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    katiefnp wrote on Jalemans's wall

    Geekling brings up some very good personal points. She knows I admire and respect her, but I would like to add a little bit more to her post.
    Because Our fellow What Nexter, Jalemans, shared with us that she had a full hysterectomy, when she had her check up with an NP, it's like looking at the inside of a balloon. At this point, usually no camera is used. Different clinics and hospitals have various equipment, but they basically have to have a light source. The "old fashioned" or adjunctive goose neck that is usually that light they shine "right there" on your vaginal opening. Secondly, the more up-to-date light source to see what's going on up there is a light source that directly slips into/clips into the speculum itself. The speculum is the plastic or metal aperture that is used to keep the vaginal opening, open.
    Third, most clinicians have special optical glasses like magnifier to see within short distances, things like a vaginal space without a cervix/uterus, (fallopian tubes and ovaries) not present.
    So it wouldn't be out of the ordinary for Jalemans NP to visualize an abnormality and biopsy it. Uncomplicated biopsies that can be done in the office/clinic are a routine procedure done hundreds and hundreds of times a day in this country.
    Also a great point for which I'm a stickler for that our fellow What Nexter, Geekling brought up, was pay. Let's not have any fraud going on here! We, as the sick and or healing patient/consumer have hefty %'s of health care bills to pay. NP's get billed at 80%.
    If you ever have a question about how you were billed, check your EOB, and/or call the medical office and ask to speak to their manager. That is our right to question anything that appears, as many times as it takes, for us to understand and be comfortable.
    Lastly, sorry this is so long, the biopsy itself is fairly simple to do. It is not MOHS surgery whereby the depth and margins have to be just so. This is a sample of tissue, big enough to put on a slide and look at it under a microscope. Maybe add dye, not sure about that part. That is where ONLY an M.D. Pathologist can diagnosis what it is. ONLY AN M.D. PATHOLOGIST CAN LEGALLY DIAGNOSE SPECIMENS.
    I think that's everything. Ask any questions, please, if I said something contradictory to what you've experienced or been told.
    Thank you, Katie

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    katiefnp wrote on Jalemans's wall

    Dear Jaleman: best of congradulations to you! What a HUGE relief to hear great news vs. the other. Many blessings.

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