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Re: off topic biopsy 2nd opinion question

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We all know that if a biopsy comes back with a bad report , it is always a good idea to get a 2nd opinion from a different lab. My question is where does the 2nd lab get the sample from? does the doctors office hold a part of the sample? i dont think so? and do hospitals hold a part of the sample? thanks

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We all know that if a biopsy comes back with a bad report , it is always a good idea to get a 2nd opinion from a different lab. My question is where does the 2nd lab get the sample from? does the doctors office hold a part of the sample? i dont think so? and do hospitals hold a part of the sample? thanks

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"We all know that if a biopsy comes back with a bad report , it is always a good idea to get a 2nd opinion from a different lab. My question is where does the 2nd lab get the sample from? does the doctors office hold a part of the sample? i dont think so? and do hospitals hold a part of the sample? thanks"In many hospitals, hospitals, a malignant diagnosis is reviewed by a second pathologist, as routine quality control.The pathologist dissects the tissue in question when it is obtained from the surgical suite or physician's office. During dissection, "interesting" portions of the specimen are cut into small pieces, 2cm x 2cm by 0.5cm, fixed, and embedded in paraffin blocks. These blocks are cut into very thin sections, which are placed on glass and died for examination. If the sample is a small biopsy, it is entirely embedded in the paraffin block.When a second opinion is requested from an outside consultant, the usual procedure is to make additional glass slides, which are sent to requesting lab. This means that new pieces of the same piece of the paraffin-embedded tissue are examined, when possible. Rarely, the pathologist may go back to the original preserved surgical specimen to cut more tissue to make more slides.If the sample size is very small, as with cytology/pap smear preparations, the original slides that were reviewed by the first pathologist may be loaned to the requesting physician.Surgical specimens are stored for months. The small preserved paraffin embedded tissue samples are kept for years. In research hospitals, they may be kept indefinitely.JB

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Hi--Your cryptic post didn't say what the biopsy was for.  Are we talking a routine anal biopsy?  With the exception of some hard-to-diagnose lymphomas, e.g, most biopsy results are pretty cut-and-dried, so there's no need to torture yourself or the pathologist with second opinions.  It's usually better to act on the results and treat the problem than keep casting about in hopes of a different result.

Jeff

Re: off topic  biopsy 2nd opinion question

Sat Jul 7, 2012 5:57 am (PDT) . Posted by:  " hoppefaith@... " bjncarlsbad

We all know that if a biopsy comes back with a bad report , it is always a good idea to get a 2nd opinion from a different lab. My question is where does the 2nd lab get the sample from? does the doctors office hold a part 

of the sample? i dont think so? and do hospitals hold a part of the sample? thanks

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Hi--Your cryptic post didn't say what the biopsy was for.  Are we talking a routine anal biopsy?  With the exception of some hard-to-diagnose lymphomas, e.g, most biopsy results are pretty cut-and-dried, so there's no need to torture yourself or the pathologist with second opinions.  It's usually better to act on the results and treat the problem than keep casting about in hopes of a different result.

Jeff

Re: off topic  biopsy 2nd opinion question

Sat Jul 7, 2012 5:57 am (PDT) . Posted by:  " hoppefaith@... " bjncarlsbad

We all know that if a biopsy comes back with a bad report , it is always a good idea to get a 2nd opinion from a different lab. My question is where does the 2nd lab get the sample from? does the doctors office hold a part 

of the sample? i dont think so? and do hospitals hold a part of the sample? thanks

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I empathize with all of you men, read your stories and empathize. I'd be happy to give advice from a kind and non-judgemtal perspective. But, I'd like to see more "female" topics on this blog, such as how to disclose to straight men. Many of us "straight" women who contracted this virus from men who were drug users and who weren't homosexual/bisexual are really in a bad place. Believe it or not, the gay community has already gone through the process of living with AIDS. The "straight" community has not. Trust me, when I disclose my status, the guy never calls again. It's the sad truth. Sure, it's easy to say "he's not worth it", but I'd like to think maybe he was ... if I only had the chance. Any suggestions?

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I empathize with all of you men, read your stories and empathize. I'd be happy to give advice from a kind and non-judgemtal perspective. But, I'd like to see more "female" topics on this blog, such as how to disclose to straight men. Many of us "straight" women who contracted this virus from men who were drug users and who weren't homosexual/bisexual are really in a bad place. Believe it or not, the gay community has already gone through the process of living with AIDS. The "straight" community has not. Trust me, when I disclose my status, the guy never calls again. It's the sad truth. Sure, it's easy to say "he's not worth it", but I'd like to think maybe he was ... if I only had the chance. Any suggestions?

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Hi Annette   I understand your frustration with the " gay " bent on this board, if you get more " other " to join up, i know you could add to the discussions, and we could give you advice... 

   As i discovered when my previous partner died in 1989, the best place for help was " support groups. " Not only do you meet with folks with the same problem, you can meet interesting people. Hey, maybe even meet somebody..

   good luck   ps, ALWAYS disclosing is much better than not, and i guess the earlier the better, at least at the first mention of a sexual situation. ___________ Potrero Hill

San Francisco<<Mon Jul 9, 2012 7:35 am (PDT) . Posted by:  " Annette Lizzul " a_lizzul   I empathize with all of you men, read your stories and empathize. I'd be happy to give advice from a kind and non-judgemtal perspective. But, I'd like to see more " female " topics on this blog, such as how to disclose to straight men. Many of us " straight " women who contracted this virus from men who were drug users and who weren't homosexual/bisexual are really in a bad place. Believe it or not, the gay community has already gone through the process of living with AIDS. The " straight " community has not. Trust me, when I disclose my status, the guy never calls again. It's the sad truth. Sure, it's easy to say " he's not worth it " , but I'd like to think maybe he was ... if I only had the chance. Any suggestions?  >>

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Annette,I do not think that women are from Venus and gay men are from Ganymede (one of the moons of Jupiter and a Greek symbol of male beauty and desire).What I mean is that there are more similarities than differences, if you REALLY think about it.Years before the AIDS crisis, there were partners that on the FIRST night offered me the Moon. But never to hear from them again. No, they were not jerks, is that they were expecting fireworks to happen all night long. There is an old saying that applies here: A kiss easily earned, is easily forgotten. So true! So very

true!I have straight friends who have known their spouses for a lifetime, but yet when they were divorcing, they both turned into monsters. So much hatred after having had so much love.The grass is never greener on the other side. It often has weeds and twigs. But remember, out of the dirtiest of soils, grow the most beautiful flowers...Whether, straight, bi, gay, trans, or any combination in between, the same saying applies:You have to kiss a lot of frogs... Princes and Princesses are not born. They are made and cultivated just like the rest of us.

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Hi Annette--

I understand your frustration, and admittedly this site is mostly focused on

health issues and is predominately gay--a reflection of the epidemic itself. I

thank my lucky stars that I'm dealing with this disease as a gay man living in a

gay & poz-friendly city, and have the support that I do. Asked a poz girlfriend

about your dilemma, and I've pasted her suggestions below. Maybe some of the

other women on the site would like to chime in, or perhaps they've contacted you

directly?

Jeff

<<Not knowing where she lives, I would say her best bet would be to get

registered (and pay a fee of about $15 a month) on some of the poz dating sites:

My personal favorite where I met my bf is www.positivesingles.com, there's also

hivnet, and the Poz Magazine website. She can create a profile and search for

men in her area by zip code. That's how most poz heteros are meeting these days.

There's also the positive cruise that 's familiar with. I know that

there's a pretty significant hetero contingent on those, but of course it's

rather expensive.>>

>

> Annette,

>

> I do not think that women are from Venus and gay men are from Ganymede (one of

the moons of Jupiter and a Greek symbol of male beauty and desire).

>

> What I mean is that there are more similarities than differences, if you

REALLY think about it.

>

>

> Years before the AIDS crisis, there were partners that on the FIRST night

offered me the Moon.  But never to hear from them again.  No, they were not

jerks, is that they were expecting fireworks to happen all night long.  There is

an old saying that applies here:  A kiss easily earned, is easily forgotten.  So

true!  So very true!

>

>

> I have straight friends who have known their spouses for a lifetime, but yet

when they were divorcing, they both turned into monsters.  So much hatred after

having had so much love.

>

> The grass is never greener on the other side.  It often has weeds and twigs. 

But remember, out of the dirtiest of soils, grow the most beautiful flowers...

>

>

> Whether, straight, bi, gay, trans, or any combination in between, the same

saying applies:

>

> You have to kiss a lot of frogs...  Princes and Princesses are not born.  They

are made and cultivated just like the rest of us.

>

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