[Histonet] FW: HTL question Can diagnose fungus from H&E

[Joe Nocito]

Hey,
someone else is going to get flamed instead of me. YOU GO Hazel.
I have the fire extinguisher ready for ya.

JTT
----- Original Message ----- 
From: "Akemi Allison-Tacha" <akemiat3377 <@t> yahoo.com>
To: "Horn, Hazel V" <HornHV <@t> archildrens.org>; "Dolores Townsend" 
<TownsendD <@t> childrensdayton.org>; "Jeanine (CDC/CCID/NCZVED) Bartlett" 
<jqb7 <@t> cdc.gov>; <histonet <@t> lists.utsouthwestern.edu>
Sent: Wednesday, April 11, 2007 2:48 PM
Subject: RE: [Histonet] FW: HTL question Can diagnose fungus from H&E


> You have opened Pandora's Box!!
> One thing I have learned, once it's in writing, no
> turning back!
>
>  --- "Horn, Hazel V" <HornHV <@t> archildrens.org> wrote:
>
>> I disagree.  An experienced pathologist will see and
>> know fungus on an
>> H&E.   He/She does not need another stain, billed to
>> the patient, for
>> confirmation.
>>
>> Hazel Horn
>> Hazel Horn, HT/HTL (ASCP)
>> Supervisor of Histology
>> Arkansas Children's Hospital
>> 800 Marshall    Slot 820
>> Little Rock, AR   72202
>>
>> phone   501.364.4240
>> fax        501.364.3912
>>
>> visit us on the web at:    www.archildrens.org
>>
>> -----Original Message-----
>> From: histonet-bounces <@t> lists.utsouthwestern.edu
>> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu]
>> On Behalf Of Dolores
>> Townsend
>> Sent: Wednesday, April 11, 2007 12:35 PM
>> To: Jeanine (CDC/CCID/NCZVED) Bartlett;
>> histonet <@t> lists.utsouthwestern.edu
>> Subject: Re: [Histonet] FW: HTL question
>>
>> As for a lot of tests, the answer is a bit tricky
>> and confusing, but D
>> is right: although the pathologist can see something
>> that MIGHT be
>> fungus on the routine stain, (s)he will ask for a
>> special stain (GMS or
>> other) to confirm the presence of fungus. Hence, D.
>> Fungi are never
>> demonstrated with routine procedure. You will need
>> the special stain to
>> be sure. This is true for most special stains: the
>> pathologist sees
>> something on the routine stain, but it is not
>> conclusive, so special
>> stains are needed to confirm the diagnostic.
>> Dolores
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