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Dear Mike, Of course no-one does what he is suggesting (or I will be very surprised if they do). He is probably getting confused as labs where I have worked have always reported the bands as 'Previously identified as IgG-Kappa' for example but this doesn't mean it was re-fixed. Cost would be enormous too. Regards, Kath Katharine Hayden FRCPath Consultant Clinical Biochemist Dept of Clinical Biochemistry Central Manchester University Hospitals NHS Foundation Trust Manchester Royal Infirmary Oxford Road, Manchester M13 9WL Tel: 0161 701 1106 Fax: 0161 276 4586 www.cmft.nhs.uk<http://www.cmft.nhs.uk> Central Manchester University Hospitals NHS Foundation Trust includes: Manchester Royal Infirmary, Manchester Royal Eye Hospital, Royal Manchester Children's Hospital, Saint Mary's Hospital, University Dental Hospital of Manchester, Trafford Hospitals and Community Services. [cid:image002.jpg@01CEDA2C.AE5B5380] <http://www.cmft.nhs.uk/laboratorymedicine> ________________________________ From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of Hallworth Mike (RLZ) Sent: 05 November 2013 13:11 To: [log in to unmask] Subject: Paraprotein studies I have just had a rather odd conversation with a newly appointed haematologist who insists that every other Trust he has worked in has characterised paraproteins every time they are measured - i.e. repeating the immunofixation to confirm GAM kappa lambda etc. We have always characterised it when first seen then just quantitated by densitometry on subsequent occasions. Is this not reasonable? Am I going mad? What do others do? Mike ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/ Privacy and Confidentiality Notice: The information contained in this e-mail is intended for the named recipient(s) only. It may contain privileged and confidential information. If you are not an intended recipient, you must not copy, distribute or take any action in reliance on it. If you have received this e-mail in error, we would be grateful if you would notify us immediately. Thank you for your assistance. Please note that e-mails sent or received by our staff may be disclosed under the Freedom of Information Act (unless exempt). ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk Green Laboratories Work http://www.laboratorymedicine.nhs.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/