The route from Palmdale

A morning appointment does it.

Palmdale is about 60 miles from the office, normally an hour and a quarter on the CA-14 south through the Antelope Valley. Far enough that you want to make the trip once, close enough that there is no reason to make it twice.

What to plan around

  • Take a mid morning slot. It keeps you off the freeway during both rush hours.
  • Bring your imaging. Any ultrasound, mammogram or CT report from a Palmdale clinic helps target the sample.
  • Allow about an hour inside. Ultrasound, biopsy, the slides read on site, then the consultation.
  • Garage parking in the building. No circling Beverly Drive looking for a space.

Why it is one trip

  • The sample and the reading in one room. Dr. Nadelman performs the biopsy and interprets it herself.
  • A thin sample is repeated on the day. Not reported back to you a fortnight later.
  • Results within 24 hours. Usually before you would have got a hospital appointment at all.
  • No follow up visit. There is nothing to drive back for.

The drive replaces the wait, not adds to it. For most Palmdale patients the round trip takes less time than the gap between a referral and the first available hospital radiology slot.

What are we sampling

Three questions a needle can answer.

It is a twenty minute procedure with local anesthesia and no incision. What makes it worth travelling for is not the needle, it is who reads what comes out of it.

Thyroid

Thyroid nodule biopsy

Only 4 to 6 percent of thyroid nodules turn out to be cancer. Ultrasound guided sampling, graded on the Bethesda system, read on site. Thyroid biopsy

Breast

Breast lump biopsy

Most breast lumps are benign. If it is a cyst, draining it with the same needle often makes the lump disappear during the visit. Breast biopsy

Lymph nodes

Lymph node biopsy

Usually a node is simply doing its job. When it is hard, fixed, or has not gone away, cells answer the question in one appointment. Lymph node biopsy

Two routes from Palmdale

The handoff is what costs you the time.

If your Palmdale physician finds a thyroid nodule, a breast lump or a swollen lymph node, the standard route sends you to imaging first and an outside laboratory second. Nobody in that chain is the person who ends up making the diagnosis.

The hospital referral

Two visits, two specialists, two waits

  • Day 0. Referral and imaging
  • Day 3. A radiologist takes the sample
  • Day 12 to 14. Pathology report reaches your doctor
  • If the sample is short. You find out two weeks later and start over

About two weeks of waiting

With Dr. Nadelman

One appointment

One visit, one specialist, one trip

  • Day 0. Ultrasound, biopsy, slides read on site, consultation
  • Same day. If the sample is short she knows immediately and takes another
  • Within 24 hours. Preliminary results to you and your doctor
  • No second trip. You talk to the person who made the diagnosis

An answer inside of two days

Your appointment

What actually happens.

Plan on about an hour from walking in to walking out, however far you drove to get here.

01

Consultation and ultrasound

Dr. Nadelman examines the lump and looks at it on ultrasound first, so she knows exactly what she is sampling.

02

The aspiration

Local anesthesia, then a few passes with a fine needle. Most people find it easier than a blood draw.

03

Read on site

The slides are stained and examined in the office lab while you wait. This is the step that does not exist anywhere else.

04

Drive home

Preliminary findings usually within 24 hours, sent to you and to whichever physician you name in Palmdale.

Palmdale questions

The practical questions.

It is about 60 miles from Palmdale, normally an hour and a quarter on the CA-14 south through the Antelope Valley. The office is at 1125 S. Beverly Drive, Suite 602, in Los Angeles, with parking in the building garage.

Next-day appointments are usually available and same day is often possible. That is the practical difference from a hospital radiology referral, where the first opening is frequently weeks out.

There is no incision and no general anesthesia, so most patients go straight back to normal activity. Dr. Nadelman will say on the day if anything about your case suggests otherwise.

No. You can schedule directly with the office. If you do have a referring physician, Dr. Nadelman sends them the report and is glad to talk through the findings with them, and because she reads the slides herself that conversation happens with the person who made the diagnosis.

The trip is shorter than the wait.

Next-day appointments are usually available, and house calls are available anywhere in California.

1125 S. Beverly Drive, Suite 602
Los Angeles, CA 90035
Monday to Friday, 10 to 6

CELINA NADELMAN, M.D.

  • Biopsy and interpretation by a Board Certified Cytopathologist

  • Ultrasound-guided and palpation-guided FNAs

  • Preliminary diagnosis within 24 hours in most cases

  • Next day appointments available

  • We accept most major PPO insurances and Medicare.

  • Patient and physician time savings

  • Relief of patient anxiety

  • Medical, technical and fiscal resource conservation

  • Appropriate and expeditious triage of the patient and their sample

  • Diagnostic ultrasound services

WE ARE HERE TO HELP

Request an appointment with The Cancer Biopsy Doctor, Celina M. Nadelman, M.D. today.

Did you know we do house calls in the state of California? We can travel to you anywhere in California! Speak to our office about the details.