Soft Mole Under Armpit Size Of Garden Pea Been Removed?

[cyprus2012]

I had a mole removed Friday by my gp he said it was benign and I can book it whenever to get the mole removed it was just under the crease of my armpit and had abit of dots in it that looked raised. The mole was soft to touch never bled or itched and as I said I oy went as I didn't like how it looked ice had it there for a few years I think anyway not too sure. You could pull down on it aswell and see it where it was attached to the skin like a tag. But my gp has sent it off to the lab it's almost been a week but I'm scared he said he is very confident it's benign. And if it's soft to touch and aw to pu it us that not melanoma?

[boxtops]

cyprus, you posted this thread already, and we gave you lots of replies - have you read them? The sample being sent to the lab is perfectly normal, and it's a safeguard for you. It happens to most of us who've had moles removed.

[boxtops]

Look at all the answers on your first thread http://www.theanswerbank.co.uk/Body-and-Soul/Question1292709.html

[SlackAlice]

http://www.theanswerbank.co.uk/Body-and-Soul/Question1292709.html

[boxtops]

YOu have to wait for the result to come back from the lab - did the GP say for you to contact them in a number of days. or will the surgery contact you?

[cyprus2012]

He said two weeks it can take and he will contact me if it's bad but he kept saying but it's benign and he is really good gp and like I said he gave me option if I wanted it removed or not so suppose that's a good sign?

[Sqad]

OK for the last time.
The description that you have given is NOT that of a malignant melanoma.
The site of the mole is not typical of a malignant melanoma.

So you must just keep worrying until the biopsy has returned.

[craft1948]

I notice that you posted previously about having a mole on your inner elbow, is this a different one?

[Sqad]

Do GP's get paid extra for removing moles?

[bednobs]

yes, they get money as a "LES"

[Sqad]

What's a "Les".......not want I am thinking ,surely?

[Mamyalynne]

local enhanced service (LES)

[Sqad]

Good God....what ever next?
Well that is a good reason why all parts removed from minor surgery is sent for biopsy other than diagnosis and that is to confirm that a part has been removed.Not that i am suggesting that fraudulent claims would be made?????

[Mamyalynne]

Prompt and correct diagnosis should be the main key I feel, not much point removing and not testing.

C&P of Enhanced services...

Below is a list of nationally defined enhanced services:

Alcohol related risk reduction scheme
Childhood immunisation (target payments)
Childhood influenza vaccination programme
Extended hours access scheme
Facilitating timely diagnosis and support for people with dementia
Influenza and pneumococcal scheme*
Learning disabilities health check scheme
Minor surgery scheme*
Patient participation scheme
Pertussis (whooping cough) immunisation scheme (time-limited)
Risk profiling and care management scheme
Shingles catch-up vaccination programme
Shingles vaccination programme
Violent patient scheme*

[Mamyalynne]

More on this matter here.



http://www.nhsemployers.org/PayAndContracts/GeneralMedicalServicesContract/DirectedEnhancedServices/Pages/EnhancedServices.aspx

[Sqad]

mmmmmm! ....

[boxtops]

Sqad, the system is: GPs are paid "normally" under their contract with the National Commissioning Board for providing core services. Not all GP practices are approved for minor surgery (I had to go from Dover to a surgery in Folkestone to get my mole removed) - enhanced services are contracted and funded separately from the core GP contract. Notes are sufficient for ES claims - you don't have to provide evidence of body parts :-)

[horseshoes]

My GP does minor ops in his surgery and I had something very similar to what OP describes; it was a skin tag, and yes it did go to a lab to be analysed, and yes it was benign.

[Sqad]

LOL....OK you win...it is not GP as i knew it.
Have these "boys" who do minor surgery (with extra pay) got added qualifications or can anybody have a go?

[boxtops]

There are loads of things under ESs - a whole A4 page locally at the moment - for instance, a Diabetes service can be provided as Core, Enhanced, or Specialist, with different payment structures for each level. Each surgery will be contracted to provide different services (and they don't have to offer any ESs if they don't want to - they have to have appropriately trained personnel to manage each level before they can bid for the work). Some surgeries don't even run a phlebotomy service, patients have to go to the hospital for bloods to be taken.

[boxtops]

Yep, appropriate qualifications, sqad - both for the GP, nurse assistant and/or HCA.