Re: [Histonet] PAS stain for nail fungus
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
--- 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 -----
> 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
> > 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
> > Check out the new AOL. Most comprehensive set of
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> > Histonet@lists.utsouthwestern.edu
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