[Histonet] PAS stain for nail fungus

[Joe Nocito]

we tried Nair, but we are getting results with the 20% NH3OH

JTT
----- Original Message ----- 
From: "Akemi Allison-Tacha" <akemiat3377 <@t> yahoo.com>
To: "Joe Nocito" <jnocito <@t> satx.rr.com>; <rsrichmond <@t> aol.com>; 
<histonet <@t> lists.utsouthwestern.edu>
Sent: Thursday, February 22, 2007 5:51 PM
Subject: Re: [Histonet] PAS stain for nail fungus


> 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 <jnocito <@t> satx.rr.com> 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: <rsrichmond <@t> aol.com>
>> To: <histonet <@t> lists.utsouthwestern.edu>
>> 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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