Planning the trip

One trip, not two.

Apple Valley is about 95 miles from the office on the I-15 south through the Cajon Pass, normally roughly two hours. That is a real drive, so the point is to make it once and go home with the answer already moving. A fine needle aspiration takes about twenty minutes, with local anesthesia and no incision.

01

Book the first slot of the day

An early appointment means an easier run in both directions and you are home well before evening.

02

Bring the imaging you have

Any ultrasound, mammogram or CT report from a Apple Valley clinic. It tells Dr. Nadelman what she is looking for before the needle goes anywhere.

03

The biopsy and the microscope

Ultrasound, local anesthesia, a few passes with a fine needle, then the slides stained and read in the office lab while you are still there.

04

Drive home with it settled

If the sample is thin she takes another the same visit. Preliminary findings usually reach you within 24 hours.

Why make the drive

What the distance buys you.

There are hospitals and imaging closer to Apple Valley, and for plenty of things they are the right answer. A fine needle aspiration is the case where the person reading the slides changes how long it takes, because the reading is the diagnosis.

What the drive gets you

  • One trip instead of two. The sample and the reading happen in the same visit.
  • The specialist holds the needle. Dr. Nadelman is board certified in cytopathology and performs the aspiration herself.
  • A thin sample caught on the day. She knows in minutes and repeats it there and then.
  • Preliminary results within 24 hours. Sent to you and to your Apple Valley physician.

When it is not worth the drive

  • It is clearly a simple cyst. Your own doctor may be able to settle that locally with imaging alone.
  • You cannot travel. House calls are available anywhere in California, so ask before ruling it out.
  • It needs more tissue than a needle takes. Some diagnoses need a core or surgical biopsy, and she will say so.
  • You already have a clear answer. If a prior FNA settled it, a second opinion on the existing slides may be enough.

Ask before you drive. A short phone call establishes whether a fine needle aspiration is the right test for what your doctor found, and whether a house call makes more sense than the trip.

Fine needle aspiration in Apple Valley

What brings Apple Valley patients down.

Local anesthesia, a few passes with a fine needle, no incision. The sample is stained and examined in the office rather than shipped to an outside laboratory.

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 Apple Valley

Same test, different two weeks.

If your Apple Valley physician finds a thyroid nodule, a breast lump or a swollen lymph node, a referral is written and the sample goes to a laboratory somewhere else. The report comes back to your doctor, not to you, and it takes as long as it takes.

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

If 95 miles is not possible, she comes to you.

Dr. Nadelman performs house call FNA biopsies anywhere in California. She brings the ultrasound and the staining setup, so a homebound patient in Apple Valley gets the same procedure and the same turnaround at home.

310.702.6701

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

Apple Valley questions

Asked by patients from Apple Valley.

How far is the office from Apple Valley?

It is about 95 miles from Apple Valley, normally roughly two hours on the I-15 south through the Cajon Pass. The office is at 1125 S. Beverly Drive, Suite 602, in Los Angeles, with parking in the building garage.

She takes another one in the same visit. The slides are examined in the office while you are still there, so a short sample is caught in minutes rather than discovered by an outside lab two weeks later. That is the single biggest reason it is worth making the trip once rather than twice.

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.

Worth reading before you drive up. fine needle aspiration biopsy in Los Angeles, the insurance the office accepts, and the questions patients ask most. She also samples salivary gland, soft tissue and other lumps, bumps and nodules.

Near Apple Valley. She also sees patients from Victorville, Palmdale and Palm Desert. Or see every area she covers.

Stop waiting on a laboratory you will never speak to.

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

310.702.6701

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

What patients say

4.9 stars across Google and Yelp

Reviews from people who came in with a lump and left with an answer. Video testimonials and letters from referring physicians are on the testimonials page.

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.