Episode 233: At-Home HPV Testing: Promise or Peril in a New Screening Era
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I'm your host, board-certified OB-GYN, Dr. Carolyn Moyers.
Welcome back, Sky community. Welcome to another episode of Sky Women's Health Podcast. Today, we are talking about the pap smear, the HPV testing, what is going on with at-home HPV testing. And we have an expert here with us, Dr. Richard Hopley. who is a pathologist with PathAdvantage, an associate medical director, and someone who I lean on a lot. One of my favorite labs to work with, PathAdvantage, I've been working with them for the last five years. And Dr. Hubley is never scared to pick up the phone and talk to me through certain case scenarios or to even call patients when they have questions. And it's rare that you find a pathologist who really is patient. so into women's health and really engaged in the patient experience.
So I really appreciate that, Dr. Hopley. I just am so grateful for our working relationship. Thank you. Thank you very much. Thanks for having me. And thank you too for being so accessible. Pathologists, especially the ones at Path Advantage, are not... There is a stereotype of a pathologist being somebody who works in the basement, which traditionally is where pathology was located. And we're all scared of talking to not only patients, but other doctors. But yeah, especially here at Path Advantage, we're very open. We love reaching out to our docs and we love it when they reciprocate like yourself. Yeah, I love what I do. And I love talking to our clinician colleagues. Yeah, well, it shows and we appreciate it.
I mean, I had a patient that I saw for a colpo just two days ago. And so she had had an abnormal pap smear. We did a colposcopy and we scheduled her for her follow up to discuss the results next week. Well, she was floored when we called her this morning and said, we have the results. Could we get you on for a telehealth? That's great customer service. Just the turnaround that we get is pretty remarkable. That's right. That was one of Dr. Alexandra Gillespie's primary tenets. Dr. Gillespie is our founder of Path Advantage and our primary medical director. And she always operated with this idea of a 24-hour turnaround time for essentially everything, even biopsies, which is almost unheard of. And she loves to present that so you can get the result while that patient is still fresh in your mind and you remember the
the experience and what you saw during the exam. So having that result so quickly instead of two weeks later can be invaluable, I think. Yeah, absolutely. Because, you know, many times I call you and I go, are we sure about this? Because this is what I'm seeing clinically. Maybe I didn't represent that well in the pathology before, you know, or in the reposition. Well, let's get into talking about the FDA recently approved an at-home HPV testing. It's being marketed as this screening revolution. But you and I both have a little bit of reservation and concerns about this. And that's why... you know, in the medical community, I think you see you have that range of enthusiasm and concern, right? Because we really want to understand what as clinicians and patients, what is the shift really mean?
And you and I were chatting that, you know, a lot of times patients assume they had a pap smear if they had a pelvic exam, but they are not equivalent.
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