Hi Joe,

I guess the histology field still uses the old
methods.  I was taught that back in 1974 at OHSU. 
FYI-We also used soak in NAIR HAIR REMOVAL to soften
nails. 
Akemi Allison-Tacha 


--- Joe Nocito  wrote:

> Hey Doc,
> you have the South Texas Toenail lab guy right here.
> That's why I'm known as 
> "Joe the Toe".
>     We soak our nails in 20% ammonium hydroxide for
> at least an hour before 
> we put the blocks on the machine to process. We've
> been getting nailed for a 
> couple of years and perform a PAS for Fungus on each
> case that we do. 
> Reimbursement must be good, we keep getting nailed.
> 
> Joe the Toe or just JTT
> 
> ----- Original Message ----- 
> From: 
> To: 
> Sent: Thursday, February 22, 2007 12:09 PM
> Subject: [Histonet] PAS stain for nail fungus
> 
> 
> > Dr. Allen Smith's recent post reminds me of a
> question I've been meaning 
> > to post to Histonet.
> >
> > Podiatrists are now performing biopsies of
> toenails with nail fungus, in 
> > order to get a fungal stain (PAS is being
> requested, I think) done. 
> > Apparently the insurance companies are now
> requiring a biopsy or culture 
> > diagnosis of fungal disease before they'll pay for
> the very expensive 
> > systemic drugs for nail fungus like terbinafine
> (Lamisil).
> >
> > Is anyone on Histonet getting these requests? What
> protocols do you use to 
> > cut and stain these difficult specimens?
> >
> > Bob Richmond
> > Samurai Pathologist
> > Knoxville TN
> >
>
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> 
> 
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