimen on a newborn will be kept for 38
years while a specimen on a 17-year-old will be kept for 21 years.

This is no small task to achieve. We must generate a list of pediatric
cases 4 times a year, pull these cases out of the file, file them by birth
year in another area separate from our regular archived material, maintain
and update a separate hardcopy case list, etc.

I am proposing to management that we keep all cases for 38 years so that we
can eliminate this task of separating peds from adults. However, before my
request will be entertained, I must be able to point to other path labs
that are not separating their peds cases.
Thank you for your time!
Greg

-- 
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Chief Technologist,
Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
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Re: [Histonet] Leica open containers

2018-05-18 Thread Greg Dobbin via Histonet
Hi Charles,
If you are using the Leica Diluting Buffer or another commercially prepared
diluting buffer the antibody should remain stable for a very long time. I
can't say how long, I suspect there would be numerous variables to be
considered but generally...I would expect very little loss of intensity
over two years even. For me, the antibody expires long before the any
deterioration of signal is noticed.

In your case, if you are using a commercially prepared diluent, then start
looking at extended times left out of the fridge, a malfunctioning fridge,
contamination, etc.

Greg

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Re: [Histonet] p16 Antibody

2018-05-18 Thread Greg Dobbin via Histonet
Hi Laurie,
We are purchasing the antibody only from Roche/Ventana and optimizing it
for use with our detection system (Bond Refine Detection kit) and the
Bond-III stainer. Ask your Ventana person about buying the Ab only.
Greg

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Re: [Histonet] Paraffin infiltration issue, will this impact IHC?

2018-05-09 Thread Greg Dobbin via Histonet
Hi Merissa,
As far as I am aware, insufficient paraffin infiltration would only affect
sectioning. The epitopes that we we are attempting to stain with IHC are
affected by pre-analytic factors such as fixation, cold ischemic time and
perhaps heat (too much) but plus or minus wax should not be an issue if you
are able to obtain good sections. Have you stained these poorly infiltrated
specimens with H&E? Are you certain you have good sections with all tissue
components represented? That would be my main concern.
Greg

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Re: [Histonet] Leica embedding station

2018-04-12 Thread Greg Dobbin via Histonet
Hi Lauren,
Further to Tony's response...there are also thermal fuses that shut the
power off to a drawer if the power (or temp IDK which) as a safety feature.
So quite often we find one warming drawer or the other can be reset by
powering the unit down for a couple of hours. It normally works fine after
that...but not always. When powering down doesn't fix it we call biomed
engineers to come with their volt meters and spare fuses to fix it. We have
also had heating elements "die" and in that case the whole drawer must be
replaced because the element is affixed to the bottom of the drawer.
Hope this helps,
Greg

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Re: [Histonet] Antibody Validation CLIA

2018-03-16 Thread Greg Dobbin via Histonet
Hi Paula,
Let me first say I am Canadian and my lab is not governed by CLIA or CAP.
But for what it is worth, here are my thoughts...

When thinking about validating antibodies for IHC you must first consider
whether the antibody in question is Class-I (prognostic eg Breast markers,
CD117, etc) or Class-II. Class-I require a more robust validation protocol
then Class-II antibodies.

Next you need to consider why the validation is needed. Is it:

   1. a new Ab in your lab?
   2. a new vendor for an antibody?
   3. a new lot number of an existing antibody in your menu?
   4. a change in protocol of an existing antibody?

#'s 1 and 2 require a larger validation whereas #'s 3 and 4 should only
require a minimal check (unless of course there is a drastic change in the
protocol in #4).

As for absolute numbers of slides for each, unless CLIA provides this
information, you are left to work with your Director to find that balance
between cost (ie more slides = increased cost) with confidence (how many do
you need to see in order to feel confident that the stain is performing as
expected).

I hope this helps.
Sincerely,
Greg

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[Histonet] re; cell blocks and frozen for IHC

2018-01-10 Thread Greg Dobbin via Histonet
No pretreatments for anything that is not formalin fixed. I think 95% ETOH
for a fixative but but others may have a better idea than I.
Greg

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[Histonet] AFB Stain on Cytospin Preps

2017-11-03 Thread Greg Dobbin via Histonet
Good day colleagues,
We are occasionally being asked to do an acid-fast stain (Ziehl-Neelsen) on
a alcohol-fixed cytospin preparation from a cytology fluid.

Typically in Cytology, if a specimen is very bloody, we will add acetic
acid to lyse the red cells. Does anyone know if acetic acid would have any
adverse affect on the stainability of AFB organisms if present?

Thank you,
Greg

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Re: [Histonet] Kappa and Lambda by ISH

2017-11-02 Thread Greg Dobbin via Histonet
Hi Folks,
As it happens, we had a lymphoma case this week that was Kappa restricted
(confirmed at a consulting laboratory by Flow Cytometry) and our Kappa and
Lambda ISH staining was negative for both! In discussing it further with
our Hematopathologist, our ISH probes for Kappa and Lambda in bone marrow
specimens only stains plasma cells it does *NOT* stain B-cells. So this is
likely why LN tend to be negative. Maybe one of our Histonet-contributing
pathologists would like to elaborate? :-)
Greg

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Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385


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Re: [Histonet] Kappa & Lambda ISH

2017-10-31 Thread Greg Dobbin via Histonet
Hello Renee,
We do K & L by ISH on the Bond-III and BondMax with Refine detection
without issue on any of the tissues we have run (GI, skin, BM, LN). We have
a normal tonsil control section on every slide. Do you also run a positive
control on every slide? How does it perform? Next step would be for me to
share our protocol. Let me know if you would like me to send that to you.
Cheers,
Greg

-- 

*Greg Dobbin, R.T.*
Chief Technologist,
Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385


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[Histonet] Storage of blanks (Charged slides)

2017-09-21 Thread Greg Dobbin via Histonet
Hi Folks,
Can some of you share what your practices are regarding storage of blanks
for possible subsequent IHC orders?

Background: We cut a blank on every prostate core in case a PIN4 is ordered
after the H&Es have been read. So each week, we have 72-100 blank slides to
store. Space is an issue especially if we keep them in a freezer. Due to
space constraints, we are currently storing these blank slides in slide
filing fashion (ie front-to-back) in the -20 freezer.

Questions:
1) How long are you keeping your blank slides?
2) Under what storage conditions are you keeping then (ie Temp, in a box,
wrapped, stacked, etc)?

Thank you,
Greg

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[Histonet] Section adherence issues (IHC)

2017-07-12 Thread Greg Dobbin via Histonet
Hi Folks,
I haven't been on here much lately but it is nice to know that we are all
here for each other when needed!

My problem is section adherence during IHC staining. And it is not all of
the time it is intermittent; so not all of the time and not on all slides
when it does occur.

Background:
We have a Bond-III immunostainer and we use the Leica Apex charged slides
for our IHC stains. We have no additives in our water baths. Our sections
drain in a stand and then any trapped water under the section is either
flicked or wicked away as needed prior to placing the slides in a rack in a
60 C oven for 30 mins prior to staining.  We do not do on board baking
(primarily because on board baking is only 10 mins long and with the
section lifting issue we want longer).

Some of the specimen types are more susceptible it would seem. Cervix LEEP
specimens tend to be bad, we use a 4mm punch to obtain some of our control
tissue and so the breast tissue we use for Myosin Heavy Chain seems to be a
bad one and sometimes our ER/PR control sections (but not always). Fine
needle cores where a lot of tumour is present tend to be bad (again not
always).

We have tried baking longer, we turn ourselves inside out trying to get all
of the water out from under the sections, we have tried charged slides from
another manufacturer. I have looked at the HIER protocols and none are
extraordinary in nature. We use very clean covertiles (no scratches or
blemishes). Our specimens are fixed for 24hrs before processing. We use the
same slides for Special Stains and don't have this issue there.

I need some new suggestions to try! All ideas welcome.
Cheers,
Greg

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Re: [Histonet] Releasing of Patient Tissue

2017-01-18 Thread Greg Dobbin via Histonet
Vanessa,
We strongly encourage people that make such requests to use a funeral home
or crematorium to handle the tissue for them (for example an aborted fetus;
or some cultures wish to have an amputated limb buried in their future
burial plot). If they take their own amputated limb and then were to
carelessly or accidentally discard it, a whole host of resources will be
wasted investigating the origin of the found tissue!

If they insist, we have a waiver that they must sign and then we rinse the
tissue very well with running water to remove most of the residual formalin
before packing it up for pick up.
Greg

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[Histonet] grad student problem

2017-01-05 Thread Greg Dobbin via Histonet
I can't speak to the the T-cell receptor sites but the only option for
getting decent sections at this point is option number two. In the future,
(if there applicable) the cut surface of a cryosectioned block can be
recovered with OCT, frozen, and stored in an air-tight whirl-pak or ziplock
bag in the freezer for a little longer to avoid freezer burn.
Cheers,
Greg

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Re: [Histonet] Uneven ER/PR

2016-12-01 Thread Greg Dobbin via Histonet
Joanne,
I do not think you should expect to get perfectly uniform IHC staining in
breast core biopsies every time. At our hospital, we prefer to avoid doing
hormone receptor stains on breast cores because they are not as "robust" as
a lumpectomy or mastectomy specimen.

The unevenness could be due to pre-analytic causes beyond your control
(such as: are they placed in directly and immediately into formalin by the
radiologist? Is your processing schedule optimized for small biopsies or is
it a "one-size fits all" schedule for large and small specimens, etc).
Occasionally, we will agree to an Oncology request to stain them but this
is usually only done when they feel it is not going to be clinically
beneficial to put the patient through a more invasive procedure (ie
lumpectomy).

Another disadvantage of looking at cores vs lump specimens is that you
cannot see the "bigger picture". Perhaps there is heterogeneity in the
intensity of the ER/PR expression throughout the tumor; something that is
easier to discern when you can see the staining pattern across the entire
cross-section of the tumor.

I too use the Bond platform. If you are placing appropriate tissue controls
on the same slide as the patient and these have the expected staining
pattern and intensity, you may be fairly certain that the issue was (or is)
pre-analytic in nature. If this is not your practice, then try re-staining
new sections of the same case. If it is corrected, contact Leica Tech
support to try to figure out what went wrong the first time. If it is not
corrected, then you are back to suspecting a pre-analytic issue (assuming
you are not seeing this uneven-ness in other IHC specimens). I strongly
encourage use of tissue controls on every patient slide.

Cheers,
Greg

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[Histonet] IHC Staining (Pardue, Judith)

2016-04-05 Thread Greg Dobbin via Histonet
Judith,
The red chromagen is suseptible to "fading" if stained slides are left in
either alcohol or xylene for too long. Check to make sure that everyone
involved is following the same procedure for the dehydraytion, clearing and
mounting of the stained slides.
Greg

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   med*lab*professionals.ca

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Re: [Histonet] Safety question

2015-11-18 Thread Greg Dobbin via Histonet
Buy yourself a roll of WHMIS labels. Get ones that are sufficiently large
to be easily read while still fitting on the side of the secondary
container. All necessary info will be captured there once you check the
right boxes, etc.
Cheers,
Greg

-- 
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Chief Technologist,
Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

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Re: [Histonet] Microtomy Statistics

2015-10-14 Thread Greg Dobbin via Histonet
Are you hoping to measure competency or productivity?

If it is competency that you hope to assess, allow your tech to cut blocks
of a variety of specimen types for 1 hour *without* distractions. If they
cut 30 or more blocks and produce good quality sections, then they are
meeting your standard.

If it is productivity that you want to assess, then you may want to look at
an average of several daily totals per tech. If you need to establish what
the desired minimal productivity benchmark is for your lab, do this for
several or all techs and come up with a reasonable  (and achievable)
benchmark for all to strive for as their minimum.
Cheers,
Greg

-- 
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Chief Technologist,
Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

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[Histonet] Looking for fine mesh cassette

2015-10-06 Thread Greg Dobbin via Histonet
Hi Folks,
I am having difficulty finding a fine mesh biopsy cassette that is
compatible with my TBS cassette printer (i.e. *45 degree angle* print
surface). The holes in the TBS cassette that I am currently using are too
big (~1mm). Can anyone suggest a supplier with a good quality cassette that
will work with my printer??
Thank you,
Greg Dobbin

Chief Technologist,
Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385


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histonet@lists.utsouthwestern.edu

2011-03-16 Thread Greg Dobbin
Are you soaking your blocks in dilute ammonium hydroxide before sectioning? 
Soaking too long will affect stain quality. 

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson

>>> "Jordan, Velma"  03/15/11 22:22 PM >>>
We have been troubleshooting complaints of hematoxylin staining light in our 
H&E. The main complaint is no differentiation between the nucleus and 
cytoplasm. We are using Richard-Allan hematoxylin ,eosin,clarifier and bluing. 
We tried surgipath, changing times, pH the H2O and any other thing we could 
think of, but the problem remains.  Does anyone have a suggestion?  Velma Jordan


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RE: [Histonet] negative controls on immunos

2011-03-02 Thread Greg Dobbin
Thanks Joyce. This excerpt supports what I had said- noting the
difference between the negative (or deletion) control (which is what I
was addressing in my reply) and the negative tissue control.
Cheers!
Greg
 
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
 
"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Weems, Joyce"  3/2/2011 11:30 AM >>>
The CAP guidelines are pretty clear.  Copied from latest checklist..
Isn't this fun???! j:>)



ANP.22570   Phase IIN/A  YES  NO

Are appropriate negative controls used?

NOTE:  Negative controls must assess the presence of nonspecific
staining in patient tissue as well as the specificity of each antibody.
Results of controls must be documented, either in internal laboratory
records, or in the patient report. A statement in the report such as,
"All controls show appropriate reactivity" is sufficient.

A negative reagent control is used to assess nonspecific or aberrant
staining in patient tissue related to the antigen retrieval conditions
and/or detection system used.  A separate section of patient tissue is
processed using the same reagent and epitope retrieval protocol as the
patient test slide, except that the primary antibody is omitted, and
replaced by any one of the following:

■   An unrelated antibody of the same isotype as the primary
antibody (for monoclonal primary antibodies)
■   An unrelated antibody from the same animal species as the
primary antibody (for polyclonal primary antibodies)
■   The negative control reagent included in the staining kit
■   The diluent/buffer solution in which the primary antibody is
diluted

In general, a separate negative reagent control should be run for each
block of patient tissue being immunostained; however, for cases in which
there is simultaneous staining of multiple blocks from the same specimen
with the same antibody (e.g., cytokeratin staining of multiple axillary
sentinel lymph nodes), performing a single negative control on one of
the blocks may be sufficient provided that all such blocks are fixed and
processed identically.  This exception does not apply to stains on
different types of tissues or those using different antigen retrieval
protocols or antibody detection systems.  The laboratory director must
determine which cases will have only one negative reagent control, and
this must be specified in the department's procedure manual.

The negative reagent control would ideally control for each reagent
protocol and antibody retrieval condition; however, large antibody
panels often employ multiple antigen retrieval procedures. In such
cases, a reasonable minimum control would be to perform the negative
reagent control using the most aggressive retrieval procedure in the
particular antibody panel.  Aggressiveness of antigen retrieval (in
decreasing order) is as follows:  pressure cooker; enzyme digestion,
boiling; microwave; steamer; water bath.  High pH retrieval should be
considered more aggressive than comparable retrieval in citrate buffer
at pH 6.0.

It is also important to assess the specificity of each antibody by a
negative tissue control, which must show no staining of tissues known to
lack the antigen.  The negative tissue control is processed using the
same fixation, epitope retrieval and immunostaining protocols as the
patient tissue. Unexpected positive staining of such tissues indicates
that the test has lost specificity, perhaps because of improper antibody
concentration or excessive antigen retrieval. Intrinsic properties of
the test tissue may also be the cause of "non-specific" staining.  For
example, tissues with high endogenous biotin activity such as liver or
renal tubules may simulate positive staining when using a detection
method based on biotin labeling.

A negative tissue control must be processed for each antibody in a
given run.  Any of the following can serve as a negative tissue
control:

1.  Multitissue blocks.  These can provide simultaneous positive
and negative tissue controls, and are considered "best practice" (see
below).
2.  The positive control slide or patient test slides, if these
slides contain tissue elements that should not react with the antibody.
3.  A separate negative tissue control slide.

The type of negative tissue control used (i.e., separate sections,
internal controls or multitissue blocks) should be specified in the
laboratory manual (refer to ANP.22250).

Multitissue blocks may be considered best practice and can have a major
role in maintaining quality.  When used as a combined positive and
negative tissue control as mentioned above, they can serve as a
permanent record documenting the sensitivity and specificity of every
st

Re: [Histonet] negative controls on immunos

2011-03-02 Thread Greg Dobbin
Yes, it is always best to run every conceivable control available. Then you can 
be really, really, really sure. However, if you have practical issues that come 
into play such as cost of reagents, or extra controls taking up valuable space 
on the stainer then you might have to think about what you are trying to 
accomplish with each control and balance the cost vs benefit. 
 
So what are we checking with the negative control? We are checking the reagents 
to ensure that there is no non-specific reaction arising from the detection kit 
or the buffers, etc. If you are running the same block tomorrow with the same 
detection kit (ie same lot) it is not necessary (in my humble opinion) to check 
it again with another negative control. 
 
I suppose if you are worried that someone could be trying to sabotage your work 
by sneaking into your lab at night and contaminating your detection kit...then 
the simplest way to detect this sinister activity would be to run a negative 
control every time. Otherwise, I think one negative control slide per block per 
detection kit will be adequate.
 
Disclaimer: Please know that I have just tried to inject a little humor into 
this response. I am really not trying to be sarcastic in anyway.
Cheers!
Greg 
 
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
 
"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Diana McCaig"  3/1/2011 2:07 PM >>>
If you do a run of several immunos today and you run a negative control,
and there is a request for additional immunos tomorrow, would you run
another negative control with the additional slides.  They are being
stained on a stainer and not manually,



diana

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RE: [Histonet] IHC Equipment

2011-02-25 Thread Greg Dobbin
The Bond does do ISH. In fact it utilizes the same detection kit so you have 
only to buy the probes, not the additional detection kit that could (depending 
on your volume of ISH requests) expire.
Greg
 
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
 
"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Sheila Fonner"  2/25/2011 10:20 AM >>>
Cindy,

We used to use the Dako stainer, and we still have it as a back-up if
necessary, but we have recently (in the last year) bought a Ventana Ultra.
You can put 30 slides at a time on it, but you do not have to batch the
slides.  It is a continuous feed machine, which means that as soon as a
slide is done, you can take it off and run something else.  You do not have
to have all of the slides from a case together side by side.  It is bar-code
driven and will find the slides no matter where you put them.  Each slide
drawer runs independently of the others.  Ours has been wonderful.  The
technical assistance is fantastic also.  They will help you to initially
work up all of your antibodies.  You can use theirs, or you can use third
party antibodies and place them in a prep-kit.  You can also use RTU or
concentrates.  It's really up to you.  I would highly recommend it if you
have a large volume.  We demo'd the Biocare Intellipath also.  I liked the
machine, but it was really just a step up from the Dako.  Leica has the Bond
instruments, which a lot of people like, but for us, it didn't work because
we wanted to be able to do ISH.  Also, the Leica limits you to drawers of
ten slides.  So when you load a drawer, with 1 slide or 10, you can't use it
again until that run is finished.  Hope this helps.  If you have any
questions, you can contact me.
Have a great day!

Sheila


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cynthia Pyse
Sent: Wednesday, February 23, 2011 2:37 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC Equipment

Hi Histonetters

I currently use a Dako stainer for my IHC staining. It is a work horse with
very little problems. It is a older model that we may need to replace in the
near future. What is everyone using out in histoland. I would be perfectly
willing to purchase another Dako but I want to explore all avenues before
making a decision. What are the pros and cons of the instruments any of you
are using. How often is the machine down? What is the capacity? We run the
Dako twice daily usually to the capacity of 48 slides. I would like to hear
only from actual user of the instrumentation, no vendors please. This is
only a fact finding e-mail. Thanks in advance for all your input.

Cindy



Cindy Pyse, CLT, HT (ASCP)

Laboratory/Histology Supervisor

X-Cell Laboratories

716-250-9235

e-mail cp...@x-celllab.com





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RE: [Histonet] Any problems with Bond Max Heater Assembly (SSA)

2011-01-28 Thread Greg Dobbin
Hi Folks,
Someone from Leica should answer this question for you (Sara, are you listening 
in?), but I have a Bondmax and from time-to-time one of the heating pads will 
burnout. The other 9 positions continue to work. It used to be that the whole 
assembly was automatically replaced but now they manufacture them in such a way 
that an individual heater pad can be replaced. If you have a service contract 
this work will be covered. I think one or two heating pad errors per year could 
be expected - at least that has been my experience, but as I said, it doesn't 
slow us down much because the other 9 positions remain functional.
Greg
 
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
 
"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Rathborne, Toni"  1/28/2011 11:17 AM 
>>> >>>
We have a Bond III that's about a year old. I'm also interested in the answer. 
What does Leica say is the normal replacement period for this item? Is it 
covered under your service contract?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu]On Behalf Of
Settembre, Dana
Sent: Friday, January 28, 2011 10:13 AM
To: 'Feher, Stephen'; Nancy Schmitt; histonet@lists.utsouthwestern.edu
Cc: Delia, Catherine
Subject: [Histonet] Any problems with Bond Max Heater Assembly (SSA)
Importance: High


Has anyone had any problems with the Leica Bond Max's
Heater assembly.  We have 2 Bonds that are less than
2 years old and one of the heater assembles went.
That is 10 less slides that we have to work with.
Thank you,
Dana Settembre
University Hospital - UMDNJ
Newark, NJ
973-972-5232

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Feher, Stephen
Sent: Friday, January 28, 2011 10:06 AM
To: Nancy Schmitt; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] LEAN Processes/ new lab

Hi Nancy,

We built a brand new pathology lab from the bottom up last year.  Drop
me an email off line or give me a call and we can discuss our lessons
learned etc.  I worked with a LEAN workflow specialist on the design and
equipment placement prior to the plans being approved.  We included the
architect in all of out discussions about this.  You can always come to
snowy New Hampshire and check it out yourself?


Steve

Stephen A. Feher, MS, SCT (ASCP)

Pathology Supervisor

Catholic Medical Center

100 McGregor Street

Manchester, NH 03102

603-663-6707

sfe...@cmc-nh.org



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nancy
Schmitt
Sent: Friday, January 28, 2011 9:47 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] LEAN Processes/ new lab

Hi Histonetters-
I am looking for input, pros and cons or anything else you can offer.
We are designing a new histology lab to move to and I am interested in
how others have handled this along with using LEAN processes.  What
would you do differently?  What would you do the same?  Are you in the
tri-state (IA, WI, MN) area and open to visitors?

Thank you in advance for your thoughts-

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



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Re: [Histonet] ihc slides

2011-01-24 Thread Greg Dobbin
I should add that the DAB step may also have "quenched" all of the linked 
peroxidases even before the hematoxilin was added (which would finish off any 
that remained).
Greg
 
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
 
"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Cynthia Pyse"  1/24/2011 8:57 AM >>>
Happy Monday Histonetters

I need to pick the brains of the IHC experts out there in histoland. I run
IHC on the Dako autostainer. On one of our runs there was not enough DAB to
dispense on all the slides. My tech dehydrated the slides and cover slipped
them. We printed the stain log on the run and confirmed that the DAB was not
dispensed on three slides. The cover slips were removed and the slide were
soaked in xylene to remove the cover slipping media. The slides were
rehydrated and DAB was applied. There was still no reaction after 10
minutes, The DAB was reapplied for up to 30 minutes with no reaction. Can
anyone out there give me a reason that the slides would not react after the
reapplication of the DAB. I have done this before when the DAB solution was
short on the run and it worked. I can't figure out why this didn't react. I
called tech service at Dako and talked to the supervisor, she agrees with me
that the reapplication should have worked. I checked the run log and the
only missing step is the DAB. The antibodies with the missing DAB have their
own controls on the slides. Any thought out there as to what the problem is.
I have had the PM done on the Dako which should resolve the problem
according to Dako. There has not been a problem since. This mystery will
drive me crazy until I can figure out why. I could use help. Thanks in
advance, I appreciate any input.

Cindy



Cindy Pyse, CLT, HT (ASCP)

Laboratory/Histology Supervisor

X-Cell Laboratories

716-250-9235

e-mail cp...@x-celllab.com



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Re: [Histonet] ihc slides

2011-01-24 Thread Greg Dobbin
Cynthia,
Hematoxylin will inactivate the peroxidase (link) in the tissues. You must go 
back and re-do the link step and hopefully the antigenic sites will still 
accept more streptavidin (or similar) conjugated antibody.
Cheer.
Greg
 
Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385
 
"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Cynthia Pyse"  1/24/2011 8:57 AM >>>
Happy Monday Histonetters

I need to pick the brains of the IHC experts out there in histoland. I run
IHC on the Dako autostainer. On one of our runs there was not enough DAB to
dispense on all the slides. My tech dehydrated the slides and cover slipped
them. We printed the stain log on the run and confirmed that the DAB was not
dispensed on three slides. The cover slips were removed and the slide were
soaked in xylene to remove the cover slipping media. The slides were
rehydrated and DAB was applied. There was still no reaction after 10
minutes, The DAB was reapplied for up to 30 minutes with no reaction. Can
anyone out there give me a reason that the slides would not react after the
reapplication of the DAB. I have done this before when the DAB solution was
short on the run and it worked. I can't figure out why this didn't react. I
called tech service at Dako and talked to the supervisor, she agrees with me
that the reapplication should have worked. I checked the run log and the
only missing step is the DAB. The antibodies with the missing DAB have their
own controls on the slides. Any thought out there as to what the problem is.
I have had the PM done on the Dako which should resolve the problem
according to Dako. There has not been a problem since. This mystery will
drive me crazy until I can figure out why. I could use help. Thanks in
advance, I appreciate any input.

Cindy



Cindy Pyse, CLT, HT (ASCP)

Laboratory/Histology Supervisor

X-Cell Laboratories

716-250-9235

e-mail cp...@x-celllab.com



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[Histonet] glycogen degeneration???

2010-02-22 Thread Greg Dobbin
Hi folks,
Has anyone experienced glycogen disappearing from previously
"excellent" control blocks of liver. A glycogen-laden liver should be
consistent throughout should it not? (ie we can't cut through it can
we??). Or is oxidation a possible culprit here (not heard of it)? Really
interested to get some feedback on this one.
Thanks so much,
Greg 

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] Klotz fixative

2010-02-01 Thread Greg Dobbin
The benefit of Klotz is it preserves tissues/organs while not altering
the color and texture "much". Therefore good for demonstration labs. We
used to store teaching specimens in Klotz in the walk-in cooler (+ 4C)
to aid in the preservation even further. It is not adequate for
long-term storage as far as I am aware. I have no experience with the
affects on histological preparations.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> John Kiernan  2/1/2010 2:08 AM >>>
A Google search for KLOTZ FIXATIVE brings up many hits, with
indications that "Klotz solution" is an embalming fluid for gross
anatomy.  That's not the same as as a fixative. 
 
Follow up the links and see if they match what you need.  
Embalming fluids do not necessarily provide good histological fixation.

 
John Kiernan
Anatomy, UWO
London, Canada
= = =
- Original Message -
From: "Perry, Margaret" 
Date: Friday, January 29, 2010 16:00
Subject: [Histonet] Klotz fixative
To: "histonet@lists.utsouthwestern.edu"


> 
> Do you know of anyone that sells Klotz fixative?  We use it 
> in a pre vet class but would like to eliminate the 
> choloralhydrate since it is such a hassel due to it's being a 
> controlled substance. Is there a substitute fixative that would 
> retain the properties of Klotz?
> 
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Re: [Histonet] Advice from Canadian Labs

2010-01-19 Thread Greg Dobbin
Hey Pam,
No problem, I will. Nice to hear someone south of our border has heard
of Canada's smallest province!! :-)
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>>  1/18/2010 4:00 PM >>>
It is s good question and since we are all moving that way I hope any
advanced answers will be posted to all of us.

PEI is a beautiful place!!
Pam Marcum
UAMS
Sent from my Verizon Wireless BlackBerry

-Original Message-
From: "Greg Dobbin" 
Date: Mon, 18 Jan 2010 15:29:06 
To: 
Subject: [Histonet] Advice from Canadian Labs

Hello Canadian Colleagues,
I am wondering what other clinical institutions in Canada are doing
with regard to retention of hardcopy consult reports. Here in prince
Edward Island we now have an electronic patient health record
province-wide so we no longer have hardcopy surgical reports filed in
the lab. Consult reports received from reference laboratories are
being
scanned into the patient's report and checked and verified for
ledgibility. Any section that does not scan clear enough to read
easily
is edited to match the hardcopy. 

So in our lab, the patient report and any associated consult reports
will be stored indefinately electronically. The CAP guidelines (which
we
refer to but are not held to) suggest "Surgical Consultation" reports
should be kept indefinitely. I think therefore, we are meeting the
expectation here, but how long should I retain the hardcopy of these
consultation reports, 2 years? 20 years?? What are others doing in
this
regard?
Thanks.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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[Histonet] Advice from Canadian Labs

2010-01-18 Thread Greg Dobbin
Hello Canadian Colleagues,
I am wondering what other clinical institutions in Canada are doing
with regard to retention of hardcopy consult reports. Here in prince
Edward Island we now have an electronic patient health record
province-wide so we no longer have hardcopy surgical reports filed in
the lab. Consult reports received from reference laboratories are being
scanned into the patient's report and checked and verified for
ledgibility. Any section that does not scan clear enough to read easily
is edited to match the hardcopy. 

So in our lab, the patient report and any associated consult reports
will be stored indefinately electronically. The CAP guidelines (which we
refer to but are not held to) suggest "Surgical Consultation" reports
should be kept indefinitely. I think therefore, we are meeting the
expectation here, but how long should I retain the hardcopy of these
consultation reports, 2 years? 20 years?? What are others doing in this
regard?
Thanks.
Greg    

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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[Histonet] pH of 10% NBF

2010-01-07 Thread Greg Dobbin
Hi Folks,
If the pH of our 10% Neutral Buffered Formalin is reading 7.01
(recycled) and 7.12 (made from new formaldehyde), should I try to get to
7.2? If yes-how- add sodium bicarbonate? 
I look forward to your responses. 
Warm regards,
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] Cutting Frozen Lung

2010-01-04 Thread Greg Dobbin
Hi Meghan,
Healthy lung is terrible to cut frozen. All those air spaces collapse
on sectioning. Unhealthy lung on the other hand is a dream to cut! I
have heard it suggested to perfuse the lungs with dilute frozen cutting
compound (eg OCT or similar) prior to selecting the piece(s) for frozen
sectioning. In theory it should work well but I have not tried it
myself. Otherwise, a quick swipe of the cutting surface with your thumb
just before sectioning might help a little (maximizing the amount of
viewable tissue in the section) but your sections (of healthy lung)will
never be "beautiful" in my experience.
good luck.
Greg 

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Meghan Tucker  1/4/2010 11:23:01 AM >>>
Hello! 
 
I am looking for some helpful hints for cutting frozen lung tissue. I
have tried just about everything I can think of!
 
Thanks!



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Re: [Histonet] Blade Dispenser Thingy

2009-12-15 Thread Greg Dobbin
Hi Sally,
Fisher is aware of the problem (or should be). I contacted Fisher
Canada about it probably a year ago or so and had them replace 4 boxes
for me. They made it seem as though this was a brand new phenomenon that
they had not heard of before but I've known it to be a sporadic problem
for years and I figured I couldn't have been the only one to have
experienced this problem! They logged my complaint and forwarded the
information on to the manufacturer (a Japonese company I believe). But
as yet, I have't seen any design improvements to the dispensers. Maybe a
Fisher person on this list would like to comment on whether the
manufacturer has made any progress toward improving the dispensers.
Cheers.
Greg


Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Breeden, Sara"  12/15/2009 10:52 AM >>>
I have Feather dispensers with blades that I have to pry out, which is
probably not a good thing.  I've tried freezing the dispenser, putting
it in an oven for a while and whacking the darned thing on the floor
(not necessarily all at the same time..).  Have we had this discussion
before and have we solved this problem?  Help?

 

Sally Breeden, HT(ASCP)

NM Dept. of Agriculture

Veterinary Diagnostic Services

PO Box 4700

Albuquerque, NM  87106

505-841-2576

 

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Re: [Histonet] opinion please

2009-12-07 Thread Greg Dobbin
I agree with Renee. It will proabaly be at least as costly to have to 
re-validate everything!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Rene J Buesa  12/7/2009 11:21 AM >>>
Perhaps yes or perhaps no, that is the problem.
>From now on you cannot know if something that did not work was because of the 
>fridge malfunction.
Advise? (Costly advise?): discard everything and get an alarm system for your 
fridge after you repair it (or get a new one)..
René J.

--- On Mon, 12/7/09, Kim Merriam  wrote:


From: Kim Merriam 
Subject: [Histonet] opinion please
To: "Histonet" 
Date: Monday, December 7, 2009, 9:51 AM


Help!

My refrigerator died over the weekend.  This fridge had most of my antibodies 
and IHC reagents.  When I came in, the temperature inside the fridge was a 
balmy 37C!

Do you think any of my reagents are still usable?

Kim
 Kim Merriam, MA, HT(ASCP)QIHC
Cambridge, MA 



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[Histonet] Morgue topic: Chain of Custody for personal effects

2009-11-30 Thread Greg Dobbin
Hi Folks,
Can any of you share with me your procedure for ensuring chain of
custody for personal effects of decedents. Along with documenting a
clear procedure for all stakeholders to abide by, I also need to solve
some the practical aspects like what to use for a tamper-resistant bag
for the effects and should I have a 3-part form (1 copy for us, 1 for
the Commissionaire and 1 the funeral home) that lists all the personal
items, money etc. Jewellery is only removed if there is a risk of damage
(eg wrist watches, necklaces). Piercings are generally not removed.
Rings are usually taped.

A little background info:
Most of the decedents we receive  in our morgue are "at the back door",
usually via ambulance (our coroner system does not have their own
vehicles) or from the ER. Occasionally we will get a hospital case from
the nursing floors. The Commissionaire (security) receives the bodies
and unlocks the morgue for delivery. The pathologist on call is notified
and an autopsy is scheduled. After the autopsy we inform the
Commissionaire that the remains have been released and he/she in turn
notifies the funeral home and looks after signing the remains over to
the funeral home staff.  

Thank you!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] Leica Bond/Novocastra Reagents

2009-10-05 Thread Greg Dobbin
Almost always receive on time. I can think of only one instance in a
year and a half where anything was on back order (it was an antibody).
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Paula Lucas  10/5/2009 12:20 PM >>>
Hello,

We are considering the Leica Bond and their reagent rental or
acquisition option, and I have a question regarding back orders.  

If anyone places an order through Leica for their Bond reagents
(novocastra), are there any problems with back orders on antibodies,
detection system and other reagents needed to run the Bond?  Or, do you
usually get the items right away?

Thank you,
Paula Lucas
Lab Manager
Bio-Path Medical Group
Fountain Valley, CA

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Re: [Histonet] paraffin sectioning static

2009-10-01 Thread Greg Dobbin
Heavy breathing- the pathologist walking by might do a double-take, but
the humidy from your breath should get rid of immediate static.
Alternatively use a humidifier in the lab, but of course that comes with
its own set of problems (ie aerosolizing Pseudomonas and other
environmental bacteria and/or fungii). 
Just a thought (and a little humour for good measure!).
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Emily Sours  10/1/2009 4:05 PM >>>
Any tips on getting rid of static when paraffin sectioning on a
microtome?
It's so insanely bad, the block is picking up the ribbon as it goes
back up
every third section.


Emily

...the thrill of being close to that hidden knowledge. That's the way I
feel
when I read Nabokov. Encrypted within his words, encoded
indecipherably,
ambiguously, is the equivalent of the secret of lightning. Something
akin to
the secret code of higher human consciousness, the DNA, the genome of
genius.
-Ron Rosenbaum
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Re: [Histonet] mib-1

2009-09-17 Thread Greg Dobbin
"Alcohol based" suggests to me an absence of formalin. In which case,
epitope retreival is not indicated.
Also, you didn't say if it had been working and stopped or if this was
a new marker for your lab.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>>  9/16/2009 3:44 PM >>>

I have to turn to the experts here.? I am having problems with the
MIB-1.? I am having an issue with the patient samples working.? We use
an alcohol based fixativeit has always worked until recently.



I have tried everything I can think of to no avail.? I have decreased
the titer, increased the incubation, tried a different retrieval
solution, tried a different detection...nothing is working.



Anyone else having any issues?
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RE: [Histonet] Best IHC stainer

2009-08-27 Thread Greg Dobbin
I echo Joyce's comments!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Weems, Joyce"  8/26/2009 10:57 PM >>>
They are both good instruments. From my experience pricing is high for the 
Ventana reagents and there seems to be an increase in DAKO pricing from what I 
see on the Net. Have you looked at the Leica Bond? We found that to be a good 
fit for us. Started out to add it to our DAKO line, but ended up changing 
completely. It also does ISH, and is a continuous feed - up to 10 slides at a 
time.  

Good luck,
Joyce


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu on behalf of Gareth Blaeuer 
Davis
Sent: Wed 8/26/2009 8:04 PM
To: histonet@lists.utsouthwestern.edu 
Subject: [Histonet] Best IHC stainer
 

The lab I work in has been doing demos on IHC stainers Ventana Benchmark XT and 
Dako's Autostainer Plus.  We could really use feed back

from current users of both.  We are having a hard time deciding between the 
two, so any input would be great.

What are the Pros and Cons with both.

Thanks,

Gareth Blaeuer Davis, B.S., HT

 

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RE: [Histonet] STD testing in Lab

2009-06-25 Thread Greg Dobbin
Oh my gosh! You're right. My day is suddenly not so drab!! LOL
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Blazek, Linda"  6/25/2009 3:48
PM >>>

NO!!  It's THURSDAY afternoon isn't it?
 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Greg
Dobbin
Sent: Thursday, June 25, 2009 2:20 PM
To: Histonet@lists.utsouthwestern.edu 
Subject: Re: [Histonet] STD testing in Lab

Well I would check the local human rights laws. I'm not so sure your
staff are going to be too thrilled with being tested for all these
diseases! 
.I'M KIDDING of course. 

I'm sorry I can't contribute anything worthwhile (other than some
comic
relief) on what is otherwise a rather drab Wednesday afternoon.
Cheers!
Greg 


Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Jill Cox  6/25/2009 2:52 PM >>>
Hi Histonetters!!We are trying to bring in house STD testing in our
lab
and would like to know what type of equipment everyone uses and
feedback. We would like to take on HPV, GC Chlamydia and gonorrhea.
Any
information would be greatly appreciated!! Thank you..

Jill Cox HT (ASCP)
 
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Re: [Histonet] STD testing in Lab

2009-06-25 Thread Greg Dobbin
Well I would check the local human rights laws. I'm not so sure your
staff are going to be too thrilled with being tested for all these
diseases! 
.I'M KIDDING of course. 

I'm sorry I can't contribute anything worthwhile (other than some comic
relief) on what is otherwise a rather drab Wednesday afternoon.
Cheers!
Greg 


Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Jill Cox  6/25/2009 2:52 PM >>>
Hi Histonetters!!We are trying to bring in house STD testing in our lab
and would like to know what type of equipment everyone uses and
feedback. We would like to take on HPV, GC Chlamydia and gonorrhea. Any
information would be greatly appreciated!! Thank you..

Jill Cox HT (ASCP)
 
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RE: [Histonet] Leica CV5030

2009-06-23 Thread Greg Dobbin
Hi Patsy,
I will concur with Hazel but would add that the coverslipper has only
been hassle free for us as long we are using the better quality (ie
"Premium" grade) coverslips. Cheaper coverslips are not economical when
one considers the time lost to fix and reset the instrument and in some
cases re-coverslip slides. But since I switched to using the premium
grade year round (as opposed to only in the more humid months, which is
what I was doing to try andsave money!) I have had almost no glitches at
all!
Cheers!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Horn, Hazel V"  6/23/2009 11:16 AM >>>
We absolutely love our CV5030.  I really can't think of anything
negative to say about it. 


Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Histology
Arkansas Children's Hospital
1 Children's WaySlot 820
Little Rock, AR   72202
 
phone   501.364.4240
fax501.364.3155
 
visit us on the web at:www.archildrens.org 
 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Patsy
Ruegg
Sent: Monday, June 22, 2009 2:53 PM
To: 'Histonet'
Subject: [Histonet] Leica CV5030

I am looking for experiences with this coverslipper from Leica CV5030
model, good or bad.

Thank you,

Patsy

 

Patsy Ruegg, HT(ASCP)QIHC
IHCtech, LLC
Fitzsimmons BioScience Park
12635 Montview Blvd. Suite 215
Aurora, CO 80010
P-720-859-4060
F-720-859-4110
wk email pru...@ihctech.net 
web site www.ihctech.net 

 


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RE: [Histonet] Cracked or shattered LN sections

2009-04-27 Thread Greg Dobbin
I am positive no freezing spray being used.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson

>>> "Sebree Linda A"  04/27/09 7:36 PM >>>
Greg,
 
Are you sure no one is using freezing spray when sectioning?  The effect
of freezing spray on the block would yield the appearance you describe.



From: histonet-boun...@lists.utsouthwestern.edu on behalf of Greg Dobbin
Sent: Mon 4/27/2009 2:04 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Cracked or shattered LN sections



Hi Folks,
Some lymph node sections (usually bigger ones-maybe almost as big as a
dime) have a shattered appearance on the block surface. Subsequently the
sections look like shattered glass or a mosaic of tissue pieces making
up the whole. I think this is happening at the embedding station from
trying to make sure that the tissue is flat in the mold (ie pressing the
tissue down). Has anyone else out there have any similar experience with
this problem? Is the solution as simple as cutting smaller pieces into
the cassette at the time of trimming?
Thanks.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the
more luck I seem to have."
- Thomas Jefferson


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[Histonet] Cracked or shattered LN sections

2009-04-27 Thread Greg Dobbin
Hi Folks,
Some lymph node sections (usually bigger ones-maybe almost as big as a
dime) have a shattered appearance on the block surface. Subsequently the
sections look like shattered glass or a mosaic of tissue pieces making
up the whole. I think this is happening at the embedding station from
trying to make sure that the tissue is flat in the mold (ie pressing the
tissue down). Has anyone else out there have any similar experience with
this problem? Is the solution as simple as cutting smaller pieces into
the cassette at the time of trimming?
Thanks.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] Recycled formalin

2009-04-07 Thread Greg Dobbin
Yes. ??
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson

>>> "Richard Cartun"  04/07/09 7:30 PM >>>
Is anyone using recycled formalin for primary fixation of either
surgical or autopsy tissue?  Thanks.

Richard

Richard W. Cartun, Ph.D.
Director, Histology & Immunopathology
Director, Biospecimens
Assistant Director, Anatomic Pathology
Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596
(860) 545-0174 Fax


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Re: [Histonet] Strange circles in IHC slides

2009-04-02 Thread Greg Dobbin
Hi V.
That my friend is the result of a air bubble on the section. If it had
been unremoved xylene the hematoxylin would have been absent as well.
Cheers.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "V. Neubert"  4/2/2009 1:12:18 PM
>>>
Hello,

I really have some real links to real pictures of real relevance of the

real histonet list. Really promised.

http://img12.imageshack.us/img12/8513/ts0402162049.jpg 
http://img13.imageshack.us/img13/6514/ts0402162104.jpg 

So, has ever anyone experienced sth. like this?
My conjugate control (every step except the antibody) was fine, nothing

to be seen about DAB and no circles at all.

I used Shandon single-use coverplates, sterile buffer, fresh antibody 
aliquots. Any idea?

Thanks,

V. Neubert

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Re: [Histonet] Commercial Eosin

2009-03-26 Thread Greg Dobbin
Hi Vanessa,
Yes! I have our eosin staining down to just 10 secs! I am considering
just letting the slides hover over top of the eosin for a minute instead
of actually dipping! LOL
Very strong indeed.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Vanessa J. Phelan"  3/26/2009 3:23:49 PM
>>>
Hi everyone,
Has anyone had the experience of massive overstaining with commercial
Surgipath Alcohol-based Eosin? I manually stained with Surgipath Hx for
2mins, then bluer the eosin for 30secs and the whole tissue was
completely pink!

Thanks

V

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RE: [Histonet] IHC stainer

2009-03-13 Thread Greg Dobbin
I guess I would have to echo that as well!
Cheers!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Houston, Ronald" 
3/13/2009 4:45:14 PM >>>
Can't speak highly enough of the BondMax form Leica Microsystems. If
cost is an issue and you're looking at what to avoid, IMHO avoid
anything Ventana

Ronnie Houston
Anatomic Pathology Manager
Nationwide Children's Hospital
Columbus OH 43205
(614) 722 5450

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Stephanie Weaver
Sent: Friday, March 13, 2009 3:17 PM
To: histonet post
Subject: [Histonet] IHC stainer

I am in a veterinary diagnostic lab.  In the past we have had very few
requests for IHC and have always sent slides out to another lab to
perform IHC as needed.  It is time for us to start doing our own and
join the modern age.  We have several certified technicians, but none
have experience with IHC and we typically have a relatively high
turnover rate.  Therefore, I am hoping to be able to buy an automated
stainer.  In the past most people on the list seemed to be very happy
with the Dako autostainer, but this past week has brought so many bad
remarks about Dako's service that I am reconsidering.  We probably
will
not need a high capacity autostainer, but I would like walk-away
capability with an easy to use system.  It will need to accept other
companies reagents, since veterinary infectious disease antibodies
aren't often sold by the major companies.  Also, cost is an issue and
I
would like to be able to bargain shop for reagents through other
companies.  Does anyone have any recommendations, or warnings as to
what
to avoid?

In a related issue, where do other animal tissue people get their
antibodies for infectious diseases, e.g. Parvovirus, canine distemper,
or FIP?

Thanks for the advice!




Stephanie Weaver
Texas Veterinary Medical Diagnostic Lab



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Re: [Histonet] IHC stainer

2009-03-13 Thread Greg Dobbin
I echo everything Julie said! 
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Julie Trejo  3/13/2009 4:41:06 PM >>>
I suggest using the Leica Bond-Max.  I, an HT(ASCP)cm, did not have any
IHC
experiance, but the Bond-Max makes it happen.  Just putting dried
slides on,
patient info in the computer, slides labeled and then in 3-4 hours,
it's all
done.  Just dehydrate and clear.  Very simple and now giving me time
to
learn IHC and troubleshooting.  Some of the antibodies come "Ready to
use"
from Leica, and we titer others that aren't "Ready to use" (Biocare,
Dako
etc).
   I've seen co-workers in the past struggling with immuno's using the
Dako,
and taking alot of time and still counter-staining by hand.  The
Bond-Max
allows us (just three of us) to do all routine H&E's, special stains,
recuts, deepers and Immuno's in one day. Not bad.

Julie
On Fri, Mar 13, 2009 at 2:16 PM, Stephanie Weaver
wrote:

> I am in a veterinary diagnostic lab.  In the past we have had very
few
> requests for IHC and have always sent slides out to another lab to
perform
> IHC as needed.  It is time for us to start doing our own and join the
modern
> age.  We have several certified technicians, but none have experience
with
> IHC and we typically have a relatively high turnover rate. 
Therefore, I am
> hoping to be able to buy an automated stainer.  In the past most
people on
> the list seemed to be very happy with the Dako autostainer, but this
past
> week has brought so many bad remarks about Dako's service that I am
> reconsidering.  We probably will not need a high capacity
autostainer, but I
> would like walk-away capability with an easy to use system.  It will
need to
> accept other companies reagents, since veterinary infectious disease
> antibodies aren't often sold by the major companies.  Also, cost is
an issue
> and I would like to be able to bargain shop for reagents through
other
> companies.  Does anyone have any recommendations, or warnings as to
what to
> avoid?
>
> In a related issue, where do other animal tissue people get their
> antibodies for infectious diseases, e.g. Parvovirus, canine
distemper, or
> FIP?
>
> Thanks for the advice!
>
>
>
>
> Stephanie Weaver
> Texas Veterinary Medical Diagnostic Lab
>
>
>
> ___
> Histonet mailing list
> Histonet@lists.utsouthwestern.edu 
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet 
>



-- 
Julie Trejo, HT(ASCP)cm

Saint Louis University
Department of Dermatology
314-256-3413
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Re: [Histonet] silly question about goat serum

2009-03-12 Thread Greg Dobbin
Hi Emily,
Normal as opposed to immune serum. If a goat outside of a "Specific
Pathogen Free (SPF)" facility were to actually have no Ab's it would be
far from normal! I'm picturing the Boy in a Bubble episode on Seinfeld-
only substitute one kid for another!! LOL (or groan if you prefer).
Enjoy the day folks!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Emily Sours  3/12/2009 11:41:30 AM >>>
What exactly does non-immune goat serum mean? The goat hasn't been
exposed
to any specific antigen, therefore it's normal?

Emily
-- 
prometheus, thief of light, giver of light, bound by the gods, must
have
been a book.
-mark danielewski, house of leaves
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[Histonet] Embedding bone marrow aspirates

2009-02-27 Thread Greg Dobbin
Hello Colleagues,
I'm looking for opinions/experience regarding the following idea:

I am thinking about using Histogel (not pushing this product over
another, just don't know what else to call it!!) to localize the
aspirate to a more confined area, hopefully more consistently on a
single plane, and perhaps improve the "cutability" of the more brittle,
crumbly specimens.
 
Currently we filter BM aspirates with a piece of lenspaper, scrape the
tissue from the "filter" onto a smaller piece of lenspaper that is then
folded and placed between 2 biopsy pads in a cassette. Then the embedder
has to scrape the processed material into the embedding mold and
hopefully get most of it in the same plane (which he does reasonably
well).

What I would like to do is scrape most of the tissue to the bottom of
the lenspaper filter cone, add histogel and then place the resulting
pellet in a cassette for subsequent processing.

I look forward to reading your knowledgeable replies. 

Have a nice weekend everyone. 
Sincerely,
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] BVD Antibody

2009-02-24 Thread Greg Dobbin
Did you check VMRD?

http://www.vmrd.com/products/antibodies/detailInfIG.aspx?CATNO=D89

Bovine Viral Diarrhea Virus MAb (gp55)   
Catalog No.: D89 
Description: Binds to 55 kDa of BVDV. Made using NADL strain. Binds to most 
BVDV strains. Does not bind Oregon C24V strain. IgG2a isotype. Suitable for 
immunofluorescence, immunohistochemistry and virus neutralization.
This monoclonal antibody is produced as mouse ascites fluid, clarified by 
centrifugation, and filtered through a 0.2 micrometer filter. The concentration 
is 1.0 mg/ml in phosphate-buffered saline, preserved with 10 ppm ProClin 300. 
Format: Mouse ascites 
Size: 0.1, 0.5 and 1 mg 
Expiration: One year from date of QC release. 
Storage: Store at 2-7°C. Do not freeze! 


Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson



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Re: [Histonet] Glass coverslippers

2009-02-17 Thread Greg Dobbin
The CV5030 works very well for us-as long as we spend a little more
buying the higher grade coverslips that don't tend to be affected by
humidity as much.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] IF on cell lines

2009-02-16 Thread Greg Dobbin
Hi April,
This may not be useful to your colleague at all, but here goes: I used
to place a round glass sterile coverslip in the bottom of each well of a
24-well culture plate before seeding and then grew the cells on the
coverslip. When ready the coverslip was removed (using a hyperdermic
needle with the bevelled tip bent backwards to catch the edge of the
cs). The coverslips were then picked up with "eyelash" forceps and
placed in a little porcelain coverslip rack and placed in cold acetone
(-20 C) to fix for 10 mins. Following IF staining the round coverslip
was mounted on a regular coverslip which was in turn mounted on a glass
slide for viewing.

In case you haven't already figured this out, acetone melts the plastic
chamber slides. My coverslip method, while effective, is obviously much
more laborious (which I suppose is why the chamber slide was developed
in the first place! LOL). Hopefully the 4% paraform. works. Is methanol
fixation an option??
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> Aprill Watanabe  2/16/2009 9:13 AM >>>
I have a colleague who is trying to do IF on cell culture cell lines. 
She
is growing them on cell culture treated chamber slides and fixing with
4%
formaldehyde.  Her problem is that after fixation and a few washes all
the
cells are detaching.  Any suggestions?  I think she is going to try 4%
paraformaldehyde first as someone has already switching to that.

Aprill Watanabe, B.S.
Research Associate
Integrated Cancer Genomics Division
Tissue Microarray Center (TMA)
Translational Genomics Research Institute (TGen)
main: 602-343-8822
Fax: 602-343-8840
awatan...@tgen.org 
www.tgen.org 

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Re: [Histonet] IHC and ISH

2009-02-02 Thread Greg Dobbin
Jean,
The Bond Max is different than its main competitor in that the Bond
uses the same detection kit for both IHC and ISH. One just has to buy
the fluorocein reagent for the ISH method. So all you have is one
reagent to worry about expiring rather than an entire detection system.
Other instruments (they know who they are) require you to buy an entire
separate detection system to do ISH and so if your volumes for ISH are
low, you will waste a lot of money in expired kits. 
Cheers.
Greg 

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


>>> "Taylor, Jean"  2/2/2009 1:50:41 PM >>>
Hi everyone,

I am currently in the process of evaluating IHC equipment to replace
my
old Dako Autostainers. The pathologists I work for are interested in
bringing ISH into our lab. My questions are, what IHC instrument have
you found works the best for IHC and ISH, and what kind of training
did
your personnel go through to become qualified to perform ISH?

Thank you!

Jean Taylor, HT(ASCP)QIHC
ICH Tech
Meriter Labs
Madison, WI 

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[Histonet] Cytology Autostainers

2009-01-23 Thread Greg Dobbin
Hi Folks,
What's out there? What's hot and what's not? Anyone using their
cytology autostainer for histology special stains? Welcome all input
(including vendors).
Cheers!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson


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Re: [Histonet] double staining on the ventana XT

2009-01-21 Thread Greg Dobbin
Hi Jennifer,
Your Ventana Application Specialist should be more than willing to help
you thru this process. I demo'd an XT last year and I recall
double-staining was very straight forward. Unfortunately the details of
which were not retained by me!
Good luck.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson

>>>  01/21/09 8:41 PM >>>

Greetings,
We are looking into doing some immuno double staining. I searched the
archives and found a few similar inquiries but no responses. Anyone with
experiences to share I would love to hear what you have to say.
Everything from what not to do to what works well for you.
Many Thanks,
Jennifer



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Re: [Histonet] Auto-IHC Staining Issues

2009-01-21 Thread Greg Dobbin
Hi Paula,
You really have to tell us which instrument you are using to get a
concise answer. Other details like how the slides are dewaxed for
instance would also definately help.
Regards,
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"I find that the harder I work, the 
more luck I seem to have."
- Thomas Jefferson

>>> Paula Lucas  01/21/09 8:04 PM >>>
Hello,

I've been having a problem with the staining quality from an auto-IHC
stainer and I was wondering if any of you experience the same thing.

I notice sometimes that the staining in the tissue isn't complete, like
there are areas where the fluid (one or more of the steps involved)
didn't get in contact with the tissue, thus resulting in patchy, skipped
staining.  

I'm thinking that this must be a dispensing problem.

Is this a general thing with all auto stainers - ones like DAKO or Lab
Vision's stainer or Biocare Medical's stainer?  These stainers dispense
fluid onto the slide. 

I hope this explains things and I really hope that I can get some
feedback.  It's getting very frustrating.

Thanks in advance,
Paula Lucas
Lab Manager
Bio-Path Medical Group
Fountain Valley, CA

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[Histonet] RE: Dako and Leica immunostainers

2008-11-20 Thread Greg Dobbin
Sally,
I think you answered your own question! You wrote: "If so, why would
someone want one of these stainers?" And yet, they sell so many! I have
found the Bond to be an excellent instrument and in my opinion it is
unrivalled in the market place. 

I have just recently spent 10 months doing extensive evaluations of
Bond, Dako and Ventana. I brought each instrument in-house to try. When
all was said and done the Bond was the best fit for my lab. Each lab
needs to evaluate what is the best fit for their particular situation
(ie number of staff, experience level of staff, volume of tests,
workflow, etc.).  

But with regard to the cost for online dewax and retreival: what is
your time worth? Doing these steps off-line means more tech time, more
opportunity for mistakes and opens the possibility of peripheral
instrumentation failing and holding everything up down the line. 

As for the cost per slide: I spent many agonizing hours going over
pricing info for all 3 instruments (trying to "uncode" the sales speak)
and in the end (by my calculations) the difference between 2 of the 3
was less than a dollar per test and the 3rd was considerably higher. I
won't say which one is which, but I will say the Bond was not the higher
of the 3.
Hope this has helped.
Cheers!
Greg  


Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"And in the end it's not the years in your life
that count. It's the life in your years." 
- Abraham Lincoln


>>> "Sally Price" <[EMAIL PROTECTED]> 11/20/2008 7:35 PM >>>
All,
After reading this thread I just had offer my comments.  I'm not a big
fan
of systems that do the dewax and AR, primarily because it costs way too
much
to automate these steps.  I've never used the Bond, but I hear that
you've
gotta put some plastic thingy - that probably costs too much - on top
of
each slide, you gotta use their detection reagents - which probably
cost more than other companies, they charge you for empty barcoded
reagent containers, all the slides in the same tray have to use the
same
detection reagents - which means that the continuous-feed feature has
some
serious limits, it can't do double-stains, and they have less than 50
IVD-approved antbodies.  Can someone verify for me if all this issues
are
true?  If so, why would someone want one of these stainers?  The Dako
stainer is a dinosaur and with all the newre/better ones available,
they should probably take it off the market.
Cheers,
Sally

-Original Message-

From: Josie Britton <[EMAIL PROTECTED]>
To: Michael Bradley <[EMAIL PROTECTED]>;
Histonet@lists.utsouthwestern.edu 
Sent: Tue, 18 Nov 2008 11:31 am
Subject: RE: [Histonet] Dako

Hi,
We just got the new Bond Max IHC stainer and we love it.  You just cut
the
slides dry them and place them on the Bond.  It does retrieval,
antibody
staining, and counter stain.  You just dehydrate , clear, and mount
your
coverslip.  It is easy to use.  It has 3 individual slide tray's of 10.
 You
can load more slides on the empty tray's and start a new batch while
the
others are running.  We run into the pathologist's adding more
antibodies to
the list an hour after we have run the first batch frequently, so this
feature is great.  When you add more IHC's the run time on all the
slide
tray's run times do increase, but it's better than having to wait
another
2-3 hours to put your next set of immuno's on.
Hope this helps!
Josie Britton HT
Cheshire Medical Center
580 Court Street
Keene, NH 03431

-Original Message-

Message: 9
Date: Wed, 19 Nov 2008 17:17:52 -0500
From: [EMAIL PROTECTED] 
Subject: Re: [Histonet] Dako
To: [EMAIL PROTECTED], [EMAIL PROTECTED],
Histonet@lists.utsouthwestern.edu 

Just another FYI...
The Biocare IntelliPath does the same thing, but has 4 trays of 10 and
it
allows you to make one of the trays?RUSH.? SO depending, on the
volume?of
IHC you do either of these machines would work out great.
Roxanne
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RE: [Histonet] Presidential Voting Infomation

2008-11-03 Thread Greg Dobbin
I don't remember seeing this persons name on the Histonet before. Could
he be a Republican Party volunteer who joins various listservs for the
sole purpose of garnering support for Mr. McCain??
It certainly would not surprise me. The fact that so many of us have
read it already tells me he's accomplished his mission!
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"And in the end it's not the years in your life
that count. It's the life in your years." 
- Abraham Lincoln


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[Histonet] C-erbB-2 SP3 clone

2008-10-21 Thread Greg Dobbin
Hello Folks,
Is anyone out there using this clone from LabVision? I am trying to
decide what volume to purchase in order to try the Ab out. There is a
0.1 mL size available and that would be my preference as long as the
starting dilution is sufficiently high to allow several validation runs.
 

So my question is what dilution range am I looking at for this clone?
Thank you.
Greg


Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"And in the end it's not the years in your life
that count. It's the life in your years." 
- Abraham Lincoln


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[Histonet] Paper (teabag) Bx bags-Source?

2008-10-17 Thread Greg Dobbin
Hi Folks,
The archives seem to be temporarily(?) unavailable. Can someone point
me in the direction of a supplier of the paper teabag type of Bx bags?
Thank you.
Greg

Greg Dobbin, R.T.
Chief Technologist, Anatomic Pathology
Dept. of Laboratory Medicine,
Queen Elizabeth Hospital,
P.O. Box 6600
Charlottetown, PEC1A 8T5
Phone: (902) 894-2337
Fax: (902) 894-2385

"And in the end it's not the years in your life
that count. It's the life in your years." 
- Abraham Lincoln


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