Halo test in play exam

How many women or playdocs would like to try a "halo" test during a play exam? I was thinking of using an electric double breast pump to simulate the procedure during a play exam, but I was trying to decide how to work it in. Would it be best to do it after the breast exam and before the pelvic exam, or wait until the conclusion of the physical exam? I was going to run the breast pump for about 5 minutes, and have the patient sitting up during the procedure. Does anyone have any experience with the halo test, and if so, can you give me some pointers to make it more realistic?

My understanding is that it's done separately from the exam. Commonly, a female staff member will set up the machine in a private room and instruct the woman how to proceed. The women would be left in private for the 5 minute cycle. The doctor's time in the real world is too valuable for that.

Question..what is a Halo test..lol

Maybe after the conclusion of the physical exam

question..what is a Halo test..lol

It's a suction test to collect fluid from the breast to be tested for cancer cells.

Will most women aspirate some fluid after 5 minutes?

Apparently. You can't market a device that doesn't work.... Wait, this is America, yes you can. ?

It does sound like a fun "extra" to include with a play exam. As far as real life setting - this test is not covered by insurance and there are no clinical trials promoting it's use. So what you have is a significant marketing effort targeted at the physician to increase bottom line profit by convincing the patient to pay around a hundred bucks out of pocket for the test

The system is designed for use by an assistant or nurse aside from an obgyn or other exam though it seems to typically occur immediately following an exam. Most women are not going to produce any fluid at all - even the halo folks admit to a conservative figure of 50% . No fluid is a normal finding. Fluid production is also a normal finding. According to the manufacturer only 1-2% of women have atypical cell result findings...and...the atypical results often correct themselves. To top it off only a handful of doctors in the country deal with consultation around abnormal findings. To be fair the basis for all this comes from research from the same doctor who invented the cervical pap smear. Bottom line - it seems to all boil down to an annual money maker

After all that I'm back to really liking the idea of incorporating this into my play exam process

Doc4u72,

Thanks for the reply. I was thinking that it would be interesting to incorporate a halo test into a play exam because it's so new, therefore it would give the play doc some leeway in how to implement the procedure. It would also be fun to have the patient's breasts exposed and stimulated for over five minutes. I have been looking at different breast pumps in order to find something that looks more "clinical". I also looked at a goat milking machine which had long/clear plastic tubes, although I was reading somewhere that they don't stimulate milk discharge in women. My thought was to have the patient sit in a massage chair that leans forward with both of her breasts exposed and dangling, after which she is hooked up to double electric breast pump. As a play doc you could leave the room, change into a pair of scrubs, and return as a medical assistant who then administers the test.

If I had the interest and resources, I'd think about the goat milker for the cyclic action connected to some non-fire Asian style medicinal cups that have been modified not to need the hand pump and having lost the internal valve.

http://www.amazon.com/Kangzhu-Biomagnetic-Chinese-Cupping-Therapy/dp/B00AI1W8NI/ref=sr_1_1?ie=UTF8&qid=1419267009&sr=8-1&keywords=medical+cupping

Wow this stream has some pretty bright kinksters. Thanks folks.

Here's a video about the halo test

http://youtu.be/L_5-wXuU_vU

Interesting and nice video

Thanks for explaining what the test is for. As an EMT, the halo test we use is completely different. The test we use is to test blood coming from the ears for presence of cerebrospinal fluid. We call it a halo test because if the fluid is present, it shows up as a ring, like a halo

My understanding of the halo test is as dr. Fireman. If there is bloody fluid from the ears or nose it is dripped onto a filter paper. The cerebrospinal fluid (CSF) forms a ring around the blood. The halo test as seen in the video is obviously to get cytology fluid to look for cancer cell. By the way Jds I have cupping done once by a Vietnamese nurse and it made me feel great and very relaxed. It was a big surprise for me.