[Histonet] Farewell

2015-12-28 Thread Sebree Linda A via Histonet
Good morning Histonetters,

Well, the time has come to say farewell to Histonet and all the people it 
represents.  I've appreciated the invaluable information, humor and 
encouragement that has been available here.  I hope I've been able to help out 
people now and then as well.  I've never regretted entering the field of 
histology 40 years ago.  I started out in clinical work, followed by two stints 
in research and finished by helping start the immunohistochemistry/in situ 
hybridization lab that I work in today.  I've always been able to keep the 
patients we serve in mind as I've gone about my daily work.  That's what's made 
this work so satisfying.

I leave you all with the wish that you continue to find purpose and 
satisfaction in the critical work you do.

Take care,

Linda A. Sebree, HT(ASCP)

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Re: [Histonet] Reference lab offering ARID-1a on FFPE tissue?

2015-10-23 Thread Sebree Linda A via Histonet
Sorry, I meant ARID-1a.


From: Sebree Linda A
Sent: Friday, October 23, 2015 9:17 AM
To: Histonet (Histonet@lists.utsouthwestern.edu)
Cc: Weisman Paul
Subject: Reference lab offering ARIDIA on FFPE tissue?

Hello Histonetters,

Anyone know of a reference lab offering this antibody?

Thanks,

Linda

Linda A. Sebree
University of Wisconsin Hospital & Clinics
IHC/ISH Laboratory, Rm A4/204-3224
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174

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[Histonet] Reference lab offering BRAF by IHC on FFPE specimens

2015-10-23 Thread Sebree Linda A via Histonet
We're looking for a reference lab that performs the above immunohistochemical 
stain.

Thanks,
Linda A. Sebree
University of Wisconsin Hospital & Clinics
IHC/ISH Laboratory, Rm A4/204-3224
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174

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[Histonet] Reference lab offering ARIDIA on FFPE tissue?

2015-10-23 Thread Sebree Linda A via Histonet
Hello Histonetters,

Anyone know of a reference lab offering this antibody?

Thanks,

Linda

Linda A. Sebree
University of Wisconsin Hospital & Clinics
IHC/ISH Laboratory, Rm A4/204-3224
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174

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Re: [Histonet] Ventana antibody - H pylori

2015-07-09 Thread Sebree Linda A
We have excellent and very clean results with the VMS H. Pylori on our Ultras.  
I can shoot you our protocol if you're interested.

Linda

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: Histology Technician [mailto:histology81...@att.net] 
Sent: Thursday, July 09, 2015 3:51 PM
To: Histonet; histonet-requ...@lists.utsouthwestern.edu
Subject: [Histonet] Ventana antibody - H pylori

 Does anyone else have constant problems with the Ventana antibody H pylori 
having a dirty background stain?  My pathologists are constantly complaining 
about it and when I call CS I get the same response...decon the instrument, try 
a new lot number, etc... it's never truly resolved.  Any thoughts?  Thanks!
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Re: [Histonet] Ventana antibody - H pylori

2015-07-09 Thread Sebree Linda A
Rabbit monoclonal, Richard.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: Cartun, Richard [mailto:richard.car...@hhchealth.org] 
Sent: Thursday, July 09, 2015 4:06 PM
To: Histology Technician; Histonet; histonet-requ...@lists.utsouthwestern.edu
Subject: Re: [Histonet] Ventana antibody - H pylori

Is the Ventana antibody polyclonal or monoclonal?

Richard

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

-Original Message-
From: Histology Technician [mailto:histology81...@att.net]
Sent: Thursday, July 09, 2015 4:51 PM
To: Histonet; histonet-requ...@lists.utsouthwestern.edu
Subject: [Histonet] Ventana antibody - H pylori

 Does anyone else have constant problems with the Ventana antibody H pylori 
having a dirty background stain?  My pathologists are constantly complaining 
about it and when I call CS I get the same response...decon the instrument, try 
a new lot number, etc... it's never truly resolved.  Any thoughts?  Thanks!
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Re: [Histonet] Ventana LCS (Liquid Cover Slip)

2015-07-02 Thread Sebree Linda A
You certainly can air/oven dry your slides instead of running them down and 
coverslipping; we do that with the slides we take off in the morning when we 
get in.  As to your problem with water/oil on your slides, something is not 
right in your dawn water rinsing, dehydration and/or clearing steps...but I'm 
sure I'm not telling you anything you don't know already.

I would change out all the graded alcohols and xylenes so you know the right 
reagents are in your containers.  Next, I would make sure that whomever is 
rinsing the slides, that they are using warm or even hot Dawn water and that 
they are rinsing long enough for your DAB slides.  If you're also running APR 
you may want to do the air/oven drying to xylene method to maintain the 
chromogen binding.  

Other than these steps, I don't know what else to suggest.  A long, long time 
ago when I worked in an old lab with water chilled pipes for air conditioning, 
I ran into a lot of humidity in the summer and actually had to add molecular 
sieve to my 100% alcohol in my dehydration set-up or my xylenes would get 
contaminated with water but we're talking the mid 70's so I'm hoping you're not 
running into something similar.

Hope this helps,

Linda

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: Burnett, Brandy [mailto:bburn...@capecodhealth.org] 
Sent: Thursday, July 02, 2015 12:07 PM
To: Sebree Linda A
Subject: RE: Ventana LCS (Liquid Cover Slip)

For IHC..We are rinsing them with dawn before running them down.

Brandy Burnett
Histotechnologist, QIHC(ASCP)
CCH Pathology/Histology
508-862-5267
bburn...@capecodhealth.org


Expert physicians. Quality hospitals. Superior care. 


-Original Message-
From: Sebree Linda A [mailto:lseb...@uwhealth.org] 
Sent: Thursday, July 02, 2015 10:17 AM
To: Burnett, Brandy
Subject: RE: Ventana LCS (Liquid Cover Slip)

Are you talking about IHC/ISH or Specials Brandy?

Linda A. Sebree
University of Wisconsin Hospital  Clinics IHC/ISH Laboratory, Rm A4/204-3224
600 Highland Ave. 
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174 

-Original Message-
From: Burnett, Brandy [mailto:bburn...@capecodhealth.org]
Sent: Thursday, July 02, 2015 7:32 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Ventana LCS (Liquid Cover Slip)

Anyone out there having any issues with the Ventana LCS?
When you are cover slipping are you seeing any water/residual LCS on the slides?
I was wondering if we should dry our slides before cover slipping instead of 
running them down? Any information would be greatly appreciated!

Brandy Burnett
Histotechnologist, QIHC(ASCP)
CCH Pathology/Histology
bburn...@capecodhealth.orgmailto:bburn...@capecodhealth.org


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Re: [Histonet] IHC turnaround time

2015-06-19 Thread Sebree Linda A
We have 2 FTEs in IHC; myself as one of two people that started the lab 20+ 
years ago and 2 histotechs that rotate through on a weekly basis.  Our monthly 
totals currently run between 2400 and 3300.  Our TAT policy is in by noon, out 
by 5pm except for dual and triple stains (need to be on an instrument by 11:00 
am) and EBER (needs to be on by ~ 9:00 am) and HER2 dual ISH (only run 
overnight).  We have 4 Roche (Ventana) Ultras that hold 30 slides each and are 
continuous access.  All instruments are used every day and at least one 
(usually 2 or 3) in use overnight.

Linda

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: Cartun, Richard [mailto:richard.car...@hhchealth.org] 
Sent: Friday, June 19, 2015 10:21 AM
To: Olszewski, Dawn; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] IHC turnaround time

I direct a busy and very efficient (I think) IHC lab staffed with 2.875 FTEs 
who spend most of their time doing IHC, but they also help Histology embed and 
cut paraffin blocks when needed (which is most days).  For 2015 we are 
averaging 4,022 IHC patient test slides and 1,650 IHC control slides per month. 
 Our IHC lab is staffed from 4:30 AM to 6 PM (or later depending on workload).  
We have 5 Leica Bond Max platforms; however, we still do some IHCs on the 
bench.  We usually do 2-3 runs per day and an overnight run (except on Fridays) 
as well.

Richard

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

-Original Message-
From: Olszewski, Dawn [mailto:dawn.olszew...@sgmc.org]
Sent: Friday, June 19, 2015 10:53 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC turnaround time

Hi Histonetters,
  6-19-15

We are wondering what the average turnaround times for IHC are for other labs.  
We use the Biocare Intellipath instrumentation. It holds up to 50 slides ( 10 
slides per 5 racks) with continuous feed per open rack.  All IHC orders placed 
by 12pm are usually out the same day by 5pm. We average 434 IHC slides per 
month and have a staff of 3 FTE's.

A pathologist has voiced concerns over our IHC output.  We are trying to 
determine best practices for IHC turnaround time as measured from time order 
placed to time of slide delivery.

If you could respond with your IHC TAT including number of techs and average of 
IHC slides monthly, we would appreciate any input you may be able to provide.

Thank you in advance,

Dawn Olszewski, HTL(ASCP)QIHC

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RE: [Histonet] Re: IHC and Oven Temperatures

2015-04-26 Thread Sebree Linda A
That's the reference I have always gone by since I first started doing IHC back 
in 19..

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of 
richardb...@charter.net [richardb...@charter.net]
Sent: Sunday, April 26, 2015 10:42 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: IHC and Oven Temperatures

The specific pages in the Dako Education Guide: Immunohistochemistry
Staining Methods, Fifth Edition are: Discussion on page 32 and
references on page 33. It's in the Fixation and Processing Chapter and
says no part of the process should have temperatures above 60C.

Rick Boen, BS, HTL (ASCP)
Histology Lab
St. Luke's Hospital
Duluth, Mn

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RE: [Histonet] IHC/SS QA/QC Sheets:

2015-04-22 Thread Sebree Linda A
Hi Craig,

As technologists, we of course QC all slides before they get to the 
pathologist(s) but that is not documented unless we put a repeat order in the 
case.  Then we add a note saying why a test needs repeating, i.e. positive 
control did not stain, patient tissue loss, etc.  But this is all done 
electronically, so no paper trail.  For general QC, we have gone to having a 
statement automatically populate to any case reports that include IHC/ISH 
staining but I'm assuming this could also work for HEs, Special Stains, etc.; 
I'm only familiar with the IHC/ISH portion of QCing.  Our statement says 
something along the lines of the controls staining appropriately and as 
expected.  The pathologist that signs out the case is attesting to that 
statement.  This statement has eliminated HUGE amounts of paper and filing.

Hope this helps,

Linda


Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jb
Sent: Tuesday, April 21, 2015 3:16 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC/SS QA/QC Sheets:

Can someone help guide me on the right direction regarding how to organize 
daily QC sheets. Currently we have one per case (this is time consuming and I'm 
on overload of papers). Does anyone have a good solution and are you willing to 
share?

Thank you for your help,

Craig

Sent from my iPhone
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RE: [Histonet] C3d?

2015-04-02 Thread Sebree Linda A
Cleveland Clinic does it by IHC and I think also by IF.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Sicurello
Sent: Wednesday, April 01, 2015 6:14 PM
To: HistoNet
Subject: [Histonet] C3d?

Hello Again My Dear Netters,

One of our pathologists was wondering if anyone out in Histoland is performing 
a C3d stain?

If so what type: IHC, IF?

Thanks oodles!

Paula  :-)
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[Histonet] HNF-1 beta

2015-02-06 Thread Sebree Linda A
Good morning,

We have a pathologist that has a case he wants sent out for HMF-1β (hepatocyte 
necrosing factor-1β) .  Are there any reference labs out there that offer this?

Thanks,
Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory, Rm A4/204-3224
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174

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RE: [Histonet] p16 Antibody

2015-01-14 Thread Sebree Linda A
We use one from BD, Veronique, with good results. 

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory, Rm A4/204-3224 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Véronique Barrès
Sent: Wednesday, January 14, 2015 8:06 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] p16 Antibody

Hi Histonetters!

I am working in a research lab and we sometimes need to do p16 staining, but 
our pathologist told us that the antibody we are using right now is not good. 
I'd like to know which antibody you're using in your labs?

Thanks for your help and happy Wednesday!
Véronique
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[Histonet] RE: HER2 IHC controls

2015-01-06 Thread Sebree Linda A
Yes, 3 different antibody expressions per block.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burnett, Brandy
Sent: Tuesday, January 06, 2015 12:39 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] HER2 IHC controls

Are any of you making your own HER2 IHC control slides from patient tissue?

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[Histonet] 2 Sucinyl Cystine stain (AKA 2SC)

2014-11-06 Thread Sebree Linda A
Good morning,

Does anyone know of a reference lab offering this IHC stain for human FFPE 
tissue?

Thanks,


Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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[Histonet] RE: IHC Validation

2014-11-05 Thread Sebree Linda A
Karla,

We try to run 1/2 of the required cases with known negative cases and the other 
1/2 with known positive cases.  In addition, all cases are run with a negative 
reagent control in place of the antibody using the optimized protocol for the 
antibody.  These are your negative reagent controls.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Arrington, 
Karla A
Sent: Tuesday, November 04, 2014 10:27 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] IHC Validation


I am validating IHC's. What is the CAP requirements regarding negative slides. 
I've asked CAP but have not received a response. 
Are 10 negative patient tissues ran for each antibody using the negative 
protocol or are they ran using each antibody but also a known Negative control 
ran using the negative protocol? 
Thanks! 

Karla Arrington, HT (ASCP) HIT (AHIMA)
Supervisor of Pathology
ANMC Pathology
kaarring...@anthc.org
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[Histonet] Fibronectin

2014-10-30 Thread Sebree Linda A
Does anyone know of a reference lab doing this antibody on human FFPE slides?

Thanks,

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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RE: [Histonet] Salary exempt/nonexempt status

2014-10-25 Thread Sebree Linda A
I fought this very same battle having been salaried for many years and 
gradually working more and more OT.  I worked solely with hourly employees and 
was not a manager or supervisor.  Everyone I worked with accrued OT pay but I 
did not and I was usually working the most OT.  I contacted our state office of 
labor and workforce development and learned about the exempt/nonexempt 
statuses.  Upon bringing this information to both my institution's personnel 
department and eventually my manager, they reviewed my position description 
along with several other employees.  They resolved the issue by making me and 
some other people hourly with no cut in pay so now I still work some overtime 
but accrue OT pay.  I also received back pay from 2 years of overtime.  

Maybe CA has a labor department that could help you as well.

Good luck,

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of GMail 
[nguy0...@gmail.com]
Sent: Saturday, October 25, 2014 3:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Salary exempt/nonexempt status

Can someone please help me, I've been losing sleep over this ever since moving 
to CA and working here.

If you are paid a salary but NOT a supervisor or manager are you considered 
exempt or nonexempt?

I was told by someone that if you are salary but not in a managerial position 
you are considered nonexempt and are entitled to earn OT.

I have tried searching the laws in CA and the only thing I could find is: 1. If 
you earn twice the wage of minimum wage you are exempt. 2.  If you are a type 
of professional (doctors and lawyers etc) or in a managerial position you are 
exempt

With that being said, I believe a lot of people in the U.S with other 
professions make twice the wage of #1, so does that mean they are all exempt?

Please help me answer this question!

Thank you in advance!

Sent from my iPhone
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[Histonet] RE: Another TGIF Friday...

2014-10-11 Thread Sebree Linda A
This is by far my favorite!

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Weems, Joyce K. 
[joyce.we...@emoryhealthcare.org]
Sent: Friday, October 10, 2014 11:35 AM
To: 'sarah.dys...@stdavids.com'; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Another TGIF Friday...

LAB HIERARCHY

Chief Pathologist
  Leaps tall building in a single bound
 Is more powerful than a locomotive
Is faster than a speeding bullet
   Walks on water,
   Gives policy to God

Associate Pathologist
  Leaps short buildings in single bound
  Is more powerful than a switch engine
Is just as fast as a speeding bullet
  Walks on water if sea is calm
  Talks with God

The Department Head
  Leaps short buildings with a running start and favorable winds
  Is almost as powerful as a switch engine
 Is faster than a speeding bullet
  Walks on water in an indoor pool
  Talks with God if special request is approved

Director of Laboratories
  Rarely clears a Quonset hut
  Loses tug of war with locomotive
Can fire a speeding bullet
 Swims well
 Is occasionally addressed by God

Associate Director of Laboratories
  Makes high marks on the walls when trying to leap tall buildings
  Is run over by locomotives
 Can sometimes handle a gun without inflicting self-injury
Dog paddles
 Talks to animals

Supervisor
 Runs into building
  Recognizes locomotives two out of three times
  Is not issued ammunition
   Can stay afloat with a life jacket
 Talks to walls

Chief Technologist
   Falls over doorstep when trying to enter building
 Says look at the choo-choo
Wets themselves with a water pistol
  Plays in mud puddles
Mumbles to Themselves

Histotechnologist
 Lifts tall buildings and walks under them
   Kicks locomotives off the tracks
 Catches speeding bullets in their teeth and eats them
  Freezes water with a single glance
They are God

Anonymous

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



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

This e-mail, including any attachments is the property of Saint Joseph's 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
sarah.dys...@stdavids.com
Sent: Friday, October 10, 2014 11:50 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Another TGIF Friday...

Does anyone have that thing handy that says what different positions in the 
histology lab do?  It's like Superman, leaping buildings and such...

Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's 
North Austin Medical Center
12221 North Mopac Expressway
Austin, Texas  78758
(512)901-1220

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RE: [Histonet] RE: Negative Control for Validation

2014-09-30 Thread Sebree Linda A
Jamal,

We use the same patient cases throughout the validation procedure.  So each 
block gets stained with the new antibody (optimized protocol already signed off 
by IHC director or designee), vimentin (+ reagent control) and negative control 
serum (- reagent control).  As stated earlier, the negative tissue control is 
any non-staining negative tissue elements, expected to be negative, within the 
block.  

If you're interested I can send you our Validation Protocol Proposal form under 
separate cover.

Linda

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: Jamal [mailto:j.rowa...@alborglaboratories.com] 
Sent: Tuesday, September 30, 2014 5:15 AM
To: Sebree Linda A; 'Arrington, Karla A'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Negative Control for Validation

Hi Linda
can you give us more details about the controls selection and processing 
procedures.



Best Regards,


Jamal M. Al Rowaihi Anatomic Pathology Supervisor   | Al Borg
Medical Laboratories |  Mobile +966 503629832| j.rowa...@alborglaboratories.com 
Palestine St, Al Rajhi Building, P.O. Box 52817, Jeddah 21573, KSA|
Phone: +966 12 670 0099   | Fax: +966 12 676 4984 |
www.alborglaboratories.com

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A
Sent: Tuesday, September 30, 2014 12:43 AM
To: 'Arrington, Karla A'; 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: Negative Control for Validation

Hey Karla,

We use Vimentin as a positive reagent control, our negative control serum for 
the negative reagent control and for the negative tissue control, the 
pathologist reviews the antibody stained slide and OK's the internal negative 
tissue elements as appropriately negative.

Hope that helps,

Linda A. Sebree
University of Wisconsin Hospital  Clinics IHC/ISH Laboratory
600 Highland Ave. 
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Arrington, 
Karla A
Sent: Monday, September 29, 2014 1:25 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Negative Control for Validation

We are beginning the process of validating new antibodies using the BenchMark 
XT but have some questions for validation.

Question:  For a positive reagent control that stains appropriately positive, 
is a known control block used? If not, what is used?
Question:  For a negative reagent control that stains appropriately negative, 
what is ran?
Question:  Is a negative tissue slide ran for all of our 10 cases per antibody, 
or per case that will be used for validation?

Thanks All!
Karla

Karla Arrington, HT(ASCP), HIT(AHIMA)
Lead Histology Technician
ANMC Pathology
907-729-1810
kaarring...@anthc.org

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[Histonet] Light/Heavy chain Myosin to differentiate Type 1 vs Type 2 muscle fibers

2014-09-24 Thread Sebree Linda A
Good morning Histonet,

We are looking for a reference lab to send FFPE slides to for the above 
antibody(ies).  We sent out for this test several years ago  but of course at 
that time our records were very rudimentary, i.e. log books,  so difficult to 
go back and search through.  Hope someone knows something to help us.


Thanks,


Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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[Histonet] RE: FDA Disclaimer

2014-09-24 Thread Sebree Linda A
Well put Tim.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Wednesday, September 24, 2014 1:24 PM
To: 'Arrington, Karla A'; 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] RE: FDA Disclaimer

Karla, the thing is, they may be called IVD under FDA nomenclature,  but they 
are not all FDA approved. Class I exempt antibodies  (the vast majority) 
don't need FDA approval because they are ancillary tests used in conjunction 
with other tests to arrive at a Dx.  Only stand-alone tests like ER, Pr, Her2 
and EGFR are in Class II and require FDA approval.

An FDA certified company can list any antibody (except the stand alones) as IVD 
Class I simply by submitting a list to FDA. The company must have FDA approved 
quality controls in place and follow a slew of regulations to do so, but it is 
simply a paperwork exercise after that. 

So, the disclaimer you mention says that the antibody in question is not FDA 
approved, but is not required to be FDA approved. The CAP and ASCP suggested 
this disclaimer so that customers would be made to understand that although the 
tests are not under FDA approval it does not mean they are not valid tests. 

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC 
San Francisco Medical Center San Francisco, CA

CONFIDENTIALITY NOTICE: This email message, including any attachments, is for 
the sole use of the intended recipient(s) and may contain confidential, 
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intended recipient, you may not use, copy, or distribute this email message or 
its attachments. If you believe you have received this email message in error, 
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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Arrington, 
Karla A
Sent: Wednesday, September 24, 2014 10:44 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] FDA Disclaimer

To All:

We are starting up IHC at the lab and I have a question about disclaimer.

If we are using all FDA approved antibodies, do we need the FDA Disclaimer on 
our pathology reports?
And if so, what should it say?

Karla Arrington =)

Karla Arrington, HT(ASCP), HIT(AHIMA)
Lead Histology Technician
ANMC Pathology
907-729-1810
kaarring...@anthc.org

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[Histonet] RE: Automated Special Stainer...

2014-09-17 Thread Sebree Linda A
We've had VMS instruments from day 1 and currently have 4 Ultras.  The random 
access capability is awesome and we can even get out EBER ISH slides the same 
day if put on in the morning.  Our HER2 dual ISH stains run overnight as they 
are 14 hour protocols.  Reproducibility among the 4 instruments and 
concurrent/consecutive stains on the same instrument are a given.  Technical 
advice and service are outstanding.  And, no, I do not have a stake in the 
company just am really sold by their products.


Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Morken, Timothy 
[timothy.mor...@ucsfmedctr.org]
Sent: Wednesday, September 17, 2014 12:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

Brian wrote: ... one more thing.  The reagent tray capacity on the Artisan is 
about twice what it is on a Benchmark.

Are the TAT's equal? When we loaded up our old artisan with slides (50) and 
full of reagents it took over 5 hours to finish - way past our deadline. So 
nobody wanted to use it that way so the techs resisted and wanted to do manual 
to get the slide out. We ended up putting only a few stains on it.

We  are looking at doing specials the way we do immunos - on demand all day 
rather than in one batch in the AM.

It seemed to me that the 20-slide units from Ventana allow small batches and 
run in parallel or allow staggered use. Buying a 50-slide capacity instrument 
and then putting only 20 slides at a time on it seems odd somehow.


We looking at each of these as well and not sure yet which would serve us 
better. We do about 60-80 specials slides per day, and 13 stains give us 90% of 
our volume.

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies
UC San Francisco Medical Center
San Francisco, CA

CONFIDENTIALITY NOTICE: This email message, including any attachments, is for 
the sole use of the intended recipient(s) and may contain confidential, 
proprietary, and/or privileged information protected by law. If you are not the 
intended recipient, you may not use, copy, or distribute this email message or 
its attachments. If you believe you have received this email message in error, 
please contact the sender by reply email and destroy all copies of the original 
message.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cooper, Brian
Sent: Wednesday, September 17, 2014 10:33 AM
To: sarah.dys...@stdavids.com; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

Dako Artisan all the way!   I've used both systems (the Artisan in my old 
institution).  We currently have a few of the new Benchmarks on demo right now. 
 Thus far, we're not that impressed.  Frequently, there's variability on the 
silver stains (even in the same run,) and adjusting timing is nowhere near as 
flexible as on the Artisan.  Even if you take away the half hour for online 
deparaffinization, the stains take significantly longer on the Benchmarks (than 
the old Nexes we are still running in our lab).   Oh yeah, one more thing.  The 
reagent tray capacity on the Artisan is about twice what it is on a Benchmark.  
You'll need two Benchmarks to do what one Artisan does, TATs being equal.

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


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
sarah.dys...@stdavids.com
Sent: Wednesday, September 17, 2014 9:13 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Automated Special Stainer...

Opinions on Ventana versus Dako...Go!

Sarah E. Dysart, BA, HT (ASCP), QIHC (ASCP) Pathology Supervisor St. David's 
North Austin Medical Center
12221 North Mopac Expressway
Austin, Texas  78758
(512)901-1220

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[Histonet] RE: Automated Special Stainer...

2014-09-17 Thread Sebree Linda A
Sorry, I thought we were talking IHC/ISH not SS.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Cooper, Brian 
[bcoo...@chla.usc.edu]
Sent: Wednesday, September 17, 2014 2:36 PM
To: Morken, Timothy; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

I guess TAT's being equal is a relative term, depending upon your workload.  
For our purposes, it's not slide capacity that poses a problem--it's reagent 
capacity.  We've never loaded 50 special stains at any one time--we typically 
don't even have half that amount in one day!

So here's a scenario common to the workload at our institution.  For our liver 
panels, we run Iron, Trichrome, Retic, PAS with and without Digestion.  That 
pretty much maxes out the reagent capacity on the Benchmark.  Sure, we can load 
up to 20 of these onto the Benchmark.  But as is so frequently the case, we 
also have just 1 GMS that also needs to be stained!  This is where the second 
Benchmark comes into play, or we'll have to stain by hand.   One Artisan can 
handle this at the same time, and if memory serves (disclosure--it's been about 
2 years, and the model I used didn't have online deparaffinization), it didn't 
add all that much time to the process.  It was certainly faster than waiting 
for the machine to complete, and start another run.   For our institution, it's 
either going to be 2 Artisans or 2 Benchmarks.  The Artisans will give us some 
greater flexibility due to the greater reagent capacity.

Brian


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Wednesday, September 17, 2014 10:58 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

Brian wrote: ... one more thing.  The reagent tray capacity on the Artisan is 
about twice what it is on a Benchmark.

Are the TAT's equal? When we loaded up our old artisan with slides (50) and 
full of reagents it took over 5 hours to finish - way past our deadline. So 
nobody wanted to use it that way so the techs resisted and wanted to do manual 
to get the slide out. We ended up putting only a few stains on it.

We  are looking at doing specials the way we do immunos - on demand all day 
rather than in one batch in the AM.

It seemed to me that the 20-slide units from Ventana allow small batches and 
run in parallel or allow staggered use. Buying a 50-slide capacity instrument 
and then putting only 20 slides at a time on it seems odd somehow.


We looking at each of these as well and not sure yet which would serve us 
better. We do about 60-80 specials slides per day, and 13 stains give us 90% of 
our volume.

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC 
San Francisco Medical Center San Francisco, CA

CONFIDENTIALITY NOTICE: This email message, including any attachments, is for 
the sole use of the intended recipient(s) and may contain confidential, 
proprietary, and/or privileged information protected by law. If you are not the 
intended recipient, you may not use, copy, or distribute this email message or 
its attachments. If you believe you have received this email message in error, 
please contact the sender by reply email and destroy all copies of the original 
message.


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cooper, Brian
Sent: Wednesday, September 17, 2014 10:33 AM
To: sarah.dys...@stdavids.com; histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: Automated Special Stainer...

Dako Artisan all the way!   I've used both systems (the Artisan in my old 
institution).  We currently have a few of the new Benchmarks on demo right now. 
 Thus far, we're not that impressed.  Frequently, there's variability on the 
silver stains (even in the same run,) and adjusting timing is nowhere near as 
flexible as on the Artisan.  Even if you take away the half hour for online 
deparaffinization, the stains take significantly longer on the Benchmarks (than 
the old Nexes we are still running in our lab).   Oh yeah, one more thing.  The 
reagent tray capacity on the Artisan is about twice what it is on a Benchmark.  
You'll need two Benchmarks to do what one Artisan does, TATs being equal.

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


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
sarah.dys...@stdavids.com
Sent: Wednesday, September 17, 2014 9:13 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Automated Special 

RE: [Histonet] C-Myc

2014-09-12 Thread Sebree Linda A
We do. I'll email Tuesday when I'm back at work.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Rae Staskiewicz 
[raest...@grics.net]
Sent: Friday, September 12, 2014 3:33 PM
To: Histonet
Subject: [Histonet] C-Myc

Would anyone have a protocol for C-Myc using the Ventana Benchmark Ultra or
XT? Thanks in advance for any information you can provide.



Rae Ann Staskiewicz

UnityPoint Health Methodist

Peoria, IL

309-672-5994

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RE: [Histonet] IHC Validation:

2014-08-30 Thread Sebree Linda A
I think your last question says it all; it ultimately is up to the director 
although she/he better be able to explain to a CAP inspector why it was done 
the way it was done.  We generally follow the CAP guidelines with 10 - 20 
+/10-20 - cases.  We've also used the internal negative elements as being 
negative as expected in our validation documentation.  In some cases, when + 
cases are rare we've used less than the suggested number just as CAP says is 
acceptable but we've usually been able to come up with enough.  TMAs are a 
great way to go if you have them or can make them; cuts down on labor/reagent 
cost.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Jb 
[craiga...@gmail.com]
Sent: Friday, August 29, 2014 12:29 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC Validation:

How do most people validate IHC?  I want to create a tissue microarray. I 
wanted to use an average of 6-8 positive tissues.

Is it necessary to validate using negative tissues when there is always an 
internal negative control in all tissue sections. Now with new polymer 
detection systems there is not background, etc.

Is IHC validation ultimately up to the discretion of the laboratory director?

Please advise. Thx-

Sent from my iPhone
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RE: [Histonet] IHC Validation:

2014-08-30 Thread Sebree Linda A
Well said Joelle; we do pretty much the same.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Joelle Weaver 
[joellewea...@hotmail.com]
Sent: Friday, August 29, 2014 4:09 PM
To: Jb; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] IHC Validation:

Yes, ultimately up to lab director/medical director/pathologist as to 
determination of specificity, selectivity, and if you have enough examples, and 
the staining reactivity conforms to the intended clinical use during their 
assessment and hopefully approval of your protocol. I have used some TMAs with 
success, especially if you make with your own in-house processed tissues. I try 
to strongly favor using several expression levels of normal and diseased tissue 
whenever possible that reflect what it will be used for in the patient test 
tissues. If single sections, I try use both expected or known negative and 
positive tissue  both normal and diseased , when practical for the first 
validation set when I get past optimization. For small adjustments I may need 
only a few more confirming positives- up to MD in my situation. I  also have 
polymer detection, but I still like some negatives for me. Some people may not 
feel this is necessary, and the pathologist may not need the negatives ( using 
internal controls), but this helps me,  so I do it to feel more confident in my 
results as I present the slides for review. I don't see why you couldn't use 
internal negatives, if you clarify what tissue element acts as the internal 
negative in the tissue type in the validation summary and SOP.  Basically, for 
amount or # to stain, I follow the CAP guidelines  ( newer ones),  for well 
characterized.  For markers with specific guidelines for validation and 
correlation, I follow the CAP guidelines exactly. Setting up the process/SOP s, 
I used the CLSI guidebook on validation of IHC assays. Both resources (CAP  
CLSI) have been very helpful for me. That is what has been working for me, I 
hope this helps.


Joelle Weaver MAOM, HTL (ASCP) QIHC





 From: craiga...@gmail.com
 Date: Fri, 29 Aug 2014 10:29:15 -0700
 To: Histonet@lists.utsouthwestern.edu
 CC:
 Subject: [Histonet] IHC Validation:

 How do most people validate IHC?  I want to create a tissue microarray. I 
 wanted to use an average of 6-8 positive tissues.

 Is it necessary to validate using negative tissues when there is always an 
 internal negative control in all tissue sections. Now with new polymer 
 detection systems there is not background, etc.

 Is IHC validation ultimately up to the discretion of the laboratory director?

 Please advise. Thx-

 Sent from my iPhone
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RE: [Histonet] IHC QC forms:

2014-08-21 Thread Sebree Linda A
Brandy,

We are completely paperless now so we created a code called RPTIHC that had 
no billing charge associated with it.  The pathologist then puts what 
antibody/antibodies need repeating in the instruction box of the repeat code.  
They also indicate the reason for the repeat(s).  It populates nicely to the 
worklist that gets printed; works well for us. 

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burnett, Brandy
Sent: Thursday, August 21, 2014 12:11 PM
To: Morken, Timothy; 'Jb'; Histonet
Subject: RE: [Histonet] IHC QC forms:

Thanks for your input. We are having the same issues with our IHC QA/QC and 
monthly repeat count. 
The pathologists place the IHC orders through PowerPath, so I'm hoping that we 
can create a Repeat code in PowerPath to keep track of them. Do you know how 
it was set up in your ordering system?

Thanks again,

Brandy Burnett, HTL
Cape Cod Hospital

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Morken, Timothy 
[timothy.mor...@ucsfmedctr.org]
Sent: Thursday, August 07, 2014 2:26 PM
To: 'Jb'; Histonet
Subject: RE: [Histonet] IHC QC forms:

We only check and document control slide quality and need for repeat due to 
control failure.

The pathologist reviewing the slides will send a QC form to us if there is a 
problem with case slides. Plus thye can enter a repeat for a poor stain as a 
repeat and we can track the number of repeats in the system. It is actually 
one of our QA monitors and review of repeats is documented in our quarterly QA 
review meeting.

Tim Morken
Supervisor, Histology, Electron Microscopy and Neuromuscular Special Studies UC 
San Francisco Medical Center San Francisco, CA


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jb
Sent: Thursday, August 07, 2014 11:12 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC QC forms:

Currently we have a IHC QC form for every case that we run. It lists dr, 
antibody, date, comments, quality results. The HT and pathologist sign off on 
the quality. Is this necessary for every case or can we do a daily log for all 
cases?  This process is a little time consuming. Does anyone have a good 
process in place that they can share?

Thank you.

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RE: [Histonet] On the lighter side...

2014-08-10 Thread Sebree Linda A
38 years and looking forward to retirement in a few years.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Jamal 
[j.rowa...@alborglaboratories.com]
Sent: Saturday, August 09, 2014 4:47 AM
To: 'Vincent Rivera'; 'Douglas Porter'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] On the lighter side...

Similar as me
So strong, proud with high confidence


Best Regards,


Jamal M. Al Rowaihi Anatomic Pathology Supervisor   | Al Borg
Medical Laboratories |  Mobile +966 503629832|
j.rowa...@alborglaboratories.com
Palestine St, Al Rajhi Building, P.O. Box 52817, Jeddah 21573, KSA|
Phone: +966 12 670 0099   | Fax: +966 12 676 4984 |
www.alborglaboratories.com


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vincent
Rivera
Sent: Thursday, August 07, 2014 11:58 PM
To: 'Douglas Porter'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] On the lighter side...

15 Years and still going strong :)

Vincent Rivera, HT (ASCP), QIHC, QLS
Histopathology Supervisor
West Dermatology Pathology Laboratory
vriv...@westderm.com
714-924-7240 (Lab)
714-390-0906 (Cell)

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Douglas
Porter
Sent: Thursday, August 07, 2014 11:39 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] On the lighter side...

How long have you been a registered histotech?  36 years here.  You???



Douglas A. Porter, HT (ASCP)
Grossing Technician
IT Coordinator

Cancer Registrar


CAP-Lab, PLC
2508 South Cedar Street
Lansing, MI 48910-3138

517-372-5520 (phone)
517-372-5540 (fax)

 mailto:doug.por...@caplab.org doug.por...@caplab.org

 http://www.caplab.org/ www.caplab.org



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[Histonet] Storage of HER2 neu control slides

2014-07-14 Thread Sebree Linda A
Good morning,

I'd like to get some opinions on the storage of positive control slides for 
HER2 neu.  We currently keep a number of positive control slides in a -20 
degree freezer as some antigens tend to lose reactivity at room temperature; ER 
and PR come to mind.  What has peoples' experiences been with the storage of 
these control slides?

Thanks for any and all replies,

Linda


Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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RE: [Histonet] RE: Storage of HER2 neu control slides

2014-07-14 Thread Sebree Linda A
Thanks Joelle.

I'm surprised that Oracle is suggesting overnight baking as I noticed a huge 
difference when I dried some test tissue controls for 30 @ 60 degrees vs 10 @ 
60 degrees.  I was testing some blocks that I had 3 cores  of varying degrees 
of intensity.  All showed much decreased reactivity at 30 vs 10.  In fact, 
the 2 weaker cores were virtually negative.  I can only assume you're using a 
different clone than we are and that there is different epitope stability 
between clones.

Thanks for your response,

Linda


Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174

From: Joelle Weaver [mailto:joellewea...@hotmail.com]
Sent: Monday, July 14, 2014 9:25 AM
To: Cartun, Richard; Sebree Linda A; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: Storage of HER2 neu control slides

I do the complete drain  dry, date, then refrigeration. Use them within 6 
weeks. The Oracle IVD, IFU says bake overnight, but I don't see that happening 
too often.


Joelle Weaver MAOM, HTL (ASCP) QIHC





 From: richard.car...@hhchealth.orgmailto:richard.car...@hhchealth.org
 To: lseb...@uwhealth.orgmailto:lseb...@uwhealth.org; 
 Histonet@lists.utsouthwestern.edumailto:Histonet@lists.utsouthwestern.edu
 Date: Mon, 14 Jul 2014 14:22:43 +
 CC:
 Subject: [Histonet] RE: Storage of HER2 neu control slides

 We keep all of our positive control slides at RT. The breast predictive 
 marker slides often sit for a few weeks (after cutting) before being used. I 
 think everyone's situation will be different due to laboratory humidity, 
 tissue fixation, and tissue processing which removes the water from the 
 tissue which has been shown to be the one of the culprits in antigen 
 degradation in stored unstained slides.

 Richard

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


 -Original Message-
 From: 
 histonet-boun...@lists.utsouthwestern.edumailto:histonet-boun...@lists.utsouthwestern.edu
  [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda 
 A
 Sent: Monday, July 14, 2014 8:44 AM
 To: Histonet 
 (Histonet@lists.utsouthwestern.edumailto:Histonet@lists.utsouthwestern.edu)
 Subject: [Histonet] Storage of HER2 neu control slides

 Good morning,

 I'd like to get some opinions on the storage of positive control slides for 
 HER2 neu. We currently keep a number of positive control slides in a -20 
 degree freezer as some antigens tend to lose reactivity at room temperature; 
 ER and PR come to mind. What has peoples' experiences been with the storage 
 of these control slides?

 Thanks for any and all replies,

 Linda


 Linda A. Sebree
 University of Wisconsin Hospital  Clinics IHC/ISH Laboratory
 600 Highland Ave.
 Madison, WI 53792
 (608)265-6596
 FAX: (608)262-7174



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[Histonet] RE: IHC proficiency testing

2014-06-23 Thread Sebree Linda A
Hi Kari,

I'd suggest taking advantage of CAP proficiency testing surveys so as to 
compare your lab's results to others.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Delray Beach Pathology 
Kari Simeone [ksime...@leavittmgt.com]
Sent: Monday, June 23, 2014 2:24 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC proficiency testing

Can anyone share their CLIA proficiency protocols/programs for automated IHC 
staining? Other than the obvious antibody validation, positive and negative 
controls, QA and QC performed, should we enroll in an actual program for our 
IHC? We currently use two Leica Bonds and about 70 antibodies. No Her2 or ER/PR 
or FISH.

Thanks in advance!



K. Simeone

ksime...@leavittmgt.commailto:ksime...@leavittmgt.com





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RE: [Histonet] Re: Negative Controls

2014-04-30 Thread Sebree Linda A
Tasha,

We use the negative elements within our patient sample as our negative tissue 
control.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Campbell, Tasha 
M.
Sent: Wednesday, April 30, 2014 6:48 AM
To: Terri Braud; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Re: Negative Controls

So this has confused me more. So before you would run a negative control for 
each block you were testing and you would use the negative mouse or rabbit 
reagent.  Now you don't have to do that but you still need a negative tissue 
control.  So what exactly does this mean?  Does it mean for every antibody that 
you are running you need to have a negative tissue control for it?  So instead 
of using the negative mouse serum you would run a known negative tissue control 
with the antibody, say CD3 or whatever it is?  So are most people doing a 
control slide with a negative tissue and a positive tissue on it?

 
 
Tasha Campbell, B.S.,HTL(ASCP)
Frederick Gastroenterology Associates
310 W. 9th St.
Frederick, MD 21701
301-695-6800 ext. 144 (w)
304-685-9307 (c)
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Terri Braud
Sent: Tuesday, April 29, 2014 1:30 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Negative Controls

On Message 7 - Negative Controls
While it is true that if you run polymers, you no longer have to run a negative 
reagent control, HOWEVER, you still must have a negative tissue control, which 
to quote CAP: must  show no staining of tissues known to lack the antigen
Any of the following can serve as a negative tissue control:
1. Multi tissue blocks.  These can provide simultaneous positive and negative 
tissue controls and are considered best practice...
The type of negative tissue control used (i.e. separate sections, internal 
controls, or multitissue blocks) must be specified in the laboratory manual.
Thus sayeth CAP, the almighty.  Please see ANP.22570 Our lab has defined our 
negative controls as a piece of Uterus as the negative tissue in a multitissue 
block as a negative tissue control for most of our antibodies, though for a few 
that might be too reactive in uterus, we use a piece of skin.
I hope this helps.

Terri L. Braud, HT(ASCP)
Anatomic Pathology Supervisor
Holy Redeemer Hospital Laboratory
1648 Huntingdon Pike
Meadowbrook, PA 19046
Ph: 215-938-3676
Fax: 215-938-3874

Message: 7
From: Beth Brinegar bbrinegar...@gmail.com
Subject: [Histonet] Negative controls
Hello fellow histonetters,

What is are other labs doing to satisfy the ANP.22570 QC - Antibodies 
Appropriate negative controls are used.



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RE: [Histonet] Negative controls

2014-04-29 Thread Sebree Linda A
We still run negative controls.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Beth Brinegar
Sent: Monday, April 28, 2014 4:56 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Negative controls

Hello fellow histonetters,

What is are other labs doing to satisfy the ANP.22570 QC - Antibodies 
Appropriate negative controls are used.

I apologize, I know this question has been asked before.  I'm trying to satisfy 
these requirements in one procedure.

Thank you all for your assistance!!

Beth Brinegar HTL(ASCP)
Anatomic Pathology Supervisor
Mercy Medical Center
Cedar Rapids, IA 52403
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[Histonet] RE: MUM-1

2014-03-13 Thread Sebree Linda A
This is our protocol for the Ultra; maybe it will help.

64 CC1, 32 incubation (MUM-1, 760-4529) @ 36 degrees, Hem II/4.  This is 
with UltraView DAB detection.  We use tonsil as well however we validated with 
HD, LN, GI, tonsil, etc.

Good luck!

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davis, Cassie
Sent: Thursday, March 13, 2014 8:54 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] MUM-1

Good morning Histonet Folks,

 I am hoping one of you will help me. I am in the process of optimizing 
an IHC protocol on the MUM-1 antibody on paraffin tissue for the Benchmark 
XTstainer and I am not thrilled with the results I am getting. I have tried the 
usual adjustments and the results are less than optimal in my opinion. I am 
using a normal tonsil control right now but if you have another suggestion 
please do not hesitate to recommend. I am praying somebody might have done this 
before and would be willing to share their staining protocol or tips with this.

Cassandra Davis
cda...@che-east.org
302-575-8095



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[Histonet] RE: Mailing Freebie

2014-03-07 Thread Sebree Linda A
I was told they're in the mail.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Goins, Tresa
Sent: Friday, March 07, 2014 11:03 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Mailing Freebie



OK - I may be missing something, but what is that blue adhesive pocket that 
was sent out with histology professionals' day literature?
Just curious . . . . .

Happy Friday.

Tresa





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[Histonet] RE: Negative Controls for IHC

2014-02-11 Thread Sebree Linda A
Hi Tanya,

We have made the decision to continue running negative reagent control slides.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Abbott, Tanya
Sent: Tuesday, February 11, 2014 12:54 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Negative Controls for IHC

I just read in Advance Dec 2013 that there is a possibility of laboratories 
utilizing fewer QC controls to cut costs? Has anyone stopped running negative 
controls for IHC?

Tanya G. Abbott RT (CSMLS)
Manager Technologist, Histology/Cytology St. Joseph Medical Center Reading, PA 
19603-0316 ph  610-378-2635 fax 610-898-5871
email: tanyaabb...@catholichealth.net

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immediately reply to the sender and delete the message completely from your 
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RE: [Histonet] Lysol I.C.

2014-01-23 Thread Sebree Linda A
That's what we use Anita and we purchase it from Cardinal as well.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of anita
Sent: Thursday, January 23, 2014 10:09 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Lysol I.C.

We are using Lysol I.C. for disinfecting the ventana benchmark.  I thought I 
purchased it from Cardinal but I'm not sure now where we got it.  Are others 
using this for their machine and where are you purchasing it from?   Thanks so 
much.

 

Anita Dudley

Providence Hosp.

Mobile, Al. 36695
  
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[Histonet] Beta-Amyloid antibody, clone 6E10 availability

2014-01-02 Thread Sebree Linda A
So Histonet land,  our usual vendor for this antibody can no longer get this 
clone.  My question is:  does anyone know who might hold the patent on this 
clone or at least know any company selling the 6E10 clone?

Thanks,

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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[Histonet] RE: Ventana Labels

2013-12-26 Thread Sebree Linda A
We tried another vendor for ebar labels, FloPro Tek, easternlabsvc.com, but 
they didn't hold up in xylene.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Christopher 
Jacobs
Sent: Thursday, December 26, 2013 12:39 PM
To: 'histonet@lists.utsouthwestern.edu'
Cc: Irene G. Campbell, HT (ASCP)
Subject: [Histonet] Ventana Labels

Histonetters,

Like everywhere else, my lab is trying to find ways to save money. One thing we 
are looking at are the labels/ribbon we use for our Ventana EBAR printers and 
our Ventana Vantage Zebra printers. Currently, we order labels/printer ribbons 
for both types of printers directly from Ventana. As one can imagine, we are 
paying a premium price. Has any out there had any luck finding labels/ribbon 
cheaper from other sources?

Thank you everyone!

-CJ


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[Histonet] RE: On-slide IHC control workflow?

2013-12-04 Thread Sebree Linda A
This is what we've done when we recently moved to control tissue on every slide 
for IHC as well as Special Stains.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Morken, Timothy
Sent: Wednesday, December 04, 2013 11:46 AM
To: Histonet
Subject: [Histonet] On-slide IHC control workflow?

We are planning our move to using on-slide controls for IHC and I'm wondering 
how other labs handle the workflow and logistics of matching controls to stain 
orders.

We plan to use a TMA for 80% of our orders. So far we have one TMA that covers 
most Ab's but the number will probably will be expanded (neuropath-specific, 
Hempath specific, etc).

For those who do this now, how do you handle these tasks:


* Do you use TMA or single-tissue controls? Or a mix? 

 We use single tissues for most and have decreased the number of 
different tissues being used as controls to a more generic tissue that will 
cover a wider range of antibodies.

* Cutting all the controls - one or more techs? Part of normal work? 
Outsource? (especially TMA cutting - inhouse or outsource?)  

Cutting controls is a component of several of the histologists' 
rotations so every week at least 2 people have this task as part of their 
rotation.


* How do you store the controls? (We plan to cut nearly just-in-time, 
maybe two days from use).

Most are stored at RT; some are stored at - 20 degrees C for those 
antigens that may lose reactivity at RT


* How do you distribute to the cutters?

The IHC lab prints control slides and pulls the corresponding blocks to 
have at the ready for those people on the rotations that include cutting 
controls...they come pick the slides  blocks  up when they're ready to cut 

* How do you Indicate to the cutting techs which control slide to use 
for a particular stain? (we use over 200 antibodies so need to make as easy as 
possible without memorization)

We have a master list of our antibodies posted where IHC slides are 
organized, that indicates which control tissue to use for each antibody.


* How do you prevent the wrong control slide from being used?

People learnif a mistake is made, that person is written up so 
the importance of paying attention to detail is reinforced.


Anything else we should consider?

We cut large amounts, i.e. 200 tonsil controls, at a time rather than a 
couple days before the need for control slides.  These are kept in slide files 
in the area of IHC slide organization where  the barcode labels are printed 
for use on our IHC stainers.  The control slides are then labeled along with 
blank slides for the negative controls and taken to microtomy work stations ; 
works well for us.

Thanks for any help!!

Tim Morken
Supervisor, Electron Microscopy and Neuromuscular Special Studies UC San 
Francisco Medical Center Box 1656
505 Parnassus Ave
San Francisco, CA 94143
USA

415.353.1266  (office)
tim.mor...@ucsfmedctr.orgmailto:tim.mor...@ucsfmedctr.org


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[Histonet] RE: CAP survey Question

2013-12-04 Thread Sebree Linda A
We also have Ultras Jim.  We don't print out the run logs.  IHC personnel 
review the controls before they go to a pathologist in order to catch any 
problems.  The pathologists are supposed to review the controls associated with 
each case they sign out.  Our pathology report has a statement included that 
the negative and positive controls have stained appropriately.  By signing off 
on each case, the pathologist is attesting to the fact that he has indeed 
reviewed the controls...we do not police them.

So far, this works for us.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vickroy, Jim
Sent: Wednesday, December 04, 2013 2:51 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] CAP survey Question


For a long time I have had our IHC techs print out the run logs from each IHC 
run on the Benchmark Ultras.   The techs then check the slides to make sure the 
positive and negative controls have worked properly before the slides are sent 
to the individual pathologists.  The pathologists are also supposed to check 
the controls before looking at the patient slides.   Lately in the interest of 
reducing turnaround time I have been asked why we run the log reports and have 
a tech look over the controls before they send them to the pathologists since 
the pathologist will also evaluate the controls.   I have been doing this 
because I wanted the documentation that someone reviewed the controls each time 
an IHC stain was done.  I believe if the pathologists would document someplace 
that the control slides were reviewed before the patient slides were viewed 
then I could eliminate the techs looking over the controls also.   Problem is 
how are others documenting that the controls are reviewed?  Is this done by the 
techs, the pathologists, or both?  We of course have also used this data for 
quality assurance of our stains.   Thanks for your help.

Jim

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor Memorial Medical Center
217-788-4046



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[Histonet] RE: AA Amyloidosis

2013-11-18 Thread Sebree Linda A
We sent part of what we had to ProPath so if you need a reference lab to send 
to, they offer this IHC test.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Obregon, Cecilia
Sent: Monday, November 18, 2013 3:50 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] AA Amyloidosis

Histoneters,



Does anyone have a positive block (or two) for AA Amyloidosis?

I'm willing to trade for other hard to find controls. Let me know.



Thank you,



Cecilia M Obregon

Memorial Regional Hospital

3501 Johnsonn Street

Hollywood, FL 33021


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[Histonet] RE: Validating on new Benchmark

2013-10-11 Thread Sebree Linda A


Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Fawn Bomar
Sent: Friday, October 11, 2013 6:49 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Validating on new Benchmark

Hi everyone,



I have a few more questions that I was hoping I could get some help on.



1.   How did everyone go about obtaining the positive and negative 
controls-(did you choose patient cases or go with generic controls such as 
extra tonsil, appendix, colon,etc...)

We used both.



2.  For the negative controls do you have to find separate negatives or can you 
use the internal negative controls if the tissue has it.

Our in-house QA people determined we need to have separate negative 
cases.



3.  Do you have to do a minimum of 10 positive and negatives or can we do 5 
(other than the ER/PR and Her2)

CAP is vague on this saying that for hard-to-find positive cases, less 
than 5 +/- will suffice.



Thank you

Fawn
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[Histonet] RE: Negative Reagent Controls in Diagnostic IHC....

2013-10-10 Thread Sebree Linda A
Richard,

I wish we could eliminate them but not only do our negatives displaying some 
non-specific staining, seems to be tissue dependent, but our in-house QA people 
say we need to continue using them per the data sheets accompanying many of our 
antibodies.  We use Ventana UltraView DAB detection, a multimer kit.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Wednesday, October 09, 2013 3:59 PM
To: Histonet
Subject: [Histonet] Negative Reagent Controls in Diagnostic IHC

My colleagues and I presented a poster at the NSH annual meeting in Providence 
recently titled, Negative Reagent Controls in Diagnostic Immunohistochemistry: 
 Do we need them?.  I have received a few requests for the actual poster 
(PowerPoint slide).  I will be happy to e-mail it to anyone who is interested.



Oh, by the way, we have determined that they are not needed in our laboratory 
and by eliminating them we have saved our laboratory over $100,000 a year!



Richard



Richard W. Cartun, MS, PhD

Director, Histology  Immunopathology

Director, Biospecimen Collection Programs

Assistant Director, Anatomic Pathology

Hartford Hospital

80 Seymour Street

Hartford, CT  06102

(860) 545-1596 Office

(860) 545-2204 Fax

richard.car...@hhchealth.orgmailto:richard.car...@hhchealth.org

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[Histonet] C3d by IHC on FFPE human specimens

2013-10-03 Thread Sebree Linda A
Does anyone in Histoland know of a reference lab that offers this?

Thanks,

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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[Histonet] RE: IHC trun-around-time

2013-10-01 Thread Sebree Linda A
Hey Tom,

Although we have a higher workload than you, ~ 1500 slides/month, we offer same 
day TAT with a cut-off of noon.  There are a couple exceptions, i.e. triple 
stains and HER2 dual ISH but otherwise, utilizing 4 Ventana Ultras, we have it 
all out by 4 pm or slightly later.  Our hours are 5 am to 4 pm with 2.25 FTEs.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar
Sent: Tuesday, October 01, 2013 10:00 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC trun-around-time

Hello all,

I am wondering how many places offer same-day staining of IHC.  We are a small 
hospital based lab that averages about 70 IHC slides per week.  We operate 5 
days/week, 0600-1600.  We give same day staining for IHC requests that are 
received by 10am and are using the Ventana Benchmark XT.   Due to some issues 
that have developed, we may have to change the way we do things.

With our current 10am cutoff plus possible pre-analytical changes the 
instrument will finish too late in the afternoon.  The pathologists really like 
the same day service on IHC but I'm thinking that I may have to make the cutoff 
time earlier and anything after that will just have to wait.

So I am wondering if anyone else of similar size, instrumentation, and 
workload, offers same-day staining for IHC.  I appreciate your input.  Thanks.


Tom McNemar, HT(ASCP)
Histology Co-ordinator
Licking Memorial Health Systems
(740) 348-4163
(740) 348-4166
tmcne...@lmhealth.orgmailto:tmcne...@lmhealth.org
www.LMHealth.orgfile:///C:\Documents%20and%20Settings\TMCNEMAR\Application%20Data\Microsoft\Signatures\www.LMHealth.org


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RE: [Histonet] Unregistered HT

2013-09-11 Thread Sebree Linda A
Well said Jean.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Mitchell Jean A
Sent: Wednesday, September 11, 2013 9:26 AM
To: 'Horn, Hazel V'; 'Weems, Joyce K.'; 'Jennifer MacDonald'; Marcum, Pamela A
Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu
Subject: RE: [Histonet] Unregistered HT

Even if a facility does not require that techs be HT registered - the 
technicians themselves need go that extra step, take the initiative themselves 
and become HT certified.  If a portion of histologists don't recognize or care 
about the merit of certification how can we progress our profession to the 
status it deserves?   You have to believe in yourself in order for others to 
follow suit.   

With the exclusion of the front office; NSH is a volunteer organization that 
fights for our profession and it can be difficult to take on the big dogs of 
ASCP/CAP/CLIA.  I like to see this passion for our profession and if we keep 
this up eventually we will see results and the professional status we deserve. 

Jean Mitchell, BS HT (ASCP)
University of Wisconsin Hospital  Clinics Neuromuscular Laboratory
600 Highland Avenue
Madison, WI  53792-5132 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Horn, Hazel V
Sent: Wednesday, September 11, 2013 8:30 AM
To: 'Weems, Joyce K.'; 'Jennifer MacDonald'; Marcum, Pamela A
Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu
Subject: RE: [Histonet] Unregistered HT

Histology does not get the respect or the recognition because histologists do 
not report results.  All of the complex testing we do is overlooked because the 
pathologists report the results.   CLIA standards are based on result 
reporting.   The CAP has looked the other way for years because pathologists 
would hire unregistered techs.  If pathologists would demand only registered 
techs half our battle would be won. 

Hazel Horn
Supervisor of Histology/Autopsy/Transcription Anatomic Pathology Arkansas 
Children's Hospital
1 Children's Way | Slot 820| Little Rock, AR 72202
501.364.4240 direct | 501.364.1241 fax
hor...@archildrens.org
archildrens.org






-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Weems, Joyce K.
Sent: Wednesday, September 11, 2013 8:08 AM
To: 'Jennifer MacDonald'; Marcum, Pamela A
Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu
Subject: RE: [Histonet] Unregistered HT

And the reason so many have been fighting for this for years. If a lab were 
looking for a Medical Technologist there would be no question.


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



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

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regarding the error in a separate email.

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jennifer 
MacDonald
Sent: Tuesday, September 10, 2013 7:32 PM
To: Marcum, Pamela A
Cc: histonet@lists.utsouthwestern.edu; histonet-boun...@lists.utsouthwestern.edu
Subject: RE: [Histonet] Unregistered HT

As long as we do not need certification, licensure and minium education 
requirements we will not be recognized as Laboratory Professionals.



From:   Marcum, Pamela A pamar...@uams.edu
To: 'joelle weaver' joellewea...@hotmail.com, 'Emily Sours'
talulahg...@gmail.com, histonet@lists.utsouthwestern.edu
histonet@lists.utsouthwestern.edu
Date:   09/10/2013 01:12 PM
Subject:RE: [Histonet] Unregistered HT
Sent by:histonet-boun...@lists.utsouthwestern.edu



I agree we have huge gray areas and not all histology schools are as good as 
they could be for what we are facing in Histology.  I keep harping on the fact 
that until we are recognized as Laboratory Professionals we will stay in this 
limbo.  The rules determining complex testing should be revisited to what is 
done in Histology Laboratories today and not what we did 30 or more years ago.  
The Clinical Laboratory is now so automated it is hard to find anyone in most 
areas who can even remember doing any manual testing.  The Micro lab is the 
closest to being as manual as areas of 

[Histonet] RE: Processors and IHC Stainers

2013-09-04 Thread Sebree Linda A
We like our 4 Ventana Ultras for IHC, ISH and CISH.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jones, Laura
Sent: Wednesday, September 04, 2013 12:33 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Processors and IHC Stainers

We are looking/hoping for some opinions on some equipment that we are 
considering for our lab.

In the tissue processor line up we have:  Leica's ASP6025; the VIP 6; Thermo's 
STP 420ES and Milestone's Logos.

The IHC Stainer contenders are:  Ventana's Ultra; Leica's Bond III or an 
updated version of what we currently use - the Labvision Autostainer.

It's especially important to us to hear the opinions of techs who work with 
these instruments, as the selections here are being made primarily by those who 
do not.  We are a community hospital with about 5800 cases/year.  We average 
25-30 IHC slides/day.  Thanks in advance!



Sharon Regional Health System is the area's largest hospital and provider of 
health care services. Visit us online at http://www.sharonregional.com for a 
complete listing of our services, primary care physicians and specialists, and 
satellite locations.

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[Histonet] RE: IHC Tissue

2013-08-28 Thread Sebree Linda A
Hi Colleen,

We are just wrestling with this very issue and have decided to use:

Normal colon, i.e. staining present with all four antibodies
Colon carcinoma without the mutation, i.e. staining present with all 
four antibodies
Colon carcinoma(s) with the mutation for each antibody, i.e. no 
staining present for each of the four antibodies, probably employing two 
different specimens

I'll be interested in your other responses since our plan is not yet set in 
stone.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Herring, Colleen
Sent: Wednesday, August 28, 2013 6:14 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC Tissue

Good morning,

   I would like to get some input on the type of tissue everyone is using for 
their IHC MMR protocol. I would like to use just one block for all four 
protocols if possible. Any suggestions.


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[Histonet] Resulting Ventana HER2 dual ISH

2013-08-27 Thread Sebree Linda A
Good morning everyone,

For those if you that are using Ventana's Inform HER2 dual ISH DNA Probe 
Cocktail Assay; how are you reporting out results and do you put a disclaimer 
of any sort in your reports?

Thanks for your responses,


Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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[Histonet] Positive tissue controls for MSI antibody panel

2013-08-19 Thread Sebree Linda A
Question everyone:

What are you all using for your positive tissue control when running the MSI 
antibody panels, i.e. MLH-1, MSH-2, MSH-6, PMS-2?  We're contemplating using 
normal colon that all four antibodies should stain but do we also need to show 
that colon having the mutation does not stain for each antibody as well to show 
there are no false positive results?

The former would be the easy way out but I'm willing to construct a 
multi-tissue block containing normal colon and colon with the mutation(s).

Thanks for all your responses,

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174



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RE: [Histonet] p63 vs p40

2013-08-15 Thread Sebree Linda A
Our docs here want to switch to TTF-1 and p40 for lung bxs rather than the 
TTF-1 and p63 we're doing now.  We will retain our p63 for other applications.



Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Susan Foreman
Sent: Thursday, August 15, 2013 8:13 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] p63 vs p40

Interested in hearing feedback regarding p63 vs p40 antibodies for IHC.
Our rep has provided me with some literature, but I wanted to hear some 
real-world feedback.  J

 

Many Thanks,

 

 

Susan 

 

 

 

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[Histonet] RE: immunohistochemistry help please

2013-08-01 Thread Sebree Linda A
To test your deparaffinization Rebecca, I'd try staining a slide with something 
cheaper and quicker, like just your counterstain to see if that's working.  
Then go from there.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tarantelli, 
Rebecca Anne
Sent: Thursday, August 01, 2013 2:20 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] immunohistochemistry help please

Hi all,

I am new to this forum, but a friend recommended I send my issue out to you for 
help. Four weeks ago I completed a new protocol for Immunohistochemistry (IHC) 
using protinase K epitope retrieval, and monoclonal antibody 3F6. It worked 
perfectly. Three days later, after 13 beautiful stains, it just stopped 
working. The slides will not even take up the counter stain - Hematoxylin. I 
have exchanged my xylene, and tried again, and it still is not working. I am 
guessing since my counter stain isn't working, this is an issue in the 
deparaffinization stage, but I'm just not sure.

Please let me know if you have any suggestions!

Thank you
Rebecca

Rebecca Tarantelli

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[Histonet] RE: immunohistochemistry help please

2013-08-01 Thread Sebree Linda A
OK, so I would be very suspect of your xylene.  Has anything changed, i.e. 
vendor?  It sounds like it's not dissolving your paraffin.  Are you using the 
same paraffin you were when you were successful?  Do you dry/melt your slides 
in an oven prior to depar?  If not, you could try that at a  temperature just 
above the melting point of your paraffin for 10 - 30 minutes.

Linda A. Sebree 
University of Wisconsin Hospital  Clinics 
IHC/ISH Laboratory 
600 Highland Ave. 
Madison, WI 53792 
(608)265-6596 
FAX: (608)262-7174 


-Original Message-
From: Tarantelli, Rebecca Anne [mailto:ra...@pitt.edu] 
Sent: Thursday, August 01, 2013 2:40 PM
To: Sebree Linda A; histonet@lists.utsouthwestern.edu
Subject: RE: immunohistochemistry help please

Hi Linda, 

I'm sorry - I should have been a little more clear. Once I realized it isn't 
working, I did stop using the antibody. I have been trying just 
deparaffinization, and then counter staining with hematoxylin and skipping 
everything in between. The tissue isn't taking up the hematoxylin. With your 
experience, would you have any suggestions as to what part of the 
deparaffinization stage would cause the hematoxylin not to stain? I use: Xylene 
3 minutes x 3, 100% ethanol 3 minutes x 2, 90 % ethanol 3 minutes x 1, 75% 
ethanol 3 minutes x1, distilled water 2 minutes x 1, then Dako wash buffer 3 
minutes x 1. Next, I have been just going right to 3 minutes in my hematoxylin. 

I'm sorry if these are beginner questions, this is my first attempt at IHC, and 
it worked so well for a week and now nothing. 

Thank you!

Rebecca Tarantelli


-Original Message-
From: Sebree Linda A [mailto:lseb...@uwhealth.org] 
Sent: Thursday, August 01, 2013 3:36 PM
To: Tarantelli, Rebecca Anne; histonet@lists.utsouthwestern.edu
Subject: RE: immunohistochemistry help please

To test your deparaffinization Rebecca, I'd try staining a slide with something 
cheaper and quicker, like just your counterstain to see if that's working.  
Then go from there.

Linda A. Sebree
University of Wisconsin Hospital  Clinics IHC/ISH Laboratory
600 Highland Ave. 
Madison, WI 53792
(608)265-6596
FAX: (608)262-7174 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tarantelli, 
Rebecca Anne
Sent: Thursday, August 01, 2013 2:20 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] immunohistochemistry help please

Hi all,

I am new to this forum, but a friend recommended I send my issue out to you for 
help. Four weeks ago I completed a new protocol for Immunohistochemistry (IHC) 
using protinase K epitope retrieval, and monoclonal antibody 3F6. It worked 
perfectly. Three days later, after 13 beautiful stains, it just stopped 
working. The slides will not even take up the counter stain - Hematoxylin. I 
have exchanged my xylene, and tried again, and it still is not working. I am 
guessing since my counter stain isn't working, this is an issue in the 
deparaffinization stage, but I'm just not sure.

Please let me know if you have any suggestions!

Thank you
Rebecca

Rebecca Tarantelli

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[Histonet] Hepatocyte Nuclear Factor (HNF-1B)

2013-07-18 Thread Sebree Linda A
Good morning all,

One of our pathologists has requested this antibody and we don't have it in our 
inventory.  So I'm asking if there are any reference labs offering HNF-1B for 
FFPE human tissue?

Thanks for any/all responses.

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174


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[Histonet] RE: Sub-optimal Results

2013-07-16 Thread Sebree Linda A
We are required to keep all QA forms for 2 years.

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amber McKenzie
Sent: Tuesday, July 16, 2013 2:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Sub-optimal Results

Do you guys keep the QA form when a specimen is rejected and sent back to the 
source for correction? ANP. 11475


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RE: [Histonet] MSI on Ventana

2013-07-09 Thread Sebree Linda A
Hey Tony,

We are using VMS antibodies (2 are manufactured by CellMarque) on our Ultras.  
We've had to go with the Optiview detection to get satisfactory results.  Let 
me know if you'd like our protocols.  

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tony Reilly
Sent: Monday, July 08, 2013 9:47 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] MSI on Ventana

Hello
 
We have previously been sending our MSI Abs to another lab where they are being 
performed on the Bond.  We have now been informed that we are to do our own and 
one of my IHC staff with previous experience in another lab informs me that 
they do not work as well on the Ventana platforms that we are currently 
running.  Is ther anybody out there successfully staining MSI on the Ventana.  
If so what brand/clone of Abs are you using?  We are trying to avoid using the 
Ventana RTU Abs due to cost.
 
regards
Tony
 
 
 
 

Tony Reilly  B.App.Sc. , M.Sc.
Chief Scientist, Anatomical Pathology
Pathology Queensland-PA Laboratory

Health Services Support Agency | Department of Health
 
Level 1, Building 15,Princess Alexandra Hospital Ipswich Road,WOOLLOONGABBA  
Qld4102
Ph: 07 3176 2412
Mob: 0402 139411
Fax: 07 3176 2930
Email: tony_rei...@health.qld.gov.au
Web:  www.health.qld.gov.au/qhcss/
 
 


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[Histonet] RE: Immunohistochemistry TAT

2013-07-02 Thread Sebree Linda A
Pat,

Right off the bat I can see 2 things that could speed things up for you.  We 
have Ultras and only dry our slides for 10 minutes at 60 d C.  If tissues don't 
stay on well, try some Stay On in your water bath; we're experimenting with 
that now.  Also, we spend way too much time ourselves searching for blocks.   
See if there is a way to have them organized immediately after sectioning the 
HEs so they are quicker to find...we are struggling with this.

My 2 cents; good luck.

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Karlisch, 
Patricia
Sent: Monday, July 01, 2013 4:36 PM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Immunohistochemistry TAT

Histonetters,
I am looking for some help in getting IHC slides out in an 8 hour period of 
time.  Here is some information.

* We have a busy Immunohistochemistry lab  and the volume of requests 
keep increasing.  We offer approximately 150 different  IHC stains ( including 
ISH and Dual ISH for Her 2).  Generally, there are request for  150- 200  IHC 
tests twice a day, not including negative and positive (same slide) controls.

* The techs pull an AM log at 6am and another at 1pm.  The 1pm log will 
be handled while waiting for the IHC's to be completed from the 6am run  and 
these will always be run overnight.

* The 6am log requires that one tech start cutting each block for 
multiple IHC stains.  (A search for blocks and the necessary control slide 
occurs by the same person).   The slides are kept in a 60 degree oven for about 
60 minutes.  Most of these slides will be ready by 2-3:30pm.
   Here is my question.  If we allowed requests for IHC stains to wait until  
9AM  how could we still get slides out by 3:30pm-4pm? In other words we would 
not have access to an LIS log until 9am so that the pathologists could order 
from the morning biopsies.  What is the best way to do this  with 3 Ventana 
Ultra's  and one Benchmark XT. The blocks ( usually 40-50) need to be cut; 
sit in an oven and then get labeled and placed on the Ventana's.   All longer 
stains such as ISH would be run overnight.
   The following  tasks makes the 3:30- 4pm 
deadline difficult:

* Searching for the blocks

* Cutting the blocks (40-50) onto control slides + negative control

* One hour in the oven to dry  (Can we use 30minutes?)

* Attaching labels to 150 slides and setting up instruments

* One microtome

* 2 techs/ some of the time
 Can you share your workflow with me if you do a similar volume of slides 
within an 8 hours period.  How would you staff the two IHC techs to gain the 
most efficiency.  As you know the fuller the instrument the longer the staining 
process.

   Thank you,
  Pat Karlisch, Supervisor
pkarli...@hmc.psu.edumailto:pkarli...@hmc.psu.edu
Tel   717-531-6072
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[Histonet] IHC Elastin stain

2013-07-02 Thread Sebree Linda A
Do any of you do this?  Do any referral labs offer this?

Thanks,

Linda A. Sebree
University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174


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[Histonet] IHC antibody for Major Basic Protein for eosinophils

2013-06-24 Thread Sebree Linda A
Are there any reference labs offering this on FFPE specimens?

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174


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[Histonet] RE: Lysol IC for Ventana equipmetn cleaner

2013-05-14 Thread Sebree Linda A
The dilution is listed on the bottle...I'm not at work but its something like 
1:252.

Linda A. Sebree

From: histonet-boun...@lists.utsouthwestern.edu 
[histonet-boun...@lists.utsouthwestern.edu] on behalf of Amber McKenzie 
[amber.mcken...@gastrodocs.net]
Sent: Tuesday, May 14, 2013 11:33 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Lysol IC for Ventana equipmetn cleaner

I used to use Amphyl to decon my Ventana equipment, but now Cardinal sells 
Lysol IC in its place and I was wondering how you guys make it up...water to 
cleaner ratio in the Vantana carboys. With Amphyl I did 20L dH20/200ml Amphyl.  
Thanks!

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RE: [Histonet] H pylori and Ventana instruments

2013-05-07 Thread Sebree Linda A
Rae,

We use Ventana's HP antibody with no problems.

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rae Staskiewicz
Sent: Tuesday, May 07, 2013 12:56 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] H pylori and Ventana instruments

Hi all,

Those of you using Ventana instrumentation, could you tell me what H pylori 
antibody you are using, and whether or not you are experiencing non-specific 
staining, or staining that looks specific but with a stippled effect. 

Thanks

Rae Staskiewicz
UnityPoint Health-Methodist


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[Histonet] RE: Monitoring of IHC staining trends

2013-04-30 Thread Sebree Linda A
Ashley,

Every new lot of antibody we get in is run with some of our control tissues and 
compared to the current/previous lot staining.  So we should be able to detect 
a change.  Our policy is that minor changes to protocols are OK but anything 
major would require revalidation...we try not to go there.

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Troutman, 
Kenneth A
Sent: Tuesday, April 30, 2013 12:28 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Monitoring of IHC staining trends

Hello Histonet,

I have a question for the group at large.  How are labs monitoring drift in IHC 
staining over time?

Here's the scenario:  You do lot to lot testing and everything looks fine until 
one day your pathologists are telling you that the CAM5.2 is too dark.  Now, 
you've been looking at these slides every day for the last year and, sure 
enough, when you pull out a slide from last year's lot, it is significantly 
lighter.  So what do we do about it?  Do we revalidate the stain?  Does anyone 
have a mechanism to monitor this better?  What is the threshold for 
revalidation?

Feedback from techs as well as any pathologists would be greatly appreciated.

Regards,

Ashley Troutman BS, HT(ASCP) QIHC
Immunohistochemistry Supervisor
Vanderbilt University Histopathology
1301 Medical Center Drive TVC 4531
Nashville, TN  37232
ashley.trout...@vanderbilt.edumailto:ashley.trout...@vanderbilt.edu
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[Histonet] RE: ventana counterstaining

2013-03-21 Thread Sebree Linda A
Kimmie,

We use VMS' Hematoxylin II with no changes from how it has always stained.



Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kimmie Rabe
Sent: Thursday, March 21, 2013 11:28 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] ventana counterstaining

Has anyone else had problems with the counterstain on the ventana being pink 
instead of that lovely pale blue color?  Ventana says it's because we use 
Sta-On, but we don't always use Sta-On and the pink vs. blue staining doesn't 
correlate with whether Sta-On has been used or not.  Don't get me wrong, I have 
nothing against pink.  But if there is some problem with the hematoxylin we 
purchase from ventana or the dispensing or mixing thereof--we would like to 
know.

Thanks!

Kimmie E. Rabe, MD
North Central Pathology, PA
3701 12th Street North, Suite 201
St. Cloud, MN 56303
Phone:  320-253-6554
Fax:  320-253-1218
k...@ncpath.commailto:k...@ncpath.com

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[Histonet] Glutamine Synthetase and HSP 70 IHC test availability

2013-03-20 Thread Sebree Linda A
Hello Histonetters,

One of our pathologists is requesting Glutamine Synthetase and Heat Shock 
Protein (HSP) 70 immunostains on a liver specimen.  Our usual go to reference 
labs do not perform these.  Are there labs out there that have these tests 
available?  Even non-reference labs???

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174


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[Histonet] RE: Ubiquitin and alpha synuclein

2012-12-13 Thread Sebree Linda A
Jennifer,

We use p62/SQSTM1 from MBL (Medical  Biological Laboratories, Co., LTD), code 
M162-3, as our Ubiquitin and alpha Synuclein from Invitrogen, #18-0215.

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174
-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Harvey, 
Jennifer Lynn
Sent: Thursday, December 13, 2012 11:03 AM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] Ubiquitin and alpha synuclein


What is histoland using to stain Lewy bodies these days? I am not happy with 
the ubiquitin or the alpha synuclein that we have. I would like to know what 
manufactures others are using.

Thanks


Jennifer Harvey, HT(ASCP) QIHC
Vanderbilt University Medical Center
Neuropathology Lab Supervisor
C-2309 Medical Center North
Nashville, TN  37232-2561
Phone: 615-343-0083
Fax: 615-343-7089

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[Histonet] Any reference labs offering CD52 (CAMPATH) on human FFPE specimens?

2012-11-28 Thread Sebree Linda A
Looking for a reference lab offering the above.

Thanks,

Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174


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RE: [Histonet] Background staining on H pylori

2012-11-06 Thread Sebree Linda A
Deloris,

We recently had what we think was a contaminated dispenser of HP from VMS.  It 
had brown particulate matter scattered over the slide which the docs said was 
not bugs.  Received a new dispenser from VMS and have had no problem since. 


Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Deloris Carter
Sent: Monday, November 05, 2012 5:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Background staining on H pylori

Hi,
I'm getting a lot of background staining on my HP's.  We use a Ventana 
BenchmarkXT with ultraView DAB.  The problem seems to be escalating of late, 
and I'm not sure why.  We use Hollande's on our GI biopsies, and run them on a 
shorter run.  Nothing has changed in the processing of the specimens, or the 
IHC procedure.  The antibody dispenser is a newer lot, but not brand new, as we 
get the larger size due to the high volume of HP's we run. Any ideas?

Deloris Carter HT(ASCP)
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RE: [Histonet] How to fix frozen section?

2012-11-06 Thread Sebree Linda A
It depends upon what marker you're staining for.  We fix our renal biopsies for 
C4d in acetone for 10. 


Linda A. Sebree

University of Wisconsin Hospital  Clinics
IHC/ISH Laboratory
600 Highland Ave.
Madison, WI 53792

(608)265-6596
FAX: (608)262-7174

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Amy Lee
Sent: Tuesday, November 06, 2012 1:41 PM
To: histonet
Subject: [Histonet] How to fix frozen section?

Hello,
 
I will receive some frozen tissue sections that are not fixed. I rarely do IHC 
on frozen sections. I searched some articles about fixation. Some use 50/50 of 
acetone/alcohol and some use only alcohol. Could you please recommend a 
fixation method for me?
 
 
Thanks,
 
Amy
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RE: [Histonet] IHC negative controls

2012-10-29 Thread Sebree Linda A
I really doesn't matter what I think of course Melissa.  When I presented the 
facts to the faculty they overwhelmingly agreed not to drop the negative 
controls and they were definitely not going to be in direct conflict with CLIA 
reg's.  It's really up to your lab's manager/director whether an extensive 
validation is adequate.  

Good luck with your decision,

Linda 

-Original Message-
From: Kuhnla, Melissa [mailto:melissa.kuh...@chsli.org] 
Sent: Monday, October 29, 2012 5:23 AM
To: Sebree Linda A; Glen Dawson; histonet
Subject: RE: [Histonet] IHC negative controls

Very good point Linda.  The only testing we currently report as an FDA approved 
test are our breast markers.  It may be easy enough to maintain the negative in 
that scenario.  For other scenarios, we are considering dropping the negative 
as long as we perform and document an extensive validation.  It still may be 
well worth it.  What do you think?

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A
Sent: Friday, October 26, 2012 10:24 AM
To: 'Glen Dawson'; histonet
Subject: RE: [Histonet] IHC negative controls

Hey Glen,

Don't know the answer to your specific question but on a related issue, our lab 
has decided to maintain running negative controls due to the fact that the 
manufacturer's data sheets for our IHC detection kits and a majority of our 
antibodies require using +/- controls. The company in question has told us they 
do not intend to change their guidelines as its part of the FDA approval for 
their products. Performing IHC staining not in compliance with the 
manufacturers' guidelines is against CLIA reg's.  

Something to consider.

Linda

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Glen Dawson
Sent: Friday, October 26, 2012 8:45 AM
To: histonet
Subject: [Histonet] IHC negative controls


All,
 
Can anyone tell me if JHACO  CLIA are deferring to CAP's judgement that a 
negative control is not needed when utilizing a polymer detection?
 
I assume that this is the case, but I'd like to be sure.
 
Thank-you in advance,
 
Glen Dawson  BS, HT(ASCP), QIHC
Histology Technical Specialist
Janesville, WI
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RE: [Histonet] Dako vs Ventana IHC systems

2012-10-29 Thread Sebree Linda A
We sure like it Joe. 

-Original Message-
From: Joe W. Walker, Jr. [mailto:joewal...@rrmc.org] 
Sent: Monday, October 29, 2012 9:38 AM
To: Terri Brown; Sebree Linda A; Burton, Lynn; Gloria Tharp; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

Which Dako and Ventana machines are you all using?  We are in the market for a 
new IHC stainer and the new Ventana BenckMark Ultra machine looks interesting.

Joe W. Walker, Jr. MS, SCT(ASCP)CM
Anatomical Pathology Manager
Rutland Regional Medical Center
160 Allen Street, Rutland, VT 05701
P: 802.747.1790  F: 802.747.6525
NEW EMAIL: joewal...@rrmc.org
www.rrmc.org

Our Vision:
To be the Best Community Healthcare System in New England

Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet 
Recognition(r) and the Governor's Award for Performance Excellence


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Terri Brown
Sent: Monday, October 29, 2012 10:26 AM
To: Sebree Linda A; Burton, Lynn; Gloria Tharp; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

We had Ventana and changed to Dako.  The Dako phone tech support is
excellent and we never wait long for in house service.   Our
pathologists love the turnaround time with the open system and the stain 
quality.

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

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree Linda A
Sent: Friday, October 26, 2012 4:52 PM
To: 'Burton, Lynn'; Gloria Tharp; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

I concur with Lynn; we've been dealing with Ventana 19 years.



-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burton, Lynn
Sent: Friday, October 26, 2012 3:47 PM
To: Gloria Tharp; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

We have been dealing with Ventana for at least 10 years with very good service 
and reliability. Their phone tech support is excellent and we have never waited 
long for in house service.
Lynn Burton
Lab Associate
Animal Disease Lab
Galesburg, Il

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gloria Tharp
Sent: Friday, October 26, 2012 2:38 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Dako vs Ventana IHC systems

Does anyone have info about Dako vs Ventana IHC systems as to consistency and 
reliability as far as turn around time on tech repair on site.  Thanks.





Gloria Tharp, BA, HTL(ASCP)

Director of Operations

PCA Southeast

gth...@pcasoutheast.com



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RE: [Histonet] Dako vs Ventana IHC systems

2012-10-29 Thread Sebree Linda A
Joe,

You can still use your Dako antibodies (we have several) with the Ultra; or 
anyone else's antibodies for that matter.  I don't work for VMS, in case you're 
wondering, we've just had a very reliable and good relationship with them for a 
long time and we've always been happy with their immunostainers.

Linda Sebree

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe W. Walker, 
Jr.
Sent: Monday, October 29, 2012 2:55 PM
To: CHRISTIE GOWAN; terri.br...@northside.com; Sebree Linda A; 
lynn.bur...@illinois.gov; gth...@pcasoutheast.com; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

Thank you for this information, Christie.  We are a much smaller lab and would 
be using the new system as our primary IHC stainer.  Workflow considerations 
are a primary concern for us in addition to staining consistency and ease of 
use.  From what was demonstrated to us, the Ultra did not appear to be that 
closed and provided lots of flexibility for running just about anything we 
wanted but it was a sales pitch.  We are still in the researching our options 
stage.

We have experienced less than desirable service from Dako but they currently 
have a presence in our lab.  We have been pretty happy with the antibodies from 
Dako.

Joe W. Walker, Jr. MS, SCT(ASCP)CM
Anatomical Pathology Manager
Rutland Regional Medical Center
160 Allen Street, Rutland, VT 05701
P: 802.747.1790  F: 802.747.6525
NEW EMAIL: joewal...@rrmc.orgmailto:joewal...@rrmc.org
www.rrmc.orghttp://www.rrmc.org

Our Vision:
To be the Best Community Healthcare System in New England

Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet 
Recognition(r) and the Governor's Award for Performance Excellence

From: CHRISTIE GOWAN [mailto:christiego...@msn.com]
Sent: Monday, October 29, 2012 12:15 PM
To: Joe W. Walker, Jr.; terri.br...@northside.com; lseb...@uwhealth.org; 
lynn.bur...@illinois.gov; gth...@pcasoutheast.com; 
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

Hi Joe,
When searching for an automated IHC stainer, you need to shop based on your 
facility and it's needs. We recently went through the whole shopping around 
experience and because we are such a large facility, we have the Ventana Ultra 
as well as an XT and the New Dako Link. We use the Ventana Ultra for single 
piece flow and it really changed the dynamic of our lab. We also use the 
Ventana for all our automated probes including the dual Her2/Chr17 CISH. The 
Dako's (we have 2) we use for all those things that we do not run on the Ultra 
or Benchmark XT. About 50/50 on each system. We also do a lot of research for 
the UAB campus and it is nice to have the more open DAKO systems. We have 3 
very experienced IHC techs working in the lab which lends a lot of consistency 
to the staining. I say this because if you rotate people through the lab or 
your staff is less experienced then you want something that is easy and 
consistent. We will probably always have the Ventana systems in our lab so not 
much shopping around for a more or less closed system (there is always debate 
over the open/closed thing) However, shopping around for a more open system can 
be a little harder. We demo'ed the bond, Biocare, Dako and Labvision. We 
narrowed it down to Biocare and Dako based on ease of use, speed and capacity 
and reagents/antibodies. Once we had narrowed it down to the 2 companies, then 
we started looking at packages. Dako delivered the best package and because 
Dako already had a presence in our Histology lab (Artisan Special Stainer) and 
we knew their service was always prompt (we always struggled with this with 
Leica) We chose Dako and replaced our 2 older Labvisions with Autostainer Links.
If you have any questions you can let me know via email and I will give you our 
contact info. Best of luck to you.
Christie Gowan
UAB Hospital
Birmingham, AL

 From: joewal...@rrmc.orgmailto:joewal...@rrmc.org
 To: terri.br...@northside.commailto:terri.br...@northside.com; 
 lseb...@uwhealth.orgmailto:lseb...@uwhealth.org; 
 lynn.bur...@illinois.govmailto:lynn.bur...@illinois.gov; 
 gth...@pcasoutheast.commailto:gth...@pcasoutheast.com; 
 histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern
 .edu
 Date: Mon, 29 Oct 2012 14:38:20 +
 Subject: RE: [Histonet] Dako vs Ventana IHC systems
 CC:

 Which Dako and Ventana machines are you all using? We are in the market for a 
 new IHC stainer and the new Ventana BenckMark Ultra machine looks interesting.

 Joe W. Walker, Jr. MS, SCT(ASCP)CM
 Anatomical Pathology Manager
 Rutland Regional Medical Center
 160 Allen Street, Rutland, VT 05701
 P: 802.747.1790 F: 802.747.6525
 NEW EMAIL: joewal...@rrmc.orgmailto:joewal...@rrmc.org
 www.rrmc.orghttp://www.rrmc.org

 Our Vision:
 To be the Best Community Healthcare System in New England

 Rutland Regional

RE: [Histonet] IHC negative controls

2012-10-26 Thread Sebree Linda A
Hey Glen,

Don't know the answer to your specific question but on a related issue, our lab 
has decided to maintain running negative controls due to the fact that the 
manufacturer's data sheets for our IHC detection kits and a majority of our 
antibodies require using +/- controls. The company in question has told us they 
do not intend to change their guidelines as its part of the FDA approval for 
their products. Performing IHC staining not in compliance with the 
manufacturers' guidelines is against CLIA reg's.  

Something to consider.

Linda

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Glen Dawson
Sent: Friday, October 26, 2012 8:45 AM
To: histonet
Subject: [Histonet] IHC negative controls


All,
 
Can anyone tell me if JHACO  CLIA are deferring to CAP's judgement that a 
negative control is not needed when utilizing a polymer detection?
 
I assume that this is the case, but I'd like to be sure.
 
Thank-you in advance,
 
Glen Dawson  BS, HT(ASCP), QIHC
Histology Technical Specialist
Janesville, WI
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RE: [Histonet] Dako vs Ventana IHC systems

2012-10-26 Thread Sebree Linda A
I concur with Lynn; we've been dealing with Ventana 19 years.

 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Burton, Lynn
Sent: Friday, October 26, 2012 3:47 PM
To: Gloria Tharp; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Dako vs Ventana IHC systems

We have been dealing with Ventana for at least 10 years with very good service 
and reliability. Their phone tech support is excellent and we have never waited 
long for in house service.
Lynn Burton
Lab Associate
Animal Disease Lab
Galesburg, Il

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Gloria Tharp
Sent: Friday, October 26, 2012 2:38 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Dako vs Ventana IHC systems

Does anyone have info about Dako vs Ventana IHC systems as to consistency and 
reliability as far as turn around time on tech repair on site.  Thanks.

 

 

Gloria Tharp, BA, HTL(ASCP)

Director of Operations

PCA Southeast

gth...@pcasoutheast.com

 

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RE: [Histonet] validation runs

2012-10-24 Thread Sebree Linda A
In our opinion, yes. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Melissa Whitaker
Sent: Tuesday, October 23, 2012 9:07 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] validation runs

Hi everyone in IHC, are controls needed when performing antibody validation 
runs?

Thanks all!
--
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[Histonet] RE: Stain for HP

2012-10-17 Thread Sebree Linda A
H. Pylori by IHC; automated.  I believe they're pretty much routinely ordered; 
sure seems like it anyway! 

Linda

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Diana McCaig
Sent: Wednesday, October 17, 2012 10:04 AM
To: Histonet
Subject: [Histonet] Stain for HP

What stain are you using for HP?--Giemsa. Warthin Starry or IHC.
Do you do them routinely or only when requested?
Are they done on an autostainer or with a kit?

Diana 


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RE: [Histonet] duel stains

2012-10-02 Thread Sebree Linda A
We've always just billed for one stain so no difference for us; we'll continue 
doing it. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of 
llhartma...@comcast.net
Sent: Monday, October 01, 2012 6:25 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] duel stains



Hi Netters,  Just curioushas anyone stopped doing dual IHC (ie. PIN4) du e 
to the charging changes?  We are going to start doing the  three stains 
separately.  Any opiniions? 



Linda Hartman HT(ASCP) 

MNMC
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RE: [Histonet] IHC new reagent lots

2012-10-01 Thread Sebree Linda A
We run a control(s) first before using it on patient samples.  We
compare that slide to the same/similar control(s) run with the current
lot.  Our director reviews both slide(s) and if comparable or better,
signs off on the new lot. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Deloris
Carter
Sent: Monday, October 01, 2012 3:49 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC new reagent lots

I'm in a new position and have to get our IHC paperwork CAP ready.  I'm
not sure about something.  When you put a new antibody dispenser (with a
different lot # than previously used) on the IHC stainer, what QC needs
to be done?  Can the control run with a patient test serve as your QC,
or does it need to be a separate slide done before you run any patient
tests with that new lot #?  Also, I know that CAP is no longer requiring
negative controls to be run when using a biotin free detection system.
Can we just stop running the negative controls, and reference the CAP
change in our protocol, or do we have to perform some sort of
validation?
I appreciate any help.
Deloris
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RE: [Histonet] Changing from Ventana IView Detection Kit toVentana Ultraview kit

2012-09-26 Thread Sebree Linda A
Joe,

We are abiding by the CAP 10/10 guidelines when at all possible and then
we compare our results with another method or same method but other lab,
i.e. reference or another clinical lab willing to trade slides with us.
The comparison part is where we are having issues as we, not me
personally, don't want to pay a reference lab for the comparison work so
we rely on others in our Histonet family willing to run our slides.
And of course, we're squeezing as many cases on a single slide as
possible.  

As to your question about 5/5 or more, CAP leaves it up to each lab as
to whether its feasible and possible to obtain their recommended quota.

Interesting thread as my days are spent in the middle of this exercise.

Linda Sebree 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe
Nocito
Sent: Tuesday, September 25, 2012 5:35 PM
To: 'Vanessa Perez'; 'Vickroy, Jim'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Changing from Ventana IView Detection Kit
toVentana Ultraview kit

We are having a lively discussion about having 10 known positives and 10
known negatives to validate new antibodies. Many years ago we set up 5
and 5 even before CAP thought of the idea. This year's checklist added
the 10 and 10 part, but it is up to the medical director.
What is everyone else doing out there? We are using the Ventana
UltraView detection kits. Everyone who uses these kits know how
expensive they are.
Is 5 and 5 sufficient or should go by CAP recommendations?

Joe Nocito

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa
Perez
Sent: Tuesday, September 25, 2012 2:37 PM
To: Vickroy, Jim; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Changing from Ventana IView Detection Kit to
Ventana Ultraview kit

As far as lot to lot validation that's all we do. Use same control and
compare both.  

Now validating a new detection kit is a whole different story.  Here I
just made a checklist of all the antibodies we do and had the doc sign
off on each stain with the new kit.  
If you want you can do a slide of each with same control one with the
iview and one with the ultraview.
All depends on how your doc wants to validate it.

Vanessa 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vickroy,
Jim
Sent: Tuesday, September 25, 2012 1:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Changing from Ventana IView Detection Kit to Ventana
Ultraview kit

We are trying to decide how to validate our stains when we switch from
Ventana's IView kit to their Ultraview Kit.

I have reviewed the CAP question on this and find the following wording:

The performance of new lots of antibody and detection system reagents
are compared with old lots before or concurrently with being placed into
service.
Note:   Parallel staining is required to control for
variables such as disparity in the lots of detection reagents or
instrument function.  New lots of primary and detection reagents must be
   compared to the previous lot using an
appropriate panel of control tissues.   This comparison must be made on
slides cut from the same control block.

Evidence:   Written procedure and records of verification of new reagent
lots.

For new lots of antibodies we have been running the new lot and
comparing with the previous lot by reviewing the control slide from the
old lot to the new lot.

Is this sufficient?   Wording that bothers me is appropriate panel of
tissues

Thanks for your input.

James Vickroy BS, HT(ASCP)

Surgical  and Autopsy Pathology Technical Supervisor Memorial Medical
Center
217-788-4046



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RE: [Histonet] Changing from Ventana IView Detection KittoVentana Ultraview kit

2012-09-26 Thread Sebree Linda A
We made our detection kit change when we purchased new Ultra
immunostainers so of course validation covered many bases.  If we were
just changing detections, we'd run a couple positive controls for each
antibody with the new detection and compare them to the same controls
run with our current detection.  If the results are comparable OR
BETTER, our director would OK them.  If not, we'd tweak that antibody
for the new detection until it passed.  A similar procedure is
followed for new lots of detection but we limit it to one control and
one antibody: we've never had discrepant comparison results.

Linda 

-Original Message-
From: Kuhnla, Melissa [mailto:melissa.kuh...@chsli.org] 
Sent: Wednesday, September 26, 2012 9:15 AM
To: Sebree Linda A; Joe Nocito; Vanessa Perez; Vickroy, Jim;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Changing from Ventana IView Detection
KittoVentana Ultraview kit

Yes I completely agree that this is up to each medical director.  This
detection kit change is considered a major change but keep in mind they
are similar products from the same vendor. Changing your detection is a
very universal step. Think of your validation in a more universal way.
10/10 is extremely time consuming and expensive.  For some antibodies,
it will take years to accumulate ten positive cases.  
You could run some common panels of antibodies you see often.
You could select some stains that are for cytoplasm, nuclear, membrane
staining.
You should pay more attention to any prognostic marker (ER/PR, CD20,
ckit).

Just some ideas.  
Best of luck.
Melissa

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sebree
Linda A
Sent: Wednesday, September 26, 2012 8:43 AM
To: Joe Nocito; Vanessa Perez; Vickroy, Jim;
histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Changing from Ventana IView Detection
KittoVentana Ultraview kit

Joe,

We are abiding by the CAP 10/10 guidelines when at all possible and then
we compare our results with another method or same method but other lab,
i.e. reference or another clinical lab willing to trade slides with us.
The comparison part is where we are having issues as we, not me
personally, don't want to pay a reference lab for the comparison work so
we rely on others in our Histonet family willing to run our slides.
And of course, we're squeezing as many cases on a single slide as
possible.  

As to your question about 5/5 or more, CAP leaves it up to each lab as
to whether its feasible and possible to obtain their recommended quota.

Interesting thread as my days are spent in the middle of this exercise.

Linda Sebree 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Joe
Nocito
Sent: Tuesday, September 25, 2012 5:35 PM
To: 'Vanessa Perez'; 'Vickroy, Jim'; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Changing from Ventana IView Detection Kit
toVentana Ultraview kit

We are having a lively discussion about having 10 known positives and 10
known negatives to validate new antibodies. Many years ago we set up 5
and 5 even before CAP thought of the idea. This year's checklist added
the 10 and 10 part, but it is up to the medical director.
What is everyone else doing out there? We are using the Ventana
UltraView detection kits. Everyone who uses these kits know how
expensive they are.
Is 5 and 5 sufficient or should go by CAP recommendations?

Joe Nocito

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa
Perez
Sent: Tuesday, September 25, 2012 2:37 PM
To: Vickroy, Jim; histonet@lists.utsouthwestern.edu
Subject: RE: [Histonet] Changing from Ventana IView Detection Kit to
Ventana Ultraview kit

As far as lot to lot validation that's all we do. Use same control and
compare both.  

Now validating a new detection kit is a whole different story.  Here I
just made a checklist of all the antibodies we do and had the doc sign
off on each stain with the new kit.  
If you want you can do a slide of each with same control one with the
iview and one with the ultraview.
All depends on how your doc wants to validate it.

Vanessa 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vickroy,
Jim
Sent: Tuesday, September 25, 2012 1:58 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Changing from Ventana IView Detection Kit to Ventana
Ultraview kit

We are trying to decide how to validate our stains when we switch from
Ventana's IView kit to their Ultraview Kit.

I have reviewed the CAP question on this and find the following wording:

The performance of new lots of antibody and detection system reagents
are compared with old lots before or concurrently with being placed into
service

RE: [Histonet] negative controls

2012-08-01 Thread Sebree Linda A
I asked my VMS rep that question and she forwarded it to the higher ups
as they had not heard about this yet. Waiting for an answer but even if
VMS says we can omit them, our negative aren't all that clean always so
don't know if we will or not. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of anita
dudley
Sent: Wednesday, August 01, 2012 4:13 PM
To: Histonet@lists.utsouthwestern.edu
Subject: [Histonet] negative controls


just wondering if we can start leaving the negative controls off of our
immuno stains now as long
as our procedure says we can stain without them?   we use ventanas
multimer detection systems.
 
thanks so much,
anita dudley
providence hospital
mobile,  alabama
 
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RE: [Histonet] A poem

2012-06-28 Thread Sebree Linda A
I LOVE this Bernice! 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bernice
Frederick
Sent: Thursday, June 28, 2012 11:15 AM
To: Fellow HistoNetters
Subject: [Histonet] A poem

I've had this for years- don't know where I got it but thought you all
might be amused.

   LAB HIERARCHY

Chief Pathologist
Leaps tall building in a single bound
   Is more powerful than a locomotive
  Is faster than a speeding bullet
 Walks on water,
 Gives policy to God

Associate Pathologist
Leaps short buildings in single bound
Is more powerful than a switch engine
  Is just as fast as a speeding bullet
Walks on water if sea is calm
Talks with God

The Department Head
 Leaps short buildings with a running start and favorable winds
Is almost as powerful as a switch engine
   Is faster than a speeding bullet
Walks on water in an indoor pool
Talks with God if special request is approved

Director of Laboratories
Rarely clears a Quonset hut
Loses tug of war with locomotive
   Can fire a speeding bullet
Swims well
   Is occasionally addressed by God

Associate Director of Laboratories
Makes high marks on the walls when trying to leap tall buildings
Is run over by locomotives
   Can sometimes handle a gun without inflicting self-injury
  Dog paddles
   Talks to animals

Supervisor
   Runs into building
 Recognizes locomotives two out of three times
Is not issued ammunition
 Can stay afloat with a life jacket
   Talks to walls

Chief Technologist
 Falls over doorstep when trying to enter building
   Says look at the choo-choo
  Wets themselves with a water pistol
Plays in mud puddles
   Mumbles to Themselves

Histotechnologist
   Lifts tall buildings and walks under them
 Kicks locomotives off the tracks
   Catches speeding bullets in their teeth and eats them
Freezes water with a single glance
  They are God


-  Anonymous


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

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RE: [Histonet] looking p16 - where is mtm labs?

2012-06-12 Thread Sebree Linda A
As far as I know you may only purchase MTM p16 through Ventana now...FDA
approved.  BD sells p16 buts it's RUO. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Settembre, Dana
Sent: Tuesday, June 12, 2012 11:06 AM
To: Vickroy, Jim; histonet@lists.utsouthwestern.edu
Subject: [Histonet] looking p16 - where is mtm labs?

Looking to get current pricing and availability from mtm labs on p16 and
no one answers their phone - 800# nor their direct# Seems Roche has
taken them over.  
Need to reach them.
Any help would be appreciated
Dana Settembre
Immunohistochemistry
University Hospital - UMDNJ
Newark, NJ
USA

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RE: [Histonet] ANTIBODY VALIDATION PROCEDURE

2012-05-16 Thread Sebree Linda A
Follow the CAP guidelines for antibody validation; that's what we do. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Wilson A
Sent: Wednesday, May 16, 2012 12:00 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] ANTIBODY VALIDATION PROCEDURE

 
 Hi,
 How are you guys doing? I hope you are doing great. Please I will 
appreciate it, if you guys have a procedure on the ANTIBODY VALIDATION and 
would like to share it with me.
   Thanks
 
Wilson
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RE: [Histonet] Re: Immunofluorescence in the clinical laboratory

2012-05-14 Thread Sebree Linda A
Yes as well as the tissue usually run with these antibodies. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Teri
Johnson
Sent: Monday, May 14, 2012 10:15 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Re: Immunofluorescence in the clinical laboratory

To those doing DIF in the clinical lab, are you using frozen tonsils or
other tissue as control material when you do these?

Teri Johnson, HT(ASCP)QIHC
GNF Histology Lab Manager
Genomics Institute of the Novartis Research Foundation
858-332-4752

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RE: [Histonet] Fwd: Plants

2012-05-11 Thread Sebree Linda A
I've always had at least one; makes the day more tolerable. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Behnaz
Sohrab
Sent: Friday, May 11, 2012 12:30 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Fwd: Plants


I was told by infectious control person that plants are not allowed in
the lab?? IS this true? any experience with this?
Thank you, Behnaz

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RE: [Histonet] Fwd: Plants

2012-05-11 Thread Sebree Linda A
Yeah but they used to use canaries in mines to warn of toxic levels of
gases; having one in a histo lab might be a VERY good idea! 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of William
Sent: Friday, May 11, 2012 12:33 PM
To: Behnaz Sohrab
Cc: histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Fwd: Plants

I have had plants in a number of labs. Could be against the rules, but I
never saw it. I even had a canary in one lab - pretty sure that is
against the rules. 

Will Chappell

Sent from my iPhone

On May 11, 2012, at 1:29 PM, Behnaz Sohrab sohra...@ah.org wrote:

 
 I was told by infectious control person that plants are not allowed in
the lab?? IS this true? any experience with this?
 Thank you, Behnaz
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[Histonet] IMF antibody validation

2012-05-02 Thread Sebree Linda A
Hello everyone,

I'm branching out into IMF antibodies and as such am starting to
validate these antibodies.  Previously no comparison studies were done
that I know of.  Now we're running frozen tissue slides manually with
our current set of antibodies simultaneously with new vendors'
antibodies being run automated.  Since IMF is not permanent, my question
to all of you is, are you photographing the slides for a permanent
record or just keeping a written record of the comparison results?

Any and all responses are welcome.

Thanks,
Linda Sebree
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[Histonet] Reference lab needed for Alzheimer antibodies

2012-04-17 Thread Sebree Linda A
Good morning Histonetters,

For purposes of validation, I'm looking for a reference lab that
performs IHC on human FFPE samples for several Alzheimer antibodies.
Specifically these antibodies are:  PHF-1, CP13, anti-TDP-43 and LB 509
10.

I'd also be interested in any private/hospital/research labs performing
these.

Thanks,
Linda
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RE: [Histonet] New Reagent Lot Verification

2012-04-12 Thread Sebree Linda A
We're saving both for at least 2 years. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Rathborne, Toni
Sent: Thursday, April 12, 2012 9:50 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] New Reagent Lot Verification

ANP.22760 refers to new lot verification for antibodies and detection.
The Evidence of Compliance says that there should be Records of
verification of new reagent lots. What is everyone's interpretation of
records? Are you saving slides in addition to paper documentation?


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RE: [Histonet] Slippery Floor due to paraffin

2012-04-04 Thread Sebree Linda A
Peel off film here...works well. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Scott,
Allison D
Sent: Wednesday, April 04, 2012 11:50 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Slippery Floor due to paraffin

Hello to all in histoland.  What are histology labs doing to combat the
slipperiness of the floor due to paraffin.  Are you using rugs, peel
away films ?  Any help would be greatly appreciated.


Allison  Scott  HT(ASCP)
Histology Supervisor
LBJ Hospital
Houston, Texas 77026

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[Histonet] Reference lab doing West Nile Virus and HHV6 IHC on human FFPE specimens

2012-03-30 Thread Sebree Linda A
Yup, that's what I'm looking for Histonetters.

Any info. is appreciated.

Linda
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RE: [Histonet] Ventana XT/Ultra

2012-03-28 Thread Sebree Linda A
Ventana can give you these numbers based on your contract pricing for
bulk fluids. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Clare
Thornton
Sent: Wednesday, March 28, 2012 10:43 AM
To: 'histonet@lists.utsouthwestern.edu'
Subject: [Histonet] Ventana XT/Ultra

Has anyone ever worked up cost/slide for either the XT and/or Ultra as
far as the bulk fluids are concerned?  Does anyone know how much bulk
fluid (LCS, Reaction buffer, CC1) is used per slide during a typical
run?

thanks!
Clare

Clare J. Thornton, HTL(ASCP), QIHC
Assistant Histology Supervisor
Dahl-Chase Diagnostic Services
417 State Street, Suite 540
Bangor, ME 04401
cthorn...@dahlchase.com

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[Histonet] Reference lab doing GLG-1 (MG-160)?

2012-03-14 Thread Sebree Linda A
Does anyone know of a reference lab offering this antibody for
aggressive pituitary tumors in FFPE human tissue?

Thanks,
Linda
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RE: [Histonet] IHC + control question

2012-03-06 Thread Sebree Linda A
Vimentin 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
Chiriboga, Luis
Sent: Tuesday, March 06, 2012 8:02 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] IHC + control question

Posting for a colleague:

Which of the following choices

Cytokeratin (NOS)
Vimentin
s-100
Cd45
Desmin

Would be the best to use as an internal positive control for fixation
and processing?
Any supporting literature/references/docuemntation would be very
helpful...

Thanks
Luis
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RE: [Histonet] new antibody validation

2012-03-01 Thread Sebree Linda A
We have been picking (or trying to) 10 positive cases that have negative
tissue elements included.  Obviously for some hard-to-find positive
cases we need to make due with what's available. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carol
Bryant
Sent: Thursday, March 01, 2012 9:56 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] new antibody validation 

ANP.22750
The laboratory has documented validation of new antibodies, prior to use
in patient diagnosis.
In the CAP's note it states that a panel of 10 positive and 10 negative
neoplasms would be sufficient for a well-characterized antibody.

How extensive a panel of tissues are laboratories using to meet this
checklist requirement?  Is it necessary to do 10 positive and 10
negatives or can it be at the discretion of the laboratory director?

Carol Bryant, CT (ASCP)
Cytology/Histology Manager
Lexington Clinic
Phone (859) 258-4082
Fax (859) 258-4081
cb...@lexclin.com



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RE: [Histonet] Ventana xt

2012-02-17 Thread Sebree Linda A
Side note: only the Ventana Ultra allows adding slides as you go, not
the XT. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Janice
Mahoney
Sent: Friday, February 17, 2012 7:52 AM
To: Christie Gowan; dphill...@vetmed.lsu.edu; histonet
Subject: RE: [Histonet] Ventana xt


I think the Ventana XT is the best instrument for adding slides as you
go which makes it perfect for a LEAN lab.  This will reduce your TAT.The
instrument is so easy to use it is virtually impossible to mess up with
it's bar coding and visual control.  Very user friendly.
Jan Mahoney,Omaha, NE
 From: christiego...@msn.com
 To: dphill...@vetmed.lsu.edu; histonet@lists.utsouthwestern.edu
 Date: Thu, 16 Feb 2012 19:46:35 +
 Subject: RE: [Histonet] Ventana xt
 CC: 
 
 
 Pros:
 Lends itself well to labs that do basic IHC staining Antibodies are 
 pre-diluted so no guess work on dilutions Good for batching runs 
 Consistent quality of slides
 24 hour technical support
 Can run molecular probes
 protocols are easy to adjust
  
 Cons:
 Closed system
 Must use Ventana antibodies or purchase special dispensers if using 
 non Ventana products Pre-dilute antibodies are pricey Stand alone 
 instrument so must have space for it
  
 I'm sure there is more but you just really need to see what your needs
are. We have the XT and Ultra as well as open systems. We love the
Ventana's but we also will always have open platforms because we do a
lot of research. The work flow is another thing you need to look at. How
many slides do you turn out in one day? What is your turn around time?
The XT is a great instrument but it depends on your lab. Hope this
helps.
 Christie Gowan
 UAB Hospital
  
  
 
  From: dphill...@vetmed.lsu.edu
  To: histonet@lists.utsouthwestern.edu
  Date: Thu, 16 Feb 2012 12:29:37 -0600
  Subject: [Histonet] Ventana xt
  
  Looking for any pros and cons on the Ventana XT.
  
  
  
  Thanks
  
  Del
  
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[Histonet] slide file storage to dry slides

2012-01-19 Thread Sebree Linda A
Good morning all,

We've recently switched from film coverslipping back to glass and
therefore need to thoroughly dry our slides before permanent filing.  I
recall, in my first histology job30 + years ago, that we used metal
stacking slide files that you could put an insert into the drawers that
looked like a non-stretchy spring.  The wires of this spring held the
slides apart to dry, then they could be filed without the spring when
they were completely dry.

Anyone know if that product still exists?  Or does anyone have a better
solution for drying slides while still keeping them in order?

Thanks for the assist,

Linda
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RE: [Histonet] H. Pylori - IHC

2011-11-16 Thread Sebree Linda A
We use Ventana's, manufactured by Cell Marque.  Most, if not all, of out
pathologists have opted for this instead of histochemical staining for
HP. 

-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of
beth@hcahealthcare.com
Sent: Wednesday, November 16, 2011 4:16 PM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] H. Pylori - IHC

Does anyone have recommendations for a good vendor for H.Pylori  for
IHC?  We have tried many, but our pathologists complain that they are
not specific for H.Pylori and that all gram negative bacteria are
staining.  Currently we are not running this but our pathologists are
interested in it.

Thanks!

Beth A. Fye, CT (ASCP)
Pathology Technical  Manager
HCA Richmond Hospital Laboratories
office:  (804)228-6564
fax: (804)323-8638
mailto:beth@hcahealthcare.com




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